
Managing Menopause With Endometriosis and HRT
How to use HRT safely with endometriosis: recurrence and malignancy risks, when to start after surgical menopause, and hormone vs non-hormone treatment options.

How to use HRT safely with endometriosis: recurrence and malignancy risks, when to start after surgical menopause, and hormone vs non-hormone treatment options.

Deep infiltrating endometriosis: symptoms, causes, diagnosis and treatment. Medical therapy, ICG-guided surgery, stenting, pathology, and future outlook.

How endometriosis leads to infertility: pathogenesis; effects on gametes, tubes, and endometrium; and treatments—expectant care, surgery, and ART.

Endometriosis pain relief with supportive, integrative therapies: diagnosis, medical and hormonal care, surgery's role, nutrigenomic and epigenetic insights.

Why orgasms can trigger endometriosis pain: how to ease post-sex discomfort. Causes, symptoms, meds, pelvic floor therapy, surgical options, and sex tips.

Learn why endometriosis recurs—incomplete excision, hormonal, immune, toxin and molecular factors—and how precise robotic surgery and 3D optics can reduce risk.

Learn what diaphragmatic endometriosis is, how it affects the diaphragm, key symptoms, causes, diagnosis options, treatments, and potential complications.
Excision vs ablation vs robotic surgery for endometriosis: indications, risks, recovery, and evidence to help you choose the right treatment.
Your guide to endometriosis surgery recovery: healing tips, nutrition, mental health support, recurrence prevention, and planning for long-term wellness.

Understand postmenopausal endometriosis: why it can persist, symptom management, HRT and phytoestrogen safety, and when surgery is appropriate.
Finding a skilled endometriosis excision surgeon can be challenging. Learn how to choose the right specialist and navigate financial options with confidence.
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
8:00 am - 5:00 pm
Monday - Friday
154 Traffic Way, Arroyo Grande, CA 93420