Before your appointment

Educational, not medical advice. Pending clinical review.

Bring evidence, not just memory. Note, for the last 1–3 cycles:

• Where the pain is and how bad (0–10) on your worst days.
• When it happens — before/during your period, ovulation, sex, bathroom, or constant.
• What it stops you doing — work, school, sleep, plans.
• Other symptoms: bloating, fatigue, nausea, bowel/bladder changes.

What to say

• "This pain stops me from [working/sleeping]. It is not normal for me."
• "I've tracked it for [N] months. Here is the pattern."

What to ask

• "Could this be endometriosis? What would it take to find out?"
• "Can I get a referral to a specialist?"
• "What are my options if this is dismissed as normal period pain?"

If you're not heard

You can ask for the refusal to be noted in your record, or seek a second opinion. Your documented history is your strongest tool.