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You suspect you may have endometriosis or adenomyosis

What if I have pelvic pain or bladder/bowel symptoms with fibroids?

Treatment Challengespelvicbladderbowel

Pelvic pain, bowel or bladder symptoms, and pain with sex can happen with fibroids, but they can also signal that something else is contributing. Conditions like endometriosis, pelvic adhesions, bladder involvement, or pelvic floor muscle dysfunction can overlap with fibroids and create symptoms such as urinary urgency, bladder pain, painful bowel movements, or deep pain during intercourse.


When symptoms extend beyond heavy bleeding or bulk pressure, a fibroid-only plan may not fully relieve what you’re feeling. In our practice, we take a comprehensive approach to evaluation so we can identify all likely pain drivers and tailor treatment accordingly, which may include coordinated supportive care such as pelvic floor therapy when it’s a good fit. If these symptoms sound familiar, you can reach out to schedule a consultation with our team so we can map out the next steps.

An illustration of a woman sitting between a hospital bed and clipboard showing failed tests, all surrounded by a circle of arrows depicting a cycle.

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