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How do autoimmune conditions affect fertility and pregnancy in endometriosis?

Topic:Fertility
Affected areas:systemicpelvicabdominal

Autoimmune conditions can influence fertility and pregnancy alongside endometriosis by adding inflammation and hormone or immune-system disruptions that may affect ovulation, implantation, and early pregnancy stability. In our experience, outcomes often improve when the autoimmune condition is clearly identified and well-controlled before trying to conceive, since uncontrolled disease activity can raise the risk of infertility and miscarriage.


The right plan depends on which condition is present—for example, optimizing thyroid levels before conception, maintaining a strict gluten-free diet for confirmed celiac disease, or completing a focused workup if there’s a history of recurrent pregnancy loss. Our team can help you connect the dots between your symptoms, lab findings, and reproductive goals and build a coordinated strategy for preconception and pregnancy monitoring; you can reach out to schedule a consultation to discuss your next steps.

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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

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Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420