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You suspect you may have endometriosis or adenomyosis

Should I see an endometriosis specialist for heavy bleeding?

Topic:Symptoms
Affected areas:pelvicabdominalbladder
An illustration of a female sitting down, hunched over in discomfort.

Heavy menstrual bleeding can have several causes, but when it shows up alongside pelvic pain, severe period cramps, pain with sex, bowel or bladder symptoms, or fertility struggles, it raises the possibility of endometriosis and/or adenomyosis. These conditions can overlap, and the pattern of symptoms often matters as much as any single test result.


Our team specializes in complex pelvic pain and bleeding concerns, and we can evaluate your history, exam findings, and imaging together to clarify what’s most likely driving the bleeding. From there, we’ll walk you through a personalized plan that may include medical options, procedural approaches, and—when appropriate—surgery aimed at treating the underlying disease rather than just masking symptoms. If you’re ready, you can reach out to schedule a consultation with us.

Heavy Bleeding? Get Expert Help

If heavy periods come with pain or other symptoms, it could be endometriosis or adenomyosis. Our specialists evaluate your full history to create a personalized care plan just for you.

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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