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Can adenomyosis and endometriosis occur together?

Deep Diseasepelvicabdominalsystemic

Yes—adenomyosis and endometriosis often coexist, and having both can amplify pelvic pain, heavy bleeding, and fertility challenges. When symptoms feel “bigger” than a single diagnosis, it’s often because disease is present in more than one location.


In these situations, we focus on clarifying the full picture first—mapping where disease may be located across the pelvis using targeted imaging such as expert ultrasound or MRI when appropriate. From there, our team builds a coordinated plan that addresses both conditions, which may include medical options, excision surgery when indicated, and supportive rehabilitation to improve function and recovery. If you suspect both may be involved, reaching out to schedule a consultation can help us tailor next steps to your goals and symptoms.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

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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