Track Your Endo. Own Your Data.
Daily symptom check-ins tied to your cycle day. Pain and bowel/bladder tracking that captures what endo actually feels like. Procedure logs with rASRM staging. Hormonal treatment comparison. Doctor-ready reports that make specialists take you seriously.
Built for the 190 million people worldwide living with endometriosis — and the millions more with adenomyosis. Average diagnosis delay: 7-10 years. Your data shouldn't wait that long.
What is Endometriosis?
Endometriosis is a chronic inflammatory condition where tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, bowel, bladder, and sometimes as far as the diaphragm and lungs. These implants respond to hormonal cycles, causing inflammation, scarring, and adhesions.
Adenomyosis is the closely related condition where this tissue grows into the muscular wall of the uterus itself, causing an enlarged uterus, heavy bleeding, and severe cramping. The two conditions co-occur in 20-80% of cases.
The Numbers
- 190 million affected worldwide (~1 in 10 women)
- Average 7-10 years from symptom onset to diagnosis
- Up to 50% of infertility cases involve endometriosis
- 70% of patients first experience symptoms as teenagers
- Adenomyosis affects an estimated 20-35% of women
Endometriosis can't be definitively diagnosed without surgery (laparoscopy), but imaging is increasingly used for deep infiltrating endo and adenomyosis. Detailed symptom tracking with cycle correlation gives specialists the data they need to move faster.
rASRM Staging
Stage I — Minimal
Small implants, superficial lesions. Minimal or no adhesions. Pain may still be severe — stage doesn't correlate with pain level.
Stage II — Mild
More and deeper implants. Possible mild adhesions. Still considered early-stage but can cause significant symptoms.
Stage III — Moderate
Deep implants, small endometriomas (chocolate cysts) on ovaries. Filmy or dense adhesions. Organs may be stuck together.
Stage IV — Severe
Large endometriomas, extensive deep infiltrating endo, dense adhesions. Bowel, bladder, and ureters may be involved. Frozen pelvis.
Important: Stage does NOT correlate with pain severity. Stage I patients can have debilitating pain while Stage IV patients may have minimal symptoms.
Track Every Endo & Adeno Symptom
Endometriosis affects far more than the reproductive system. Leo tracks pelvic pain, GI symptoms, bladder issues, fatigue, and more — all correlated with your cycle day.
Pelvic & Pain
- Severe menstrual cramps (dysmenorrhea)
- Chronic pelvic pain
- Ovulation pain
- Painful intercourse (dyspareunia)
- Lower back pain
- Leg pain / sciatica
Gastrointestinal
- Painful bowel movements (dyschezia)
- Diarrhea during period
- Constipation
- Bloating (endo belly)
- Nausea
- Rectal bleeding (rare)
Bladder & Urinary
- Bladder urgency
- Painful urination (dysuria)
- Urinary frequency
- Blood in urine (rare)
- Interstitial cystitis overlap
Fatigue & Systemic
- Chronic fatigue
- Brain fog
- Low-grade fever during period
- Inflammation markers
- Immune dysfunction
Reproductive
- Heavy periods (menorrhagia)
- Irregular bleeding
- Spotting between periods
- Infertility
- Pain with ovulation
Daily Check-In Built for Endo
Not a generic symptom tracker. A purpose-built daily check-in with the specific symptoms that endo and adenomyosis patients experience — designed to take 30 seconds, not 5 minutes.
Daily Endo Check-In
Cycle Day 18 · Luteal Phase
Pain Level
Symptoms
Auto-linked to Cycle Day 18
Cycle Correlation
Every entry tagged to your cycle day automatically
Pattern Detection
See which cycle days are consistently your worst
Share with Doctor
Export daily logs as clean, professional reports
Your Complete Endo & Adenomyosis Toolkit
Everything you need to track, understand, and communicate your endometriosis and adenomyosis — from daily symptom logs to surgical history.
Daily Pain & Symptom Check-In
Core FeatureQuick daily logging designed for endo and adenomyosis. Tap your pain level (1-10) and toggle from 15 endo/adeno-specific symptoms: cramps, bloating, nausea, painful bowel movements, diarrhea, constipation, bladder urgency, painful urination, fatigue, brain fog, back pain, leg pain, pelvic pressure, painful intercourse, and spotting. Each symptom gets its own severity (1-5). All entries are tagged to your cycle day automatically.
