
From Gut to Gamete: What the Microbiome May Mean for Fertility in Endometriosis and Adenomyosis
How the gut microbiome may influence fertility in endometriosis and adenomyosis: the evidence, its limits, and practical steps on diet and preconception.
Discover how Lotus can guide you toward lasting relief.
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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.

Explore how immune dysfunction may link endometriosis to autoimmune diseases such as lupus, RA, thyroid disease, celiac, MS, and IBD - evidence and care.

For deep or advanced endometriosis, oncology-trained surgeons often provide safer, more complete excision. Learn what this means for you at the Lotus Endometriosis Institute.

Understand how endometriosis affects ovarian, breast, thyroid, and cervical cancer risk, plus symptoms to watch, screening guidance, and ways to lower risk.

Bowel endometriosis explained: locations, symptoms, causes, diagnosis and misdiagnosis, plus treatments from minimally invasive surgery to lifestyle changes.
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
8:00 am - 5:00 pm
Monday - Friday
154 Traffic Way, Arroyo Grande, CA 93420