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What treatments help pelvic pain when trying to conceive?

Topic:Fertility
Affected areas:pelvicsystemicabdominal

When you’re trying to conceive, we aim to reduce pelvic pain without disrupting ovulation or compromising your fertility timeline. That often means prioritizing non-hormonal approaches, including pelvic floor physical therapy and other targeted pain strategies, with medications used thoughtfully based on your cycle and symptoms.


If endometriosis is driving pain, excision surgery can be an important option in selected cases—both to treat pain at the source and, depending on where disease is located, potentially support fertility. We also consider adenomyosis during the evaluation because it can contribute to pain and can affect conception and pregnancy outcomes. If you’re balancing pain control with pregnancy goals, our team can help you map out a plan and sequence next steps—reach out to schedule a consultation.

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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