Endometriosis:

Endo Pain and Symptom Tracker

 

Endometriosis Guide for Teens	Managing Pain, Activities, & Friendships
Endometriosis FAQ's	Pain & Symptom Tracker
Hormonal Therapy Options	Pain Mapping Worksheet
Continuous Hormone Pills	Endo, Nutrition, and Exercise
Continuous Hormone Pill FAQ's	Endometriosis and College Planning
Coping with Endo Pain	Glossary of Endo Terms
Managing Pain at School	Additional Endo Resources

 

Keeping track of pelvic pain, menstrual cramps, and other symptoms such as pain when you pass urine or when you have a bowel movement is important. When you use this tracker, be sure to write down any symptoms you have, the number from 1–10 that describes the degree of pain, and where it is located. If you are taking continuous hormone pills and you do not have periods, you can use the chart to track any other symptoms, including breakthrough bleeding.

 

Instructions

1. Be sure to check out the Sample Pain and Symptom Tracker, and carefully read the keys at the bottom before you start filling out your own.
2. Download "My Pain and Symptom Tracker" (including the sample) here. Make a few copies.
3. Write the name of the month at the top of the page and begin tracking your pain and symptoms.
4. To fill in the bleeding "Amount" row, look at the Blood Flow Amount Key at the bottom of the page to figure out which letter (S, L, N, or H) best describes your flow.
5. Figure out which letter best describes the location of your pain (M, L, or R), by taking a look at the "Pelvic Pain Location Key" at the bottom of the page. Write it down in the Pelvic Pain "Location/Intensity" row.
6. Decide which number best describes your pain (0= no pain, 10 = the worst pain you've ever had) by looking at the Pelvic Pain Numerical Rating Scale at the bottom of the page. Write that number down in the same row. Example = M/5.
7. If you don't have any pain symptoms or breakthrough bleeding on any given day, just leave the box empty.
8. Remember to bring your completed Pain and Symptom Tracker with you to your medical appointments.

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Next: Pain Mapping Worksheet

 

Written by the CYWH Staff at Children's Hospital Boston

 

Updated: 4/8/2010