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You suspect you may have endometriosis or adenomyosis

What does adenomyosis mean?

Topic:Deep Disease
Affected areas:pelvicabdominalsystemic

Adenomyosis means that tissue similar to the uterine lining grows into the muscle wall of the uterus (the myometrium). Because this tissue still responds to hormonal cycles, it can swell and bleed with your period—but it’s trapped in the uterine muscle, which can trigger inflammation and pain.


For many people, adenomyosis shows up as heavy or prolonged bleeding, severe cramps, pelvic pressure, or fertility challenges, and the uterus may become enlarged and tender. Unlike endometriosis, adenomyosis stays within the uterus (though it can be diffuse throughout the muscle or more localized as an adenomyoma). If your symptoms fit this pattern, our team can help you make sense of imaging findings and discuss options that match your goals—whether that’s symptom control, fertility planning, or definitive treatment.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

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.

Schedule a Consultation

Reach Out

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