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How do imaging results affect treatment and fertility planning?

Topic:Fertility
Affected areas:pelvicabdominalsystemic

Imaging findings—such as how deep adenomyosis extends, how much of the uterine wall is involved, and whether there are coexisting conditions—help us tailor a plan that matches your symptoms and your fertility goals. When imaging suggests more limited disease, some patients may be candidates for uterus-preserving options, while more extensive involvement may shift the discussion toward definitive treatment.


These details also shape what to expect from treatment, including the likelihood of meaningful pain relief and how realistic conception may be before or after different approaches. In a consultation, our team reviews your images alongside your history and exam to explain the tradeoffs of hormonal management, an LNG-IUD, conservative surgery, or hysterectomy, and to map out a fertility-centered timeline when pregnancy is a goal.

An illustrative collage of elements depicting fertility.

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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