1. I  sometimes have pelvic pain (in genitals, perineum, pubic or bladder area, or pain with urination) that     exceeds a ‘3’ on a 1-10 pain scale, with 10 being the worst pain imaginable

​

2. I can remember falling onto my tailbone, lower back, or buttocks (even in childhood)

​

3. I sometimes experience one or more of the following urinary symptoms:

• Accidental loss of urine

• Feeling unable to completely empty bladder

• Having to void within a few minutes of previous void

• Pain or burning during urination

• Difficutly starting or frequent stopping / starting of urine stream

 

​4. I often or occasionally have to get up to urinate two or more times at night

 

​5. I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvic organs slipping down or falling out

​

6. I have a history of pain in my low back, hip, groin, or tailbone or have had sciatica

​

7. I sometimes experience one or more of the following bowel symptoms:​

• Loss of bowel control

• Feeling unable to completely empty the bowels

• Straining or pain with bowel movement

• Difficulty initiating a bowel movement

​

8. I sometimes experience pain or discomfort with sexual activity or intercourse

​

9. Sexual activity increases one or more of my other symptoms

​

10. Prolon ged sitting increases my symptoms

​​

© Nicole Cozean PT, DPT, WCS. All rights reserved.​If you  have 3 or more of the above symptoms, then you may benefit from our Women's Pelvic Health Program!