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Published by Floriva · Updated 2026-07-06 · How Floriva checks its guides
Adenomyosis Tracking Kit
A full adenomyosis tracking kit for belly pressure, bleeding and clots, pain flares, symptom checks, imaging visits, treatment questions, and telling adenomyosis apart from endometriosis or fibroids.
Adenomyosis can be linked with heavy or long periods, strong cramps, pelvic pain, lower-belly pressure, pain with sex if shared, and anemia symptoms. This kit gives you one place to track bleeding, pain, pressure, imaging visits, and treatment questions. It cannot diagnose adenomyosis, rule it out, or infer uterus size or location from symptoms.
Use this kit if you have adenomyosis symptoms or a diagnosis.
It gives you one place for belly pressure, bleeding, pain flares, symptom checks, imaging visits, and treatment questions.
It is a set of tracking sheets and question lists.
It is not medical advice.
It cannot diagnose adenomyosis, rule it out, or infer uterus size or location from symptoms.
Seek urgent or emergency care for severe or heavy bleeding, faintness, chest pain, pregnancy concern, severe pain, fever, inability to pee, blood in stool or urine, or any time waiting feels unsafe.
What this kit can do
| This kit can help you | This kit 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 and imaging. | Replace urgent care when symptoms feel unsafe. |
One-page symptom summary
Fill this out before your visit.
| Question | Your notes |
|---|---|
| Main symptom | |
| When it started | |
| Worst pain, 0 to 10 | |
| Does pain start before bleeding? | |
| Does pain peak during bleeding? | |
| Any pain between periods? | |
| Any belly pressure or fullness? | |
| Any heavy bleeding or clots? | |
| Any bowel symptoms? | |
| Any bladder symptoms? | |
| What changed daily life? | |
| Main question for care |
Symptom checklist
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 bleed between periods.
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.
Pressure or fullness
My lower belly feels heavy.
My lower belly feels swollen or full.
I feel pelvic pressure.
I pee more often than I used to.
I have trouble emptying my bladder.
Possible anemia symptoms
I feel very tired after heavy days.
I feel dizzy or lightheaded.
I feel weak or short of breath.
My heart feels like it is racing.
Ask your clinician whether a blood count or iron test fits your symptoms.
Daily bleeding log
Use one row per day.
| Date | Cycle day | Flow | Products used | Leaks or flooding | Clots | Pain 0 to 10 | Pressure |
|---|---|---|---|---|---|---|---|
| light, medium, heavy, very heavy | type and count | none, clothes, sheets, sudden gush | none, small, quarter size, larger | none, mild, strong | |||
Belly pressure and pain map
Use this if pain, bloating, or pressure spreads.
| Area | None | Mild | Strong | Notes |
|---|---|---|---|---|
| Low belly center | ||||
| Low belly left or right | ||||
| Pelvis | ||||
| Low back | ||||
| Bladder area | ||||
| Rectal area | ||||
| Pain during sex, if relevant |
Bowel and bladder notes
Track these if they happen with pain or pressure.
| Date | Cycle day | Constipation | Diarrhea | Pain with bowel movement | Frequent urination | 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 medicine question log
This is for notes and questions, not a dosing plan. Do not start, stop, or change medicine because of this log.
| Date | What you tried | Pain before | Pain after | Side effect or worry | Question for clinician or pharmacist |
|---|---|---|---|---|---|
| heat, rest, medicine, other | |||||
Ultrasound and MRI question list
Use this before or after imaging. It helps you ask questions. It does not read your scan or diagnose adenomyosis.
What question is this scan trying to answer?
What adenomyosis signs will the scan look for?
Will it check uterus size, the muscle wall, or the junctional zone?
Will it look for fibroids, ovarian cysts, or endometriomas?
What did the scan show? What did it not show?
Was anything unclear or limited?
Could another cause still fit if the scan is unclear?
