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You are recovering after treatment

When can I start HRT after surgical menopause?

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If endometriosis has been thoroughly treated at the time of surgery, we often consider starting hormone therapy right away or within the first few weeks after surgical menopause. This can help reduce sudden, severe menopause symptoms like hot flashes and sleep disruption, and it also supports long-term bone and cardiovascular health.


The best timing and hormone plan depends on your surgical findings, whether any endometriosis was left behind, and your individual risk factors and goals. Our team will review your pathology and operative details with you and coordinate a plan that balances symptom relief with safety—if you’d like, you can reach out to schedule a consultation so we can personalize next steps.

An illustrative collage of a female showing discomfort, robotic surgery, a doctor discussing treatment, medicines, and calendar.

Questions About Your Recovery?

Post-treatment care is essential. Our team provides comprehensive follow-up to support your recovery journey.

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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