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You suspect you may have endometriosis or adenomyosis

What are the key symptoms of adenomyosis?

Topic:Symptoms
Affected areas:pelvicbowelbladder

Adenomyosis more commonly causes heavy or prolonged menstrual bleeding along with significant cramping that can feel deep, sore, or “achy.” Many patients describe pelvic pressure, uterine tenderness, and a sense of heaviness, sometimes with bloating or low back discomfort that tracks with the cycle.


Symptoms can overlap with endometriosis, and the two conditions can occur together, which is why we pay close attention to both bleeding patterns and pain characteristics. When adenomyosis is suspected, we often pair a detailed history with targeted imaging (such as expert pelvic ultrasound or MRI) to clarify the picture. Reach out to schedule a consultation so our team can help you sort out what best fits and which treatment options make sense for you.

An illustration of a female sitting down, hunched over in discomfort.

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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