
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.
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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.

Compare endometriosis vs. ovarian cancer symptoms: pain patterns, bleeding, GI signs, and red flags. Know when to see a gynecologist or gynecologic oncologist.

Learn how genetics shapes endometriosis—familial clustering, gene mapping, GWAS, and genomics—and what this means for diagnosis, treatment, and monitoring.

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.

A practical guide to endometriosis and disability: SSDI/SSI eligibility, medical evidence, application steps, workplace accommodations, and retirement.

Explore how the microbiome may shape inflammation and estrogen metabolism in endometriosis, and what emerging research means for diagnosis and new therapies.

How endometriosis may be linked to earlier menopause: key evidence, contributing factors, care implications, and practical coping strategies.

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

How endometriosis and inflammatory bowel disease differ and overlap. Symptoms, diagnostic challenges, epidemiology, treatment risks, and research gaps.
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