allaboutic

Faces of IC

The Healthy Body, Healthy Mind

Download an Informational Brochure


	1.		Understand your symptoms
	2.		Take and print the IC self-test
	3.		Schedule a specific doctor visit
	4.		Prepare for your visit
	5.		Track your symptoms

After visiting this Web site, what actions do you plan to take? (check all that apply)

	Make an appointment with an obstetrician/gynecologist

	Make an appointment with a urologist

	Make an appointment with another physician specialist

	Make an appointment with a family doctor (primary physician)

	Research more about interstitial cystitis

	Not sure

Self-Test for Women

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1.	How many times do you urinate during the waking hours?
	3-6 7-10 11-24 15-19 20+

2a.	How many times do you urinate at night?
	0 1 2 3 4+

2b.	If you get up at night to urinate, to what extent does it usually bother you?
	None Mild Moderate Severe

3.	Are you currently sexually active?
	Yes No (Skip to 4b)

4a.	IF YOU ARE SEXUALLY ACTIVE, do you now or have you ever had pain or urgency to urinate during or after sexual intercourse?
	Never Occasionally Usually Always

4b.	Has your pain or urgency ever made you avoid sexual intercourse?
	Never Occasionally Usually Always

5.	Do you feel any of the following symptoms (in any combination): unexplained pain and pressure in the urethra, the vagina, the area above the pubic bone, the inside of the thighs, the lower abdomen, the lower back, or the groin area?
	Never Occasionally Usually Always

6.	Do you still have urgency shortly after urinating?
	Never Occasionally Usually Always

7a.	If you have pain is it usually:
	Mild Moderate Severe

7b.	How often does your pain bother you?
	Never Occasionally Usually Always

8a.	If you have urgency, is it usually:
	Mild Moderate Severe

8b.	How often does your urgency bother you?
	Never Occasionally Usually Always


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