All questions are optional.

Are you experiencing endometriosis pain? (Select all that apply.)

No pain Moderate pain Severe pain
No pain Moderate pain Severe pain
No pain Moderate pain Severe pain


How have you and your doctor been managing your symptoms? (Select all that apply.)

I am currently using this treatment

I have previously used this treatment

Prescription hormonal birth control
(such as pills and IUDs)

Over-the-counter painkillers
(such as ibuprofen, acetaminophen, and naproxen)

Prescription NSAID painkillers
(such as ibuprofen and naproxen)

Prescription opioid painkillers
(such as codeine, morphine, tramadol, hydrocodone, and oxycodone)

Prescription GnRH agonist injection

(such as laparoscopy)



Here’s a summary of your answers to share with your doctor

on a scale of 0-10

on a scale of 0-10

on a scale of 0-10

I am currently using these treatments:
I have previously used this treatment:

Questions for your doctor 

Doctor visits can go by quickly and be overwhelming—so we put together a list of helpful questions for your next appointment. Feel free to add your own questions or concerns about your endometriosis pain or ORILISSA (elagolix).

  1. Based on my current situation, am I a candidate for treatment?
  2. What treatments are available for women with endometriosis?
  3. What type of medication is ORILISSA?
  4. What symptoms does ORILISSA manage?
  5. Does ORILISSA contain hormones?
  6. Do you think ORILISSA is right for me?

Next steps

  • Schedule an appointment with your doctor, specifically to talk about your endometriosis pain.
  • Bring this discussion guide with you. Download, email, print or have it ready on your phone. Bring a notebook to capture what you talk about, next steps, and other details.
  • Be ready to answer questions about current and past medications, family history, and how your endometriosis pain impacts you. This info can be helpful when you discuss whether ORILISSA may be right for you.

Share your results with your doctor.

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