
Do You Need Two Ultrasounds Before Bowel Endometriosis Surgery?
How TVS (transvaginal) and ERUS (endorectal) map rectal endometriosis, guide bowel surgery planning, flag stenosis and risks, and who benefits.
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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.

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

Recognize endometriosis: painful periods, GI and urinary symptoms, dyspareunia, infertility. Understand causes, complications, diagnosis, and medical/surgical treatment options.
Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.
Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.
2121 Santa Monica Blvd, Santa Monica, CA 90404
8am - 5pm
Monday - Friday
154 Traffic Way, Arroyo Grande, CA 93420