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You suspect you may have endometriosis or adenomyosis

When should I seek urgent evaluation instead of waiting?

Topic:Diagnosis
Affected areas:abdominalpelvicchest

If imaging or other testing suggests very bulky, widespread disease, it may be wise not to “wait and see.” In those situations, our team can help you understand what the findings mean and whether you may benefit from evaluation in a high-complexity surgical setting.


Separately, don’t wait on symptoms that can signal an emergency: severe or rapidly worsening abdominal pain, fever, fainting, heavy bleeding, chest pain, or shortness of breath. Cyclical chest symptoms can be endometriosis-related in some cases, but they can also reflect urgent problems like a blood clot in the lungs or other serious conditions, so prompt evaluation matters. If you’re unsure whether your symptoms or test results rise to that level, reach out to schedule a consultation so we can help triage next steps.

An illustration of a female standing next to a female doctor with an ultrasound machine between them.

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