- 15 endo/adeno-specific symptoms
- Pain level 1-10 with body map
- Auto-tagged to current cycle day
- Severity tracking per symptom
- Functioning impact score
- 30-second daily entry
Cycle & Flow Correlation
Your endometriosis symptoms don't exist in isolation — they're deeply tied to your menstrual cycle. Leo overlays your daily pain and symptom logs onto your cycle calendar so you can see exactly which cycle days are your worst. Track flow intensity, clotting, and color alongside pain levels. Identify if your symptoms worsen during luteal phase, menstruation, or ovulation.
- Pain overlay on cycle calendar
- Flow intensity + clot tracking
- Cycle phase correlation
- Period length & regularity trends
- Ovulation day symptom comparison
- Share cycle-symptom charts with doctor
Hormonal Treatment Tracker
Endometriosis treatment is largely hormonal — from birth control pills and hormonal IUDs to GnRH agonists (Lupron) and antagonists (Orilissa/elagolix). Track each treatment with start/end dates, dosage, side effects, and an effectiveness rating. Compare symptom levels before, during, and after each treatment to see what actually works for you.
- All major hormonal therapies covered
- Side effect logging
- Effectiveness rating (1-5 stars)
- Before/during/after comparison
- Treatment timeline visualization
- Reason stopped tracking
Procedure & Surgery Log
Document every diagnostic and surgical procedure — laparoscopy, excision surgery, ablation, cystectomy, adhesiolysis, nerve blocks, and more. Record rASRM staging (I-IV), endo lesion locations (peritoneum, ovaries, bladder, bowel, rectovaginal septum, uterosacral ligaments, diaphragm, ureters), pathology results, and surgeon details. Track how symptoms change post-operatively.
- rASRM stage I-IV classification
- 12 anatomical location options
- Adenomyosis confirmed toggle
- Pathology results field
- Post-op symptom tracking
- Surgeon & facility records
Imaging Result Tracker
Endometriosis and adenomyosis diagnosis increasingly relies on imaging. Log transvaginal ultrasound, pelvic ultrasound, MRI, and CT results. Toggle specific findings — endometriomas, adenomyosis markers (junctional zone thickening, asymmetric myometrium), and adhesions — with detail fields for each. Upload scanned reports to keep everything in one place.
- TV ultrasound, MRI, CT support
- Endometrioma detection toggle
- Adenomyosis findings toggle
- Adhesion documentation
- Scanned report upload
- Linked to procedures
Flare-Up Timeline
Endo flare-ups can last hours or days and be triggered by stress, diet, weather, or cycle phase. Track each flare with start/end times, severity, symptoms, and triggers. See your flare-free streaks, monthly flare counts, and whether flares cluster around specific cycle days. Over time, identify your personal flare patterns.
- Start/end time tracking
- Severity & symptom tagging
- Trigger identification
- Flare-free streak counter
- Monthly flare frequency
- Cycle day correlation
Endo Report Card
Generate doctor-ready PDF reports organized how gynecologists and endo specialists want to see data: pain trends over time, symptom frequency by cycle phase, hormonal treatment response, procedure history with staging, and flare-up patterns. Walk into your appointment with evidence, not just memories.
- Pain trend charts (30/60/90 days)
- Symptom frequency heatmap
- Treatment response analysis
- Procedure & staging timeline
- Flare-up pattern summary
- Export as PDF or share directly
Bowel & Bladder Symptom Tracker
Up to 90% of endo patients experience GI symptoms, and bladder involvement is common with deep infiltrating endometriosis. Track painful bowel movements, diarrhea, constipation, rectal bleeding, bladder urgency, painful urination, and frequency — correlated with your cycle day and overall pain level.
- 7 bowel/bladder symptoms
- Cycle day correlation
- Severity per symptom
- Distinguish from IBS patterns
- Track changes post-surgery
- Share GI data with specialist
Adenomyosis Gets Its Own Spotlight
Adenomyosis is often overshadowed by endometriosis, but it has its own distinct symptoms and treatment considerations. Leo tracks both conditions together, because they rarely exist alone.
