Endometriosis Trial

Do you have endometriosis and experience painful periods, pain between periods or pain with sex?

Would you like to see if you are eligible for a clinical trial that is evaluating an investigational medication for endometriosis-associated pain?

Sign up and we will notify you of clinical trials in your area that need women with endometriosis.

Volunteers who take part in the study may be compensated for time and travel.

Eligible participants will receive all study-related care, study medication, and non-hormonal birth control supplies at no cost. The study will involve visits to a study site in your area.

What happens if I sign up?

You may be eligible for an endometriosis associated pain clinical research study, also known as a clinical trial in your area. Someone from the study team or research center conducting the trial will contact you to explain more about this research study before you make your decision about participating.

Sign Up

Fields marked with an * are required.

First Name *

Last Name *

Phone Number *

Date of Birth MM/DD/YYYY *

Zip Code or Postal Code *

Have you been told by a doctor that you have endometriosis? *

Was a medical procedure used to confirm the diagnosis? *
(this procedure may have been referred to as a laparoscopy or a laparotomy)

Do you experience painful symptoms (such as painful periods, severe cramping, pain between periods, painful sex, painful urination or bowel movements) because of endometriosis? *

Do you or did you used to, regularly smoke or use nicotine products (e.g. cigarettes, e-cigarettes, vaping, nicotine replacement therapy (nicotine gum, lozenge, patch etc.))? *

Have you been diagnosed by a doctor, or treated for major depressive disorder (MDD) OR a post-traumatic stress disorder (PTSD) episode in the past 2 years? *

Have you ever been diagnosed, by a doctor, with Schizophrenia or Bipolar Disorder? *

Have you been diagnosed, by a doctor, or treated for any of the following? *
Please select any that apply. Hold down CTRL to select more than one.
Please only select conditions which have been diagnosed by a doctor.

Have you had any of the following surgical procedures? *
Please select all that apply. Hold down CTRL to select more than one.

Have you been diagnosed (by a doctor) with any other medical conditions? *
Please list below or type ‘none’.

If you are taking any medications for your endometriosis or other health conditions, please list them below. *

Are you using hormonal birth control (either pills, an IUD or an implant under your skin)? *

In order to participate in the study, would you be willing to discontinue use of your birth control pills or have your IUD or birth control implant removed for the duration of the study?
(Please note, the study team will discuss this with you further if you qualify for the study. Other study specific non-hormonal methods of birth control may still be used.)

Would you be willing to use non-hormonal birth control (for example: condoms and spermicide), as required during your participation in the study? (Please note, the study team will discuss this with you further if you qualify for the study.) *

Do any of the following apply to you? *

Currently pregnant

Breastfeeding

Gave birth less than six months ago

Stopped breastfeeding less than 6 months ago

Are you currently participating in a clinical trial for an investigational drug or device? *

What is the best day/time to reach you via telephone (we know you are busy)? *

Would you like to be contacted about taking part in a clinical research study (also known as a clinical trial)? *

Yes

The information you are providing here will only be used to match you to a clinical research study in your area and contact you to see if you would be eligible participate. Please note the information you enter will be kept private, except when ordered by law, and only accessible to our Clinical Research Partners and affiliates and applicable regulatory agencies. If you have any questions regarding the handling of the information you have provided to autocruitment.com, or if you would like to make any changes, please contact us at info@autocruitment.com.