Endo & Adeno. One combined hub.
Endometriosis and adenomyosis travel together so often that we ship them as one pack. The hub carries a daily check-in, your surgical and imaging history with rASRM staging, every hormonal treatment you've tried, and your cycle on the same screen. Diagnostic delay for endo averages a decade — your data shouldn't take that long to be coherent.
Two diseases that frequently co-exist.
Endometriosis is the presence of endometrial-like tissue outside the uterus — peritoneum, ovaries, bowel, bladder, occasionally further afield. It causes chronic pelvic pain, painful periods, painful intercourse, and is strongly associated with infertility. The World Health Organization estimates it affects roughly 10% of reproductive-age women and girls — about 190 million worldwide.
Adenomyosis is endometrial tissue inside the muscular wall of the uterus itself. Symptoms overlap substantially with endo — heavy menstrual bleeding, severe cramps, an enlarged or boggy uterus — and the two are commonly found together at surgery. They share diagnostic delays, share treatment levers (hormonal suppression, surgical excision, occasionally hysterectomy), and share most of the day-to-day lived experience.
Leo ships them as a single condition pack — one card on the wall, one hub when you tap in. The adenomyosis-specific bits (a confirmed-at-surgery flag, an MRI/ultrasound finding for junctional zone and myometrial changes) sit inside the procedure and imaging logs.
Fifteen endo / adeno symptoms, each with its own severity.
Open the hub and tap Daily Check-In. The first thing is a pain slider — 1 to 10, colored green / orange / red / purple — capturing today's overall pain. Then a fifteen-item symptom checklist purpose-built for the endo and adenomyosis spectrum:
Cramps · Bloating · Nausea · Painful bowel movements · Diarrhea · Constipation · Bladder urgency · Painful urination · Fatigue · Brain fog · Back pain · Leg pain · Pelvic pressure · Painful intercourse · Spotting
Toggle any of them on and rate that symptom 1 to 5 stars. Add a free-text note if you want. Save. The whole flow takes about a minute. Each entry is tagged with your current cycle day automatically — read from the Cycle hub, not duplicated.
Nine procedure types, twelve anatomical locations, rASRM I–IV.
Every procedure gets its own record — type, date, surgeon, facility, an optional adenomyosis-confirmed flag, where the disease was found, the rASRM stage if the operative report had one, pathology results, complications, notes. Multiple procedures over years stay searchable and chronological.
- ·Diagnostic laparoscopy
- ·Excision surgery
- ·Cystectomy
- ·Hysterectomy
- ·Oophorectomy
- ·Adhesiolysis
- ·Nerve block
- ·Botox injection
- ·Other
Peritoneum · Left ovary · Right ovary · Bladder · Bowel · Rectovaginal septum · Uterosacral ligaments · Diaphragm · Appendix · Ureters · Vaginal cuff · Other
Capture the operative stage — I (minimal), II (mild), III (moderate), IV (severe). The most recent stage is surfaced on your hub as a color-coded badge.
Endometriomas, adenomyosis findings, and adhesions — captured the way the report reads.
Imaging is increasingly the front-line workup for both endo and adeno. The imaging log takes the same shape every modality does: type, date, facility, ordering physician, three structured-findings toggles, an overall impression, and notes.
Three finding toggles per study, each with a freetext detail field:
Cysts, size, location.
Junctional zone thickness, myometrial changes.
Location, severity.
Every therapy you've tried, with effectiveness on it.
Most endo and adeno management runs through hormones. Leo tracks nine treatment types — by name where it matters — with dosage, start and end dates, side effects, the reason you stopped (if you did), the prescribing clinician, and a 1-to-5-star effectiveness rating. Active and past treatments are separated so the timeline of what worked, what didn't, and what made you feel worse is one scroll.
Eight cards. One screen.
Everything above shows up on the hub as a card — most are tappable into a detailed view. There's no premium tab, no buried feature behind a settings page. Open the hub and the picture is there.
Quick-launch button — opens the 1-minute pain + symptom sheet.
Current cycle day from your Cycle hub. One tap to open full cycle tracking.
Today's pain + 7-day rolling average + sparkline of your last 7 days.
Top 5 symptoms by frequency over the last 30 days, as a horizontal bar chart.
Count this month + days-since-last-flare, with the most recent flare's severity.
Active treatment with name, duration, and effectiveness stars on the hub.
Latest rASRM stage badge + the three most recent procedure or imaging entries.
CBC, hormone panel, inflammatory markers, iron studies — pinned to the hub.
The list of things we'd like to ship, and haven't yet.
Every condition page on Leo names its backlog out loud. This is the active list for the endo / adeno hub — each item is on the feature-parity tracker, and the page gets updated as items ship.
Today, pain is a 1–10 slider. A tappable pelvic body-map for where it hurts — front, back, left, right, deep — would change how this data reads to a gynecologist.
Pain trend, symptom-by-cycle-day heatmap, treatment timeline, procedure history with staging as one shareable doc. Today exports are part of the general Leo health report path.
Imaging is captured structurally (findings, impression, notes). Attaching the actual PDF or DICOM report isn't built yet.
How endo is affecting work, school, exercise, sex — a structured score rather than just notes.
Cycle day is captured per entry; visualizing symptom intensity by cycle day specifically inside the endo hub isn't shipped yet.
Flares can be tagged with triggers today, but a 30/90-day trigger-frequency breakdown specific to endo flares hasn't been built.
Mirena lives in cycle/contraceptive tracking; surfacing it as a named option in the endo hormonal-treatment list directly would help.
Procedures are logged with dates; an automatic before/after symptom-burden comparison around each procedure is a worthwhile add.
One pack. Two diseases. A decade of data, organized.
15-symptom daily check-in, 9 procedure types, 12 anatomical locations, rASRM I–IV staging, 9 hormonal treatments tracked by name, four pinned labs, the cycle on one screen. Built for the decade-long diagnostic journey and the years on the other side of it.