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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.

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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