Skip to main content
Lotus Endometriosis Institute solid color logo

You suspect you may have endometriosis or adenomyosis

Is my chest pain cyclical and possibly endometriosis-related?

Topic:Deep Disease
Affected areas:chestabdominalsystemic

Chest pain tends to be “cyclical” when it predictably flares in the same part of your menstrual cycle—most often in the days leading up to bleeding, during your period, and sometimes around ovulation. People often notice a repeatable pattern in location (such as the same side each month, sometimes under the ribs) and in what sets it off, like deep breaths, coughing, or twisting.


Tracking your symptoms for 2–3 cycles can make this pattern much clearer. Note the timing relative to your cycle, where the pain is, how it feels, and whether it comes with breathing-related symptoms, shoulder/rib pain, or upper abdominal discomfort. If you’re seeing a consistent cycle-linked pattern, our team can help evaluate whether endometriosis could be contributing and discuss what next steps make sense for you.

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.

Schedule a Consultation

Reach Out

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