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You suspect you may have endometriosis or adenomyosis

What fatigue symptoms are urgent red flags?

Topic:Symptoms
Affected areas:systemicchestpelvic

If your fatigue comes with fainting, chest pain, new shortness of breath, a racing or irregular heartbeat, or sudden extreme weakness, those are urgent red flags. They can signal significant anemia or another serious medical problem that needs prompt assessment, not just endometriosis or adenomyosis.


Other concerning signs include unexplained weight loss, persistent fevers, or night sweats—especially if they’re new for you or progressively worsening. If any of these are part of what you’re experiencing, reach out to our team right away so we can guide next steps and make sure nothing important is missed.

An illustration of a female sitting down, hunched over in discomfort.

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