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Adenomyosis Symptom Checklist, No Diagnosis
A plain checklist for tracking symptoms that can come with adenomyosis. It helps you prepare for care, but it cannot diagnose adenomyosis.
If you think adenomyosis may fit your symptoms, start with notes.
This checklist cannot diagnose adenomyosis. It cannot rule it out. It helps you explain what changed.
Adenomyosis symptoms can overlap with fibroids, endometriosis, hormone changes, pregnancy concerns, infection, and other causes. Bring your notes to a clinician if symptoms are new, severe, or affecting your life.
Seek urgent or emergency care for severe or heavy bleeding, faintness, chest pain, pregnancy concern, severe pain, fever, inability to pee, or any time waiting feels unsafe.
What this checklist can do
This checklist can help you This checklist cannot Name symptoms in plain words. Diagnose adenomyosis. Show what changed over time. Rule out fibroids or endometriosis. Help you prepare for a visit. Tell you what treatment to use. Help you ask for testing. Replace urgent care when symptoms feel unsafe.
Quick symptom check
Check what fits. Leave the rest blank.
Bleeding changes
My periods are heavier than before. My periods last longer than before. I pass clots. I leak onto clothes or sheets. I need to change protection at night. I plan my day around bathroom access. I bleed between periods. Bleeding changed after birth control, IUD, pregnancy, or surgery.
Pain changes
Cramps are stronger than before. Pain starts before bleeding. Pain is worst during my period. Pain lasts after bleeding stops. I have pelvic pain between periods. Pain spreads to my lower back or legs. Pain medicine does not help enough. Pain wakes me up.
Pressure or fullness
My lower belly feels heavy. My lower belly feels swollen or full. I feel pelvic pressure. Pressure gets worse near my period. Pressure happens outside my period. I pee more often than I used to. I feel bladder pressure. I have trouble emptying my bladder.
Sex pain, if you want to note it
Skip this part if it does not fit or does not feel safe to write down.
Sex hurts during deep contact. Pain starts after sex. Sex pain is worse near my period. I avoid sex because of pain. I want to ask this in private.
You can write "private question" instead of details.
Possible anemia symptoms
Heavy bleeding can leave some people low on iron. This checklist cannot tell you if you have anemia.
I feel very tired after heavy days. I feel dizzy or lightheaded. I feel weak. I get short of breath with normal activity. My heart feels like it is racing. I have been told I have low iron or anemia.
Ask your clinician whether a blood count or iron test fits your symptoms.
Fertility questions
Only fill this out if it fits your life.
Question Your notes Are you trying to get pregnant? How long have you been trying? Any pregnancy loss or fertility care you want to discuss? Main question for the visit
What changed over time
Use this before a visit. Short notes are enough.
Change When it started What is different now Heavier bleeding Longer periods More clots Stronger cramps Pelvic pain outside periods Lower belly pressure Pain with sex, if shared Fatigue, dizziness, or weakness Work, school, sleep, or plans changed
One cycle notes
Use one row per day. Plain words work.
Date Cycle day Flow Pain 0 to 10 Pressure Clots Life impact : : light, medium, heavy, very heavy none, mild, strong none, small, quarter size, larger
If you use a cup or disc, note how often you empty it. If you know the amount, add it.
What to bring to care
This checklist. Period start dates, if known. Heavy flow days and clot notes. Pain examples with dates. Pressure, bladder, or sex pain notes if you want to share them. Medicines, supplements, birth control, IUD, or hormone details. Pregnancy test result, if relevant. Prior ultrasound, MRI, labs, or visit notes, if you have them. Your top questions.
Questions to ask
Could my symptoms fit adenomyosis? What else can cause this pattern? Do I need a pelvic exam today? Do I need ultrasound or MRI? Should I be checked for anemia? Should we also discuss fibroids or endometriosis? What symptoms mean I should seek urgent care? What should I track before the next visit?
Short visit script
"I know this checklist cannot diagnose me. I am using it to show a pattern. My main symptoms are . They affect . They changed around . What should we check next?"
Start with the symptom that changes your life most. Missed sleep, missed work, flooding, severe cramps, and fear of leaving home all count.
Privacy note
Adenomyosis notes can include period dates, sex pain, pregnancy concerns, fertility questions, and location clues.
Floriva can help you keep local notes and short summaries on your device. Paper works too. Use the format you can keep up with and bring to care.
If you are comparing possible causes, use the adenomyosis, endometriosis, and fibroids checklist. If your notes include private details, read the adenomyosis data privacy checklist.