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You suspect you may have endometriosis or adenomyosis

What treatments help with cyclical shoulder pain?

Topic:Deep Disease
Affected areas:chestbacksystemic

Cyclical shoulder pain can be a sign of hormone-driven inflammation—sometimes related to diaphragmatic or thoracic endometriosis—so treatment often focuses on both symptom control and the underlying cause. Hormonal suppression may reduce cycle-linked bleeding and inflammation, which can lessen predictable monthly flares for some patients.


While we’re working toward a clear diagnosis and long-term plan, pain-focused care can help you function day to day. This may include anti-inflammatory medications, targeted nerve-pain options when appropriate, and pacing strategies tailored to your flare pattern. If diaphragmatic endometriosis is strongly suspected or confirmed and symptoms are significantly impacting your life, excision surgery with an experienced team can be the most durable path to relief—reach out to schedule a consultation with us so we can review your symptoms and imaging and discuss next steps.

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