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You suspect you may have endometriosis or adenomyosis

Is bleeding between periods a sign of adenomyosis or endometriosis?

Topic:Symptoms
Affected areas:pelvicabdominalsystemic

Yes—bleeding between periods (spotting) can happen with adenomyosis or endometriosis, but it isn’t specific to either condition. Spotting can also come from common issues like uterine polyps or fibroids, cervical irritation/inflammation, or hormone-related cycle changes.


When endometriosis or adenomyosis is involved, intermenstrual bleeding may reflect inflammation, disrupted cycle signaling, or another uterine condition occurring alongside pelvic pain or heavy periods. Because there are also important causes we’ll want to rule out—especially if bleeding is new, persistent, or happens after sex—our team can help you sort out what’s most likely and what testing makes sense. If you’re not sure where to start, reach out to schedule a consultation with us.

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Think You Might Have Endometriosis?

If you suspect endometriosis or adenomyosis may be causing your symptoms, our specialists can provide expert evaluation and guidance on next steps.

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Have a question?

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