Skip to main content
The Lotus Endometriosis Institute Logo

Surgery

How do I choose an adenomyosis specialist or surgeon?

The short answer

Choose a specialist who matches treatment to your goals and explains how uncertainty in a diagnosis based on imaging and symptoms affects your options. If surgery is being considered, look for a surgeon who routinely performs complex minimally invasive pelvic surgery.

Choosing an adenomyosis specialist starts with matching the team’s focus to your goal: controlling heavy bleeding and anemia, reducing pain and pressure, preserving fertility, or pursuing definitive treatment. Because adenomyosis often can’t be confirmed with absolute certainty unless the uterus is examined by a pathologist after hysterectomy, the right clinician is comfortable working with a diagnosis based on imaging and symptoms and can clearly explain how that uncertainty affects your options. You should feel that your plan is individualized, rather than a one-size-fits-all default to hormones or a reflex straight to hysterectomy.

When surgery is on the table, look for a surgeon who routinely performs complex minimally invasive pelvic surgery and can describe what they do when adenomyosis overlaps with endometriosis, adhesions, fibroids, or bladder, bowel, or ureter involvement. Ask how they decide between uterus-preserving strategies and hysterectomy, how they plan to protect organs and manage bleeding risk, and what they do to reduce repeat procedures. Our team takes a coordinated approach, with careful pre-op planning, meticulous minimally invasive technique when appropriate, and clear goal-based decision-making. You can explore our approach on the site or reach out to schedule a consultation to review your symptoms, imaging, and priorities.

Where to go from here

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

Step 3 · Speak with Us

Find Your Adenomyosis Expert

Our specialists tailor treatment plans to control bleeding, reduce pain, and preserve fertility. Get clear guidance even when diagnosis isn’t absolute—your care is personalized every step of the way.

Questions people ask next

All surgery questions
  • What should I ask at an adenomyosis surgery consult?

    Ask about your treatment goals, what is driving your symptoms, and whether uterus-preserving surgery or hysterectomy is right for you. Also ask about expected symptom relief, whether the plan addresses endometriosis, the surgical approach, safety, recovery and follow-up.

  • Uterus-sparing surgery vs hysterectomy for adenomyosis: how chosen?

    The choice depends on symptom severity, future fertility goals, and the pattern of adenomyosis on imaging. Localized disease may suit uterus-sparing surgery, while hysterectomy may offer the most definitive relief of symptoms from the uterus when symptoms are severe and disease is extensive.

  • What are the treatment options for adenomyosis?

    Adenomyosis treatment options include hormone-based medicines, symptom-control procedures, and surgery, depending on your symptoms and fertility goals. Uterus-sparing surgery may be possible in select focal cases; hysterectomy is the only definitive treatment within the uterus.

  • How is adenomyosis diagnosed—MRI, ultrasound, or surgery?

    Adenomyosis is most often diagnosed using your symptoms, a pelvic exam, and imaging, usually an expert transvaginal ultrasound and sometimes an MRI. Most patients do not need surgery to confirm it; imaging and your clinical story typically provide enough clarity.

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