
Rheumatic Disease and Heavy Periods: Could Adenomyosis Be Missed?
Heavy bleeding and pain in rheumatic disease aren’t always fibroids. Learn key adenomyosis clues, how to get past a 'normal' ultrasound, and treatment options.
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Heavy bleeding and pain in rheumatic disease aren’t always fibroids. Learn key adenomyosis clues, how to get past a 'normal' ultrasound, and treatment options.
Right-sided pain that mimics appendicitis may be appendix endometriosis. Symptoms, why scans miss it, how it’s diagnosed, treatment options, and red flags.

How AMH and antral follicle count behave with unilateral or bilateral endometriomas, the impact of cyst size, and practical guidance for your next appointment.

Learn what a focal adenomyosis diagnosis means, how TVUS and MRI confirm it, and your options—from medical therapy to uterus‑sparing procedures and hysterectomy.

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.

How TVS (transvaginal) and ERUS (endorectal) map rectal endometriosis, guide bowel surgery planning, flag stenosis and risks, and who benefits.

Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE—when to add hormones

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.

How the gut microbiome may influence fertility in endometriosis and adenomyosis: the evidence, its limits, and practical steps on diet and preconception.

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

2025 study in stage III–IV minimally invasive endometriosis surgery: longer cases didn’t raise short-term complications but increased overnight-stay risk.
We’ll help you understand your options and the next best step.
Led by Steven Vasilev, MD—internationally recognized endometriosis specialist in Southern California and the Central Coast—our team provides clear guidance for first opinions, second opinions, and advanced surgical care.
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