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Pelvic Dysfunction

Unsure if Pelvic Dysfunction is something for you to worry about or have checked out?

The Cozean Screening Protocol was developed to help patients (and their physicians) screen for pelvic floor dysfunction. Take the questionnaire below; if you score 3 or more pelvic floor dysfunction is highly likely and you'd benefit from an evaluation with a pelvic health physical therapist.

Find out if Pelvic Dysfunction is likely

Check all that apply to you

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).

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

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

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 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

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

You indicated you are having some symptoms of Pelvic Dysfunction. How long have you had these symptoms?