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You are managing long-term care

How often should I follow up if my symptoms are stable?

Topic:General
Affected areas:pelvicbowelbladder

If your symptoms are stable, we still recommend planned follow-up rather than “as needed” check-ins. Endometriosis and adenomyosis can be chronic, and symptom level doesn’t always perfectly match what’s happening biologically—so having a clear follow-up rhythm helps us catch changes early and keep your plan aligned with your goals.


A common framework is a baseline visit once you’ve reached your post-treatment “new normal” (often after the initial healing window), then a check-in around 6–12 months, and then yearly reviews—especially if you’ve had deep disease, ovarian endometriomas, suspected adenomyosis, or persistent (even mild) bowel/bladder or bleeding symptoms. Imaging isn’t automatically needed at every visit, but it can be useful in specific situations, and we individualize that based on your history and prior findings.


If anything shifts between scheduled visits—new pain patterns, escalating bleeding, bowel or bladder changes, fertility timeline changes, or symptoms that start limiting your life—reach out sooner so we can reassess. If you’re not sure what follow-up cadence fits your situation, our team can review your records and help you map out a long-term plan that feels concrete and realistic.

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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