Report words to ask about
| Report word | Ask this |
|---|---|
| Junctional zone | Was it seen clearly? Was it mentioned? |
| Myometrium | Did the muscle wall look even or uneven? |
| Bulky or globular uterus | Does this mean enlarged? Does it matter here? |
| Heterogeneous | What looked mixed or uneven? |
| Adenomyoma | Was a focal area seen? |
| Fibroid | Could this explain bleeding, pain, or pressure? |
| Endometrioma | Was an ovarian cyst seen? |
Adenomyosis vs endometriosis vs fibroids
Symptoms overlap. This table helps you sort what to ask about. It does not tell you which condition you have.
| Pattern to ask about | Adenomyosis question | Endometriosis question | Fibroids question |
|---|---|---|---|
| Heavy or long bleeding | Could this fit adenomyosis or another bleeding cause? | Could endometriosis also affect my cycle or pain pattern? | Could fibroids explain heavy bleeding or clots? |
| Pain timing | Could pain tied to heavy bleeding fit adenomyosis? | Could pain outside bleeding, sex pain, bowel pain, or bladder pain fit endometriosis? | Could fibroids cause pain or pressure in my case? |
| Pelvic pressure or belly fullness | Could an enlarged or tender uterus be part of this? | Could pain or inflammation feel like pressure? | Could fibroid size or location cause pressure? |
| Bowel or bladder symptoms | Should these be checked along with pelvic symptoms? | Could period-timed bowel or bladder pain matter? | Could pressure on the bladder or bowel matter? |
| Fertility questions | Could this affect pregnancy goals or planning? | Could endometriosis affect fertility goals? | Could fibroid location affect fertility or pregnancy goals? |
Treatment decision questions
Use this if care choices come up. It helps you ask clear questions. It does not tell you which path to choose.
Questions for any option
What symptom is this option meant to help?
What symptom might it not help?
What are the main risks and side effects?
What side effects are urgent?
How will we know if it is helping?
When would we review the plan?
Hormonal option questions
What type of hormonal option are we discussing?
Is it meant to reduce bleeding, pain, or both?
Could it affect fertility goals now or later?
What should I do if bleeding changes?
Procedure and hysterectomy questions
Use these only if a procedure or hysterectomy is discussed.
What symptom is it meant to help? What symptoms might remain?
What are the main risks and recovery time?
How could it affect future pregnancy or fertility?
Are there other options to compare first?
Is a second opinion reasonable?
This kit does not recommend hysterectomy or any procedure. It helps you ask what it would mean.
Anemia and bleeding questions
Do I need a complete blood count, or iron or ferritin checked?
Could bleeding be causing fatigue or dizziness?
What level of bleeding is urgent for me?
Pattern review
Answer these after one cycle or one month.
| Question | Your notes |
|---|---|
| Which days had the most pain or pressure? | |
| Did symptoms start before bleeding? | |
| Did symptoms peak with heavy bleeding? | |
| Did symptoms happen without bleeding? | |
| Did bowel or bladder symptoms repeat? | |
| What changed daily life most? | |
| What do you want checked first? |
Short visit script
"I tracked my symptoms for ________. The worst days were ________. My main symptoms were ________. They affected ________. I know this kit cannot diagnose adenomyosis or show uterus size or location. I want to know what should be checked."
Privacy note
Adenomyosis notes can include bleeding, pain, sex pain, fertility, pregnancy, bowel, and bladder details. Bring only what you want to share.
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.
Floriva note
Floriva can help you keep short cycle, pain, and bleeding notes on your device.
It cannot diagnose adenomyosis, choose treatment, or make a high-risk situation safe.
For visit prep, read Floriva for gynecologist prep. </content>
Definitions
- Adenomyosis
- A condition where tissue like the uterine lining grows into the muscle wall of the uterus.
- Adenomyosis belly
- A non-medical phrase some people use for lower-belly fullness, bloating, heaviness, pressure, or tenderness that they link with adenomyosis.
- Flooding
- A sudden gush or fast bleeding that leaks through protection or makes you rush to change it.
- Pain flare
- A short period when pain is worse than your usual baseline.
- Junctional zone
- The area between the uterine lining and the uterine muscle wall. Some MRI or ultrasound reports mention it.
- Hysterectomy
- Surgery to remove the uterus. Ask what it would mean for symptoms, fertility, recovery, risks, and follow-up.
Quick answers to the obvious questions.
What symptoms can adenomyosis cause?
Adenomyosis can be linked with heavy or long periods, strong cramps, pelvic pain, lower-belly pressure or fullness, pain with sex, and anemia symptoms like fatigue or dizziness. Symptoms overlap with other conditions and this kit cannot diagnose you.
