
Focal Adenomyosis: What Your Diagnosis Means and Next Steps
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.
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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.

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

Explore the potential link between MCAS and endometriosis—common symptoms, medical treatments, whether excision helps, and advanced gut-focused options for relief in women.

How epigenetic mechanisms and DNA methylation shape endometriosis, how your diet may modulate them, and the implications on your endometriosis care.
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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Monday - Friday
154 Traffic Way, Arroyo Grande, CA 93420