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Do endometriosis and adenomyosis affect fertility?

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Endometriosis and adenomyosis can both make it harder to conceive, but the “why” can differ from person to person. These conditions may affect fertility through inflammation, scarring/adhesions, ovarian involvement, or changes to the uterus that can interfere with implantation and pregnancy.


Treatment can also influence fertility planning. When appropriate, fertility-sparing excision surgery may improve the chances of pregnancy for some patients by removing disease and restoring anatomy, and some patients may still benefit from assisted reproductive technologies such as IVF depending on age, ovarian reserve, and the extent of disease. Our team can help you understand what’s most likely driving fertility challenges in your case and outline a plan that aligns with your goals—whether that’s trying soon, preserving options, or preparing for fertility treatment.

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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