Endometriosis pain and symptom diary

With endometriosis, when the pain happens in your cycle matters. This template links cycle day, bleeding and pain so the pattern becomes visible to you and your gynaecologist.

Endometriosis pain diary

A4 landscape · 2 pages · prints fine in black and white · free, no sign-up

Download PDF

What to track, and why

Endometriosis often takes years to be diagnosed, partly because period pain is so often brushed off as normal. A symptom diary kept over several cycles shows how bad the pain is, when it happens and what it costs you day to day. That makes it easier to describe your symptoms clearly and be taken seriously.

Cycle day and bleeding

The first day of your period is day 1. Add how heavy the bleeding is. That way every entry can be matched to a phase of your cycle.

Where, and with what

Lower tummy, back, legs; pain with periods, bowel movements, peeing or sex. These details matter, even if they feel awkward to write down.

Medication

What, how much and when, and whether it helped.

Impact on daily life

Missed work, school or plans? Those days show what the symptoms mean for your life.

Columns in this template

  • Cycle day 1 = first day of period
  • Bleeding none, light, medium, heavy
  • Time hh:mm
  • Severity 0–10
  • Where? body area
  • Pain with … period, bowel movements, peeing, sex
  • Medication name, dose, time
  • Missed out work, plans cancelled?
  • Notes mood, sleep, anything unusual

How to fill it in

  1. Print page 1 once a week, and page 2 once a week for your review.
  2. Write things down close to when they happen, not in the evening from memory.
  3. Stick to one scale: 0 is no pain, 10 is the worst pain you can imagine.
  4. Blank boxes are fine. A short, honest entry beats a perfect one you reconstruct later.

Then what? Making use of your filled-in sheets

Most templates stop at the filling-in part. But the value comes afterwards, when lots of rows turn into a few clear statements.

  1. Sum up each week

    At the weekend, fill in page 2: days with pain, worst score, days you took painkillers. It takes five minutes and saves a lot of page-flipping at the appointment.

  2. Compare after four weeks

    Lay the weekly reviews side by side. Does anything repeat, a weekday, an activity, a trigger? Mark it, but don't jump to conclusions: a pattern isn't proof of a cause.

  3. Three numbers for your appointment

    Before you go, write at the top of the first sheet: how many days a month you had pain, how strong it was on average, and what you couldn't do because of it. Those three lines make a good opening.

  4. Take the sheets, keep a copy

    Bring the originals and take a photo first. After any change in treatment, comparing old and new sheets shows whether anything has changed.

When paper gets too much

Paper is a good start. The tedious part is the analysis: adding up weeks, looking for patterns, sorting sheets. That's exactly what PainTrack does for you.

  • Log an entry in seconds on your own scale: 0–10, yes/no or mild/moderate/severe
  • Add circumstances, body location and medication to an entry, with reminders
  • Your trend chart and weekly trends update by themselves
  • With Pro: trigger analysis and a ready-made PDF report for your doctor
App Store Google Play

Free for iPhone and Android, no account needed. Your data stays on your device.

This template helps you document your symptoms. It doesn't diagnose anything and is not a substitute for medical advice. If you have new, very severe or unusual symptoms, contact a doctor, or call your local emergency number in an emergency.

Trustworthy sources

External pages from health services, medical societies and patient organisations. We are not affiliated with any of them.

Other templates