lead-magnets

Adenomyosis Treatment Decision Question List

A plain question list for adenomyosis care visits, with prompts for symptoms, hormonal options, procedures, hysterectomy discussion, fertility goals, anemia, side effects, follow-up, and what to track.

Use this list when adenomyosis care choices come up. It helps you ask clear questions. It does not tell you which path to choose.

Bring your symptom notes, imaging reports, medicine list, and main goals. Ask your clinician to explain each option in plain words.

This page is for visit prep. It is not medical advice.

Start with your goal

Fill this in before the visit.

Question Your note What symptom do I most want help with? What symptom disrupts daily life most? Am I worried about heavy bleeding? Am I worried about anemia? Am I worried about pain or pressure? Do fertility or pregnancy goals matter now? Do fertility or pregnancy goals matter later? What care choice worries me most? What cost or access issue may matter?

Questions for any option

Ask these before you compare paths.

What symptom is this option meant to help? What symptom might it not help? What do my symptoms and imaging show? How sure are we that adenomyosis is driving this symptom? Could fibroids, endometriosis, or another issue also matter? What are the main risks? What side effects should I watch for? What side effects are urgent? What would make us stop or change the plan? How will we know if it is helping? When would we review the plan? What should I track at home?

Symptom management questions

Use this section to talk about daily symptoms. Do not start, stop, or change medicine from this sheet.

Which symptoms can we try to reduce first? What can I do on heavy bleeding days? What can I do on high pain days? When should bleeding be treated as urgent? When should pain be treated as urgent? Should I be checked for anemia? Should I ask about iron or ferritin testing? What symptoms should make me call sooner? What should I track until follow up?

Hormonal option questions

Use this section if hormonal care comes up.

What type of hormonal option are we discussing? Is it meant to reduce bleeding, pain, or both? How might it change my cycle? How soon would we review it? What side effects should I track? What side effects should I report right away? Could it affect fertility goals now or later? Could it interact with my other medicines or supplements? What should I do if bleeding changes? What happens if it does not help enough? How long would we try this plan for my case?

Procedure questions

Use this section if a procedure is discussed.

What procedure are we discussing? What symptom is it meant to help? What symptoms might remain? What imaging is needed first? What are the main risks? What recovery symptoms should I expect? How could it affect future pregnancy? Would I need time off work, school, or care tasks? What follow up would I need? What would make this a poor fit for me? Are there other options to compare first? Should I see a specialist before deciding?

Hysterectomy discussion questions

Use this section only if hysterectomy comes up. Ask for plain terms.

Why is hysterectomy being discussed? Which symptoms might it help? Which symptoms might not change? What organs or tissue would be removed? Would ovaries be discussed too? What are the main risks? What recovery time should I plan for? What help would I need at home? How would this affect fertility? How would this affect bleeding? What follow up would I need? Are there other options for my case? Is a second opinion reasonable?

This list does not recommend hysterectomy. It helps you ask what it would mean.

Fertility and pregnancy goal questions

Use this section only if it matters to you.

How could each option affect pregnancy now? How could each option affect pregnancy later? Could adenomyosis affect fertility or pregnancy planning? Should I talk with a fertility specialist? What timing issues should I know about? What symptoms should I track while deciding? What information would help the next visit?

You do not have to share fertility goals if they do not fit your visit.

Anemia and bleeding questions

Heavy bleeding can affect daily life. Ask what testing fits your case.

Do I need a complete blood count? Do I need iron or ferritin checked? Could bleeding be causing fatigue or dizziness? What level of bleeding is urgent for me? How should I track clots or flooding? Should I bring a bleeding log to follow up? What should I do if bleeding gets worse before follow up?

Use the heavy period visit prep checklist or abnormal bleeding diary if bleeding is your main concern.

Side effect and follow up questions

Ask how the plan will be checked.

Question Your note What side effects should I track? What symptoms are urgent? When is the follow up visit? What labs or imaging may be repeated? What would count as enough improvement? What would count as not helping? Who do I call with questions?

What to track while deciding

Track enough to make the next visit useful.

Track Why it helps Period start and end dates Shows timing and length. Heavy bleeding days Shows when bleeding peaks. Clots or flooding Shows daily disruption. Pain score Shows severity over time. Pain location Shows where pain repeats. Pelvic pressure Shows symptoms beyond bleeding. Sex pain, if relevant Shows a symptom to discuss. Anemia symptoms Shows possible effects of blood loss. Medicines tried Shows what changed and when. Side effects Shows what to report. Missed work, school, sleep, or plans Shows daily impact.

Use tracking your period with adenomyosis, heavy menstrual bleeding, and uterine pain for more context.

Private notes

Adenomyosis decision notes can include bleeding, pain, sex pain, fertility, imaging, medicine, surgery, and insurance concerns. Share the smallest useful record.

Ask:

What data do you need for this decision? Is a one page symptom summary enough? Do you need full cycle history? Will this go in my medical record? Can I leave out private notes? Can I bring a short summary instead of a full export?

Floriva can help you keep short, on device symptom notes and visit questions. It cannot choose treatment. It cannot make a high risk situation safe.

Read the adenomyosis data privacy checklist before sharing a full export.