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"Why Do I Still Hurt?" - Understanding Pain After Endometriosis Surgery

Explore why pain can persist after endometriosis surgery. Learn about adhesions, nerve pain, muscle issues, and what steps to take next.

A young female laying down on a couch, in discomfort, holding a pillow tightly against her abdomen.

This series helps patients understand why pain can persist after endometriosis surgery, even when the operation is medically successful. We'll explore common but often confusing reasons behind ongoing discomfort, including issues like adhesions, nerve sensitization, muscle dysfunction, and other overlapping conditions. Each post offers practical explanations and tips to guide readers in discussing next steps with their care team. Patients will find empathy, answers, and a roadmap to keep moving forward after surgery.

Posts in This Series (6)

  1. 1

    Endometriosis Excision Surgery Worked—So Why Am I Still in Pain?

    Discover why persistent pain after successful endometriosis surgery occurs, backed by recent research and insights for effective pain management.

    9 min read
  2. 2

    When Your Nervous System Won’t Stand Down After Endometriosis Surgery

    Coming Soon

    Explore why pain persists after endometriosis surgery and learn about central sensitization's role in pain management. Find reliable insights here.

  3. 3

    Pelvic Floor & Myofascial Pain After Endometriosis Surgery

    Coming Soon

    Discover the link between pelvic floor dysfunction and pain post-endometriosis surgery. Learn about myofascial pain and treatment options.

  4. 4

    The Overlooked Neighbors: Adenomyosis, Bladder, and Bowel Pain

    Coming Soon

    Discover the link between adenomyosis, bladder, and bowel pain after endometriosis surgery. Learn why you might still feel discomfort and what to do.

  5. 5

    When Your Body Fights Back: Systemic Causes of Pain After Surgery

    Coming Soon

    Explore systemic causes of pain after successful endometriosis surgery. Understand neuro-immune factors affecting recovery. Read on for trusted insights.

  6. 6

    What Now? Your Post‑Surgery Pain Investigation Plan

    Coming Soon

    Discover an investigation plan for post-surgery pain after endometriosis. Learn effective tracking methods to communicate with your care team.

Reach Out

Have a question?

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.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420