Fibroids What to Track and Say at Appointments | Violet Sheet | Fillable and Printable PDF

Because “just periods” doesn’t explain what you’re living with.

This printable Violet Sheet package is designed to help women advocate for themselves when fibroid symptoms are brushed off as normal menstrual pain. Fibroids affect Black women at higher rates and often more severely — yet heavy bleeding, pelvic pressure, and fatigue are routinely dismissed.

In appointments where symptoms can feel hard to quantify, this guided tool helps you document patterns, describe your experience clearly, and request the treatment options that fit your life.

Built using the Rooted in Violet ROOT Framework, this resource is especially designed to support Black women and women of color navigating fibroid care where concerns are too often minimized.

Inside this printable toolkit: ✔ symptoms checklist (bleeding, pain, bladder/bowel changes, fertility concerns) ✔ pattern and family history tracking prompts ✔ advocacy language worksheet ✔ treatment outline (options, risks, recovery, fertility considerations) ✔ follow-up section with ready-to-use advocacy script ✔ printable PDF instant download

Perfect for:

women experiencing heavy bleeding, pelvic pain, or pressure

women concerned their symptoms are being minimized

Black women advocating for equitable reproductive care

women weighing treatment or fertility considerations

anyone wanting structured language for a dismissive appointment

What this toolkit helps with This package helps you:

document symptoms and patterns your provider needs to see

turn what you’re feeling into fact-based language

ask about treatment options, risks, and recovery times

request culturally competent care

walk in prepared and walk out heard

Created by Rooted in Violet & Co., this Violet Sheet is designed to support women in getting fibroid symptoms taken seriously the first time, not the fifth.

Format Printable PDF · Instant digital download · Guided advocacy sheet + script

Important Disclaimer This resource is for educational and self-advocacy purposes only and is not medical advice. If you are experiencing severe pain or heavy bleeding, seek medical care immediately.

Refund Policy Due to the digital nature of this product, all sales are final and non-refundable. Please read the full description before purchasing. If you have trouble accessing your file, contact us within 7 days so we can help resolve the issue.