Endometriosis Assessment Tool

ENDOPAIN-4D Questionnaire

This questionnaire is designed to assess the severity of endometriosis-related pain. Please answer Yes or No for each question.

 If Yes, rate the severity on a scale from 0 (no pain) to 10 (worst imaginable pain).

1. Spontaneous Pelvic Pain & Dysmenorrhea (Period Pain)

- Do you experience pelvic pain outside your period?  

- Do you have severe period pain that affects your daily life?  

2. Dyspareunia (Pain During Sex)

- Do you experience **pain during or after sexual intercourse**?  

3. Painful Bowel Symptoms

- Do you have painful bowel movements?  

- Do you experience pain related to constipation or diarrhea?  

4. Other Pain-Related Symptoms 

- Do you have pain when urinating?  

- Do you experience other significant pain symptoms related to your menstrual cycle?  

Using Your Results

This questionnaire helps highlight the severity of your symptoms to healthcare providers, particularly gynecologists, for better diagnosis and management of endometriosis. If your pain significantly affects your daily life, consider discussing these results with your doctor for further evaluation and treatment options.  

Note: This is not a diagnostic tool but a guide to help communicate your pain experience effectively.