Cozean Pelvic Dysfunction Screen
This quick self‑screen can help you see if your symptoms may be related to your pelvic floor muscles. It does not replace medical care, but it can help you decide if talking with your doctor or a pelvic health physical therapist may be a good next step.
If you have severe pain, fever, blood in your urine or stool, or any emergency symptoms, please seek urgent medical care or call 911.
Step 1: Answer these questions
For each question, think about whether this has been true for you in the last 3 months.
□ Pelvic or bladder area pain that is 3/10 or higher.
□ A fall or direct impact onto your tailbone or buttocks.
□ Urinary leaking, incomplete emptying, or going to the bathroom very often.
□ Waking up 2 or more times at night to urinate.
□ A feeling of pelvic heaviness, pressure, or something ‘slipping’ downward.
□ Chronic low back, groin, hip, or sciatic pain.
□ Accidental bowel leaking or trouble passing stool.
□ Pain during or after sexual intercourse.
Step 2: Check your results
If you answered ‘Yes’ to 3 or more of these questions, there is a strong chance your symptoms may be related to pelvic floor muscle dysfunction. The good news is that many people improve with the right pelvic health physical therapy.
This self‑screen is for education only and does not diagnose any condition. Always talk with your doctor or qualified medical provider about your symptoms.
