Do You Have Pelvic Floor Dysfunction?

Answer these questions and find out if what you're experiencing is normal or not! The following questions are adapted from the Cozean Pelvic Dysfunction Screen Protocol.

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 *

Yes

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

Yes

I sometimes experience one or more of the following urinary symptoms

Accidental loss of urine

Feeling unable to completely empty my bladder

Having to void within a few minutes of a previous void

Pain or burning with urination

Difficulty starting or frequent stopping/starting of urine stream

None of the above

I often or occasionally have to get up to urinate two or more times at night* *

Yes

Prolonged sitting increases my symptoms

Yes

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

Yes

I sometimes experience one or more of the following bowel symptoms: *

Loss of bowel control

Feeling unable to completely empty my bowels

Straining or pain with a bowel movement

Difficulty initiating a bowel movement

None of the above

I sometimes experience pain or discomfort with sexual activity or intercourse

Yes

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

Yes

Sometimes

Submit yours answers to receive your quiz results:

Full Name *

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