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 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