Adenomyosis Confirmation Toggle
Mark confirmed adenomyosis in procedure logs and imaging results
Heavy Bleeding Tracking
Menorrhagia severity with flow intensity, clot size, and pad/tampon counts
Imaging Findings
Track junctional zone thickness, asymmetric myometrium, and heterogeneous echotexture
Pelvic Pressure Symptom
Dedicated tracking for the constant pelvic heaviness adenomyosis causes
Treatment Response
Compare symptom levels on different hormonal treatments over time
Endo +
Adenomyosis
Co-occurrence
20-80%
Avg Diagnosis
7-10 yrs
Heavy Periods
Tracked
JZ Thickness
Logged
Endo Rarely Travels Alone
Endometriosis commonly co-occurs with other chronic conditions. Leo's multi-condition system lets you track everything together — because your body doesn't treat conditions as separate.
Adenomyosis
In LeoCo-occurs in 20-80% of endo patients. Causes heavy bleeding and enlarged uterus. Fully tracked in Leo.
POTS / Dysautonomia
In LeoAutonomic dysfunction is increasingly recognized in endo patients. Leo has full POTS tracking.
Fibromyalgia
In LeoCentral sensitization overlap. Widespread pain and fatigue common in both conditions.
IBS
In LeoGI symptom overlap is massive. Up to 90% of endo patients are initially misdiagnosed with IBS.
Migraine
In LeoEstrogen fluctuations trigger both. Menstrual migraines common in endo patients.
Interstitial Cystitis
Bladder pain syndrome. Deep infiltrating endo mimics or coexists with IC.
Anxiety & Depression
In LeoChronic pain, diagnostic delays, and fertility concerns contribute to mental health impact.
Autoimmune Conditions
Endo patients have higher rates of hypothyroidism, lupus, and other autoimmune diseases.
Track Hormonal Treatment Response
Endometriosis treatment is trial-and-error for most patients. Leo tracks not just what you're taking, but how it's working — with side effect logging and before/after symptom comparison.
Combined Oral Contraceptives
Estrogen + Progestin
Suppress ovulation & endo growth
First-line for mild-moderate endo
Orilissa (Elagolix)
GnRH Antagonist
Reduces estrogen production
FDA-approved specifically for endo
Lupron (Leuprolide)
GnRH Agonist
Induces temporary menopause
Used with add-back therapy
Visanne (Dienogest)
Progestin
Suppresses endo lesion growth
Well-studied for endo specifically
Hormonal IUD (Mirena)
Levonorgestrel IUD
Local progestin delivery
Reduces menstrual flow & pain
Norethindrone Acetate
Progestin Only
Continuous progestin therapy
Stops periods in many patients
Surgical & Procedural Treatments Leo Tracks
How Leo Compares
Most period trackers treat endo as an afterthought. Leo was built with endo and adenomyosis patients in mind from day one.
| Feature | Leo | Period Trackers |
|---|---|---|
| Daily Endo-Specific Symptom Check-In | ||
| Pain + Cycle Day Correlation | ||
| Hormonal Treatment Tracking | ||
| Procedure & Surgery Log with rASRM Staging | ||
| Imaging Result Documentation | ||
| Adenomyosis-Specific Tracking | ||
| Bowel & Bladder Symptom Detail | ||
| Flare-Up Timeline & Patterns | ||
| Doctor-Ready PDF Reports | ||
| Multi-Condition Comorbidity Tracking | ||
| Medication Effectiveness Tracking | ||
| Apple Watch Integration | ||
| Gamification & Rewards | ||
| Free (No Premium Paywall) |
= basic version available in some apps
Identify Your Triggers & Patterns
Endo symptoms aren't random. Leo helps you discover which factors make your symptoms worse by correlating daily logs with hormonal, dietary, environmental, and lifestyle factors.
Hormonal & Cycle
- Menstruation (days 1-5)
- Ovulation (mid-cycle)
- Luteal phase progesterone drop
- Birth control changes
- Missed pill doses
Dietary
- Inflammatory foods (dairy, gluten, red meat)
- Alcohol
- Caffeine
- High-sugar foods
- Large meals
Physical & Activity
- Overexertion
- Sexual intercourse
- Prolonged sitting
- Heavy lifting
- Full bladder/bowel
Stress & Environmental
- Emotional stress
- Poor sleep
- Weather/barometric changes
- Cold temperatures
- Illness or infection
Your Endo. Your Data. Your Voice.
Stop relying on memory at doctor appointments. Start tracking with a tool that understands what endometriosis and adenomyosis actually feel like — and generates the reports that make specialists listen.
Free to download. No premium paywall for endo features.