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Deep Disease

Can fibroids and endometriosis occur together?

The short answer

Yes, fibroids and endometriosis can occur together, and the combination can intensify heavy bleeding, pelvic pressure, and pain. Treatment often works best when it addresses both conditions, with an evaluation of how much each is contributing to symptoms.

Yes, fibroids and endometriosis can occur together, and the combination can intensify symptoms like heavy bleeding, pelvic pressure, and pain. When both are present, it’s important to assess how much each condition contributes, because bleeding and bulk symptoms from fibroids can overlap with endometriosis-related pain.

Treatment often works best when the plan addresses both problems rather than assuming one diagnosis explains everything. For some patients, removing fibroids can significantly improve bleeding and pressure, while endometriosis may require targeted treatment for inflammation, adhesions, or deep sources of pain. In a consultation, our team maps your symptoms and imaging findings to build an integrated plan around your goals, such as symptom relief, fertility priorities, and long-term control.

Where to go from here

Understand it, compare it with what you're feeling, then talk it through with us.

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Dealing with Fibroids and Endometriosis?

If you suspect both fibroids and endometriosis, our specialists can help pinpoint the exact cause of your symptoms and tailor a treatment plan that addresses both. Get relief through expert evaluation and care designed just for you.

Questions people ask next

All deep disease questions
  • Do fibroids or adenomyosis often occur with endometriosis?

    Yes, fibroids and adenomyosis can coexist with endometriosis, and the overlap is especially common in people with heavy bleeding and significant period pain. Identifying which conditions are present is important for choosing the most effective treatment plan.

  • What if I have pelvic pain or bladder/bowel symptoms with fibroids?

    Pelvic pain or bladder and bowel symptoms can happen with fibroids, but they can also signal another contributing condition, such as endometriosis or pelvic floor muscle dysfunction. A fibroid-only treatment plan may not fully relieve these symptoms.

  • Can endometriosis cause heavy menstrual bleeding?

    Yes, endometriosis can be associated with heavy menstrual bleeding for some patients, but heavy flow is more strongly linked to uterine conditions, especially adenomyosis. Many people with endometriosis have a normal amount of bleeding but significant pain.

  • Can you have both endometriosis and adenomyosis?

    Yes, many patients can have both endometriosis and adenomyosis at the same time. Their symptoms may blend together, and having both can affect treatment planning because endometriosis is outside the uterus while adenomyosis is within the uterine muscle.

Reach Out

Have a question?

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.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8am - 5pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420