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Adenomyosis Pain Flare Log

A plain log for adenomyosis pain flares, cycle day, pain location, severity, bleeding, pressure, bowel or bladder symptoms, medicine questions, heat, rest, and follow-up notes.

Use this log when adenomyosis pain gets worse.

The log is for notes. It cannot diagnose adenomyosis. It cannot rule out fibroids, endometriosis, infection, bowel issues, bladder issues, pregnancy, or another cause. It cannot infer uterus size or location from symptoms.

Do not use this log to choose medicine or dose. Do not start, stop, or change medicine because of this log. Ask a clinician or pharmacist.

Seek urgent or emergency care for severe pain, heavy bleeding, faintness, fever, pregnancy concern, inability to pee, blood in stool or urine, or unsafe waiting.

One page flare summary

Fill this out before your visit.

Question Your notes Main pain location When flares started Worst pain, 0 to 10 Does pain start before bleeding? Does pain peak during bleeding? Does pain happen after bleeding? Any pain between periods? Any belly pressure or fullness? Any heavy bleeding or clots? Any bowel symptoms? Any bladder symptoms? What changed work, school, sleep, or care tasks? Main question for care

Daily flare log

Use one row per flare day.

Date Cycle day Bleeding Pain area Pain 0 to 10 Belly pressure Bowel symptoms Bladder symptoms Daily impact : : none, light, medium, heavy none, mild, strong

Use plain words. Write "left low belly," "deep center cramps," "low back," "rectal pressure," or "pain with pee" if that fits.

Pain location map

Mark all places that hurt. Do not use location to guess diagnosis.

Area None Mild Strong Notes Low belly center Low belly left Low belly right Pelvis Low back Hips or thighs Rectal area Bladder area Pain during sex, if relevant

Bleeding at the same time

Pain and bleeding can rise together. They can also split.

Date Cycle day Flow Leaks Clots Pain score Notes : : none, light, medium, heavy no, yes none, small, large

If bleeding is heavy or feels unsafe, seek care.

Belly pressure notes

Use this if pain comes with fullness, heaviness, bloating, or tenderness.

Date Cycle day Pressure area Fullness Tenderness Worse with sitting or standing? Notes : none, mild, strong no, yes no, yes

Pressure can happen with adenomyosis. It can also happen for other reasons. Symptoms alone cannot show uterus size or location.

Bowel and bladder notes

Track these if they happen with pain.

Date Cycle day Constipation Diarrhea Pain with bowel movement Peeing more often Pain or burning with pee Trouble emptying : no, yes no, yes no, yes no, yes no, yes no, yes

Blood in stool or urine needs medical advice. Seek urgent care if it feels unsafe to wait.

Heat, rest, and comfort notes

Use this for what you tried. This is not treatment advice.

Date Cycle day What you tried Start time How long Pain before Pain after Concern or side effect : : : heat, rest, bath, movement, other

Follow labels and clinician advice. Stop and seek help if something feels unsafe.

Medicine question log

This table is for questions. It is not a dosing plan.

Date Cycle day Name from label or portal What happened Side effect or worry Question for clinician or pharmacist :

Bring the package, prescription label, or portal note if you can.

Weekly review

Answer these after each week or cycle.

Question Your notes Which days had the worst pain? Did pain start before bleeding? Did pain match heavy bleeding? Did pressure happen without bleeding? Did bowel or bladder symptoms repeat? What helped you function? What did not help enough? What felt new or unsafe? What do you want checked?

Questions to ask in care

Could this pattern fit adenomyosis? What else could cause this pain? What symptoms mean I should call sooner? Do I need a pelvic exam? Do I need an ultrasound or MRI? What can imaging show? What can symptoms alone not show? Should heavy bleeding or anemia be checked? Should bowel or bladder symptoms be checked? What records should I bring next time?

Short visit script

"I tracked pain flares by cycle day. My worst pain was . It happened on these days: . Bleeding at the same time was . Pressure, bowel, or bladder symptoms were . I know this log cannot diagnose adenomyosis or show uterus size. I want to know what should be checked."

Privacy note

This log may include bleeding, pain, sex, bowel, bladder, and medicine notes. Bring only what you want to share.

Floriva can help you keep short cycle notes on your device. You can also use paper. Pick the format that is easiest to bring and limits who can see it.

For pressure specific tracking, use the adenomyosis belly pressure tracker. For cycle background, read tracking your period with adenomyosis.