
Diffuse Adenomyosis: Diagnosis and Treatment You Can Act On
A clear guide to diffuse adenomyosis: what it means, how TVUS and MRI diagnose it, and practical treatments, from hormonal IUDs to uterus-sparing options.

A clear guide to diffuse adenomyosis: what it means, how TVUS and MRI diagnose it, and practical treatments, from hormonal IUDs to uterus-sparing options.

We break down an 18‑month follow‑up of hormone therapy for adenomyosis: who was studied, symptom trends, ultrasound changes, side effects, and key limitations.

2025 meta-analysis of relugolix for endometriosis: pain relief, QoL gains, side effects and add-back therapy, plus comparison with leuprorelin.

A 2025 meta-analysis of dienogest vs OCPs for endometriosis pain: dienogest helps generalized pain; OCPs help pelvic pain/dyspareunia. Similar side effects.

HBOT for endometriosis: how hyperbaric oxygen may work, what the evidence shows, when to consider it as adjunct care, plus safety and contraindications.

Expert guidance for endometriosis in menopause: HRT options, safe pain relievers, stress reduction, exercise, pelvic floor therapy, and when to seek care.

Understand why endometriosis drains energy—chronic pain, hormones, poor sleep, anemia, inflammation—and get practical tips for fatigue, pain, stress, and daily function.

Learn what ovulation pain feels like with endometriosis, how long it lasts, common symptoms like nausea and mittelschmerz, and evidence-based coping strategies.

Part 2 demystifies endometriosis treatment confusion, reviews major guidelines, and distills evidence-based recommendations you can use.

Part 1 clarifies myths in endometriosis care: where surgery helps, what medical management can and can’t do, and how complementary therapies fit into a plan.

Sciatic nerve endometriosis explained: key symptoms, how it's diagnosed (exam, MRI), and effective treatments including medication, PT, and surgical excision.

How to use HRT safely with endometriosis: recurrence and malignancy risks, when to start after surgical menopause, and hormone vs non-hormone treatment options.
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.
2121 Santa Monica Blvd, Santa Monica, CA 90404
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154 Traffic Way, Arroyo Grande, CA 93420