Can tracking symptoms diagnose adenomyosis?
No. Tracking cannot diagnose adenomyosis, rule out other causes, or infer uterus size or location from symptoms. A clinician may use an exam, ultrasound, MRI, or other steps.
What should I track for adenomyosis?
Track period length, heavy days, clots, flooding, pain score and location, pelvic pressure, bowel and bladder changes, anemia symptoms, imaging visits, and treatment questions.
Questions people ask before they switch.
Is this kit medical advice?
No. It is a set of tracking sheets and question lists. It cannot diagnose adenomyosis, rule it out, or choose treatment.
Can adenomyosis look like fibroids or endometriosis?
Yes. Symptoms can overlap. Notes can help, but a clinician still needs to check what fits.
When should I seek urgent care?
Seek urgent or emergency care for severe or heavy bleeding, faintness, chest pain, pregnancy concern, severe pain, fever, inability to pee, blood in stool or urine, or any time waiting feels unsafe.
Sources
- Johns Hopkins Medicine Johns Hopkins Medicine lists enlarged uterus, belly bloating or fullness, heavy bleeding, pain during sex, pelvic pain, and severe period cramps as possible adenomyosis symptoms.
- Mayo Clinic Mayo Clinic lists heavy or long periods, severe cramps, pelvic pain, painful sex, and pressure or tenderness from a larger uterus as possible adenomyosis symptoms.
- Mayo Clinic Mayo Clinic says imaging may suggest adenomyosis, but certain diagnosis is made by examining the uterus after hysterectomy.
- NHS NHS says adenomyosis may cause painful periods, heavy bleeding, pelvic pain, bloating, heaviness, fullness, and pain during sex.
- National Institute for Health and Care Excellence NICE NG88 covers assessment and management of heavy menstrual bleeding and says history should include related symptoms that may suggest causes such as adenomyosis.
- American College of Obstetricians and Gynecologists ACOG lists heavy menstrual bleeding signs that can include bleeding longer than 7 days, soaking through pads or tampons often, needing double protection, changing protection at night, and passing clots as big as a quarter or larger.
- National Institute for Health and Care Excellence NICE recommends history taking for heavy menstrual bleeding that covers bleeding pattern, related symptoms, quality-of-life impact, and symptoms that may suggest adenomyosis, fibroids, or endometriosis.
- Centers for Disease Control and Prevention CDC says periods lasting more than 7 days, needing a new pad or tampon after less than 2 hours, or passing large clots can be considered heavy.
- American College of Obstetricians and Gynecologists ACOG describes abnormal uterine bleeding as bleeding that differs from normal in regularity, frequency, duration, or amount, including bleeding between periods or after sex.
- American College of Obstetricians and Gynecologists ACOG lists adenomyosis as a cause of abnormal uterine bleeding and says symptoms may include heavy menstrual bleeding and menstrual pain.
- American College of Obstetricians and Gynecologists ACOG lists adenomyosis among causes of heavy menstrual bleeding.
- American Academy of Family Physicians 2022-01-01 AAFP describes adenomyosis diagnosis and management, including imaging, symptom control, hormonal menstrual suppression, fertility context, and hysterectomy discussion when symptoms are not controlled.
- Mayo Clinic Mayo Clinic says diagnosis may involve symptoms, pelvic exam, ultrasound, MRI, biopsy in some cases, or hysterectomy tissue review.
- American Academy of Family Physicians 2022-01-01 AAFP explains that adenomyosis diagnosis begins with clinical suspicion and may use transvaginal ultrasonography and pelvic MRI.
- National Institute for Health and Care Excellence 2018-03-14 NICE says heavy menstrual bleeding history should cover bleeding, pelvic pain, pressure symptoms, and signs that may suggest adenomyosis or fibroids.
- Office on Women's Health Office on Women's Health lists endometriosis symptoms that can include pain, bleeding, bowel or bladder pain during periods, sex pain, digestive symptoms, fatigue, and fertility problems.
- American College of Obstetricians and Gynecologists ACOG lists fibroid symptoms that can include heavy bleeding, painful periods, bleeding outside periods, anemia, pain, bladder pressure, bowel symptoms, and enlarged uterus or abdomen.