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How long to try conceiving before infertility evaluation?

Topic:Fertility
Affected areas:pelvicabdominal

If you suspect or know you have endometriosis, we generally recommend seeking a fertility evaluation after about 6 months of trying to conceive naturally. Endometriosis can affect ovulation, egg quality, tubal function, and pelvic anatomy, so waiting too long can delay answers and treatment options.


We also suggest reaching out sooner if you’re over 35, your symptoms are severe (especially significant pelvic pain), or you’ve been told you may have ovarian cysts or tubal involvement. Our team can help clarify what factors may be limiting conception and discuss next steps based on your goals and timeline.

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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