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You suspect you may have endometriosis or adenomyosis

What symptoms suggest a focal adenomyoma?

Topic:Deep Disease
Affected areas:pelvicabdominalback
An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

A focal adenomyoma (a localized form of adenomyosis) often causes symptoms that feel more “one-sided” or concentrated in a specific area. Many patients describe localized, severe period cramps, heavy or prolonged menstrual bleeding, and deep pain with sex that tends to flare in the days leading up to and during their period.


Sometimes there’s a particularly tender spot on the uterus during an exam, and symptoms may come in predictable monthly waves rather than being constant. Because these symptoms can overlap with fibroids and other uterine conditions, symptoms alone can’t confirm the diagnosis. Our team typically relies on targeted imaging and a full symptom history to clarify what’s driving your bleeding and pain and to discuss next steps.

Severe Localized Period Pain?

If you're experiencing one-sided, intense cramps and heavy bleeding, our specialists can help diagnose whether a focal adenomyoma is the cause. We provide expert care tailored to your symptoms and concerns.

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Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

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(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

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Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420