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Want to have a more productive visit with your doctor? Use this guide to have a meaningful conversation about your symptoms.

This guide is not meant to diagnose patients with endometriosis. Make sure to have a discussion with your doctor about the results.

CREATE YOUR SPEAKENDO SNAPSHOT

CREATE YOUR SPEAKENDO SNAPSHOT

Has a doctor told you that you have endometriosis?*

*Indicates a required field.

CREATE YOUR SPEAKENDO SNAPSHOT

Do you have painful periods?

Rate your pain on a scale of 0-10 (10 being the worst pain).

This chart is intended as a guide and not an exact measure of pain

CREATE YOUR SPEAKENDO SNAPSHOT

Have pelvic pain between periods?

Rate your pain on a scale of 0-10 (10 being the worst pain).

This means pain in your lower back, abdomen, or pelvic region when it's not your period.

This chart is intended as a guide and not an exact measure of pain

CREATE YOUR SPEAKENDO SNAPSHOT

How's sex? Painful?

Rate your pain on a scale of 0-10 (10 being the worst pain).

This chart is intended as a guide and not an exact measure of pain

CREATE YOUR SPEAKENDO SNAPSHOT

How long have you been living with pelvic pain?

CREATE YOUR SPEAKENDO SNAPSHOT

CREATE YOUR SPEAKENDO SNAPSHOT

Experienced any of these symptoms in the last month?

Select all that apply:

CREATE YOUR SPEAKENDO SNAPSHOT

Have you had any other conditions or concerns?

CREATE YOUR SPEAKENDO SNAPSHOT

Does your pain affect any of your routines or activities?

Select all that apply:

YOUR SPEAKENDO SNAPSHOT

This guide is not meant to diagnose patients with endometriosis. Make sure to have a discussion with your doctor about your snapshot results.

Pain and symptoms

Period pain

NA

 

( )

Doc Talk:
Your doctor may refer to pain during your period as "dysmenorrhea"

Pelvic pain outside of your period

NA

 

( )

Doc Talk:
Your doctor may refer to pain outside of your period as "non-menstrual pelvic pain"

Pain with sex

NA

 

( )

You have avoided sex an average of day(s) a month to avoid pain

Doc Talk:
Your doctor may refer to pain during sex as "dyspareunia"

Results based on a pain scale from 0-10, with 0 being no pain and 10 being the worst pain

 

Details

 YEAR(S)   MONTH(S)

You’ve experienced pelvic pain for  year(s)   month(s) and it has gotten worse over time

You have a close female relative that has been diagnosed with endometriosis.

 

You are treating/have treated your pain with surgery or medication

Symptoms

NA

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Other Conditions

NA

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Impact on routine and activities

Your pain affects

  •  

     DAY(S)/MONTH

  •  

  •  

     DAY(S)/MONTH

  •  

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     DAY(S)/MONTH

  •  

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     EVENT(S)/YEAR

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Next steps

STEP 1

Save your report by selecting the Submit button below. You will then be prompted to download or email the results to yourself. This resource will help you talk things through with your gynecologist.

STEP 2

Make an appointment with a gynecologist you can trust.

STEP 3

At your appointment, take charge of the conversation and walk your gynecologist through this report.

Here are some examples of how you might S.P.E.A.K. to your gynecologist:

S

Share your symptoms

"I am following the treatment plan you gave me, but I still have pain in between periods."

P

Present all your pain

"With sex, my pain is at least an 8."

E

Express your thoughts and feelings

"Is there anything else I can be doing to manage my endometriosis?"

A

Ask for your options

"What're my options moving forward?"

K

Know your next steps

"How soon should I schedule a follow-up appointment?"

Thank you. Your email has been sent.

Total Impacted time:

 
 

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