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COZEAN PELVIC FLOOR SCREENING PROTOCOL

by Dr. Betty DeLass, PT, DPT

Reborn Pelvic Health & Wellness

08/17/2024

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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

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

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

     - Accidental loss of urine

     - Feeling unable to completely empty bladder

     - Having to void (urinate) within a few minutes to a previous void

     - Pain or burning with urination

     - Difficulty starting or frequent stopping/starting of urine stream

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

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

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

I sometimes experience one of 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

I sometimes experience pain or discomfort with sexual activity or intercourse

Sexual activity increases one or more of my other symptoms

Prolonged sitting increases my symptoms

 

If you answered yes to 3 or more questions, pelvic floor dysfunction is likely. You may benefit from an assessment from a pelvic floor therapist.

 

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