With targeted symptoms for Endometriosis, Adenomyosis, and Uterine Fibroids, this symptom tracker is an aid to monitor your days, providing an easy, supportive and structured way to consistently track symptoms, medications, activities, triggers, issues during the day and meals.
What might have been the trigger of current flare? How severe were the symptoms? What helped? How were your daily activities affected?

What can this tracker do for you?

• 2 pages for year at a glance record – because you may not want to track every day, this allows you to mark the days you did have symptoms. This will allow you to quickly identify patterns and plan for days that might be more problematic.
• It provides a list of possible triggers for consideration.
• It provides a list of common symptoms for your condition so you can review and potentially identify patterns.
• It provides space to record usual daily medications and supplements taken, and additional medications taken with dose, time and reason.
• It provides space to record your own assessment of some basic quality of life criteria for the day.
• It allows you to track what helped for future reference.
• It provides an ability to list your daily activities so you can assess how your condition affects your day.
• It provides space to record meals and contents as well as hydration.
• It records space for you to record additional information that you may find valuable about your day.

Having a consistent record of symptoms provides you and your healthcare team with evidence of patterns and trends that may trigger new treatment options, considerations or behaviors.

* * * Scroll down to the publisher information area to see page layout images

Space is allocated to allow tracking:

• Possible triggers
• Pre-listed symptoms – can be marked with a number to indicate symptom severity or with a simple check
• Pain descriptors and images
• Additional details
• Medications, supplements
• Self-Assessments
• What helped
• Activities
• Notes
• Meals & snacks

At the beginning of the tracker are pages for:

• Personal information
• Healthcare team contact information with insurance details
• Medical appointments
• Current daily medications and supplements
• Changes to daily medications and supplements
• Tests/Results
• Avoidance List (medications/supplements, activities, foods)
• Weight Log
• Suggested exercises

Pre-listed symptom prompts include:

• Pain during/post intercourse
• Pelvic/bladder pain
• Abdominal pain
• Back/thigh pain
• Urination pain
• Bowel movement pain
• Diarrhea/constipation
• Severe cramping
• Excessive menstrual bleeding
• Intermenstrual bleeding
• Headache
• Fatigue
• Row to enter additional symptom to track

Complete as much or as little as makes sense for you.

* * * Please confirm this meets your needs by scrolling down to the publisher information area to see page layout images.

6 X 9 inches, flexible, conveniently sized and easily transportable to appointments.