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You suspect you may have endometriosis or adenomyosis

How can I manage a mid-cycle pelvic pain flare at home?

Topic:Symptoms
Affected areas:pelvicabdominalback

Mid-cycle flares can feel intense, and our goal is to help you get through them while we work up the underlying cause. Many patients get short-term relief with a heating pad, extra rest, gentle movement (like a short walk or light stretching), and steady hydration—especially if the flare tends to ramp up over several hours.


If anti-inflammatory medications are part of your routine, some people do better with a planned approach around predicted ovulation, but this should be tailored to your health history (especially if you have reflux/ulcers, kidney concerns, or bleeding risk). When pelvic tightness or “spasm” is a major part of the pain, down-training and relaxation strategies—and in many cases pelvic floor physical therapy—can be especially helpful. If these flares are recurrent, disabling, or coming with other symptoms, reach out to schedule a consultation so our team can help you sort out whether this fits ovulation pain alone or could be related to endometriosis or another pelvic condition.

An illustration of a female sitting down, hunched over in discomfort.

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.

Schedule a Consultation

Reach Out

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