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You suspect you may have endometriosis or adenomyosis

Can fibroids and endometriosis occur together?

Topic:Deep Disease
Affected areas:pelvicabdominalsystemic

Yes—fibroids and endometriosis can occur together, and that combination can intensify symptoms like heavy bleeding, pelvic pressure, and pain. When both are present, it’s important to evaluate how much each condition is contributing, because fibroid-driven bleeding and bulk symptoms can overlap with endometriosis-related pain.


Treatment often works best when it’s planned to address both problems rather than assuming one diagnosis explains everything. For some patients, removing fibroids can significantly improve bleeding and pressure, while endometriosis may require targeted treatment to address inflammation, adhesions, or deep pain generators. In a consultation, our team focuses on mapping symptoms and imaging findings to build an integrated plan that matches your goals, such as symptom relief, fertility priorities, and long-term control.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

Think You Might Have Endometriosis?

If you suspect endometriosis or adenomyosis may be causing your symptoms, our specialists can provide expert evaluation and guidance on next steps.

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Have a question?

Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420