Emma Taylor
Your health, your information, your season.
Thank you for completing your screen. Your responses have been reviewed by an Artia women's health physiotherapist. The results below come from validated screening measures: they show where follow-up may help, and they are not a diagnosis.
Your screen identified key findings in one or more areas (such as moderate/severe leakage, cycle changes, or energy availability triggers) that warrant dedicated clinical support.
The rings show one segment per area, clockwise from the top: bladder, menstrual, pelvic pain, bowel, energy. A filled outer segment is Priority; a filled inner segment is Monitor; clear segments are Routine.
| Bladder | Priority | Moderate/severe urinary leakage (Sandvik ISI: 6/12, Bother: 4/10) affecting training confidence. |
| Menstrual | Routine | Regular menstrual cycles with minimal performance impact. |
| Pelvic pain | Routine | No significant pelvic pain or vaginal heaviness reported. |
| Bowel | Routine | Normal bowel frequency and function with no straining or leakage. |
| Energy availability | Monitor | Energy triggers identified requiring nutrition and recovery monitoring. |
| Medical review | 1 item | 1 item(s) noted for gentle discussion with your GP or on your clinical call. |
A pathway into care
Your responses met the Priority threshold. Your physiotherapist talks the result through with you on a follow-up call.
Watch and track
Your responses met the Monitor threshold and not the Priority threshold. The area is re-screened next round.
Keep the standard
Your responses did not meet the Monitor threshold this round. The area is re-screened next round.
You and the Artia clinical team. Your club receives de-identified squad results only and cannot see your individual answers or this report. Your coach does not see your responses at all.
Your results by area
Bladder
Reported moderate leakage (Sandvik ISI score 6/12, Bother rating 4/10) with stress urinary incontinence (high-impact / effort triggers). Performance impact rating 4/8.
High intra-abdominal pressure during impact, jumping, or sprinting exceeds pelvic floor support, causing leakage.
Sandvik ISI score of 3-6 (moderate band) or moderate bother/sport impact indicates symptoms to monitor and address.
moderate leakage (Sandvik ISI 6/12) · squad data pending · 60% of elite rugby union players leaked during training or on the field; 12.5% had told anyone at their club (Faulks and Catto 2021)
Sandvik Severity Index combines leakage frequency × amount (1–12). Bother scale reflects personal and athletic disruption (0–10).
Performance impact score 4/8 (modifies or avoids training/competition drills)
1-on-1 confidential telehealth assessment with an Artia pelvic health physiotherapist to build an individualized pelvic floor loading program.
Energy availability
Triggered energy availability review based on: E3: Fatigue cluster count (2) at or above threshold (2).
Training energy expenditure may exceed nutritional energy intake, increasing risk for bone stress, recurrent injury, and hormonal disruption.
Fatigue cluster or past bone stress history warrants proactive monitoring.
Energy screening triggered (1 indicators) · squad data pending · 30% of state-league Australian Rules football players (VFLW) above the LEAF-Q cut-off (Condo et al. 2019)
In collision/contact sports, contact injuries can elevate raw LEAF-Q injury scores; clinical focus is placed primarily on hormonal, bone stress, and GI markers.
Sections: injury 2 (cut-off 5) · gastrointestinal 2 (cut-off 2) · menstrual 4 (cut-off 4). Total maximum 49.
Work with support staff on intra-session fuelling, carbohydrate periodisation, and post-training recovery.
Menstrual
Reported cycle status with worst menstrual pain rating of 3/10 and impact score of 1/4.
Normal hormonal cycle variations consistent with athletic training.
Cycles are regular with no limiting symptoms.
Regular menstrual cycles · squad data pending · Ice hockey: 71.5% reported minor menstrual dysfunction (nearest collision-sport figure) (IJERPH 2022 rapid review)
Menstrual pain does not significantly limit training or performance
Continue tracking cycle regularity.
Pelvic pain
No active pelvic pain or vaginal dragging symptoms reported.
Pelvic tissues and pelvic floor baseline are functioning well under current training loads.
No symptoms reported.
No pelvic pain or prolapse symptoms · squad data pending · No published figure for your sport
No score this round.
Maintain pelvic floor health.
Bowel
Normal bowel frequency with no straining or accidental leakage.
Healthy bowel habits support optimal pelvic floor recovery.
Bowel function is normal.
No score this round.
Maintain healthy digestive and bowel habits.
Medical review
Cervical Screening Test overdue (>5 years) or never performed
The National Cervical Screening Program recommends routine CST testing every 5 years (ages 25-74).
A gentle suggestion to discuss this with your GP at your next routine appointment.
Your next steps
Your plan is established with your women's health physiotherapist on the follow-up call, not by the questionnaire. These are the steps before and after it.
| Action | Who and when | Detail | |
|---|---|---|---|
| 1 | Review Bladder Health | You & Artia Physiotherapist (Follow-up call) | Moderate/severe urinary leakage (Sandvik ISI: 6/12, Bother: 4/10) affecting training confidence. |
| 2 | Review Energy & Fuelling | You & Sports Dietitian / Doctor | Energy triggers identified requiring nutrition and recovery monitoring. |
| 3 | Review Menstrual Health | You & Artia Team | Regular menstrual cycles with minimal performance impact. |
| 4 | Pelvic Floor & Pain Assessment | You & Women's Health Physio | No significant pelvic pain or vaginal heaviness reported. |
| 5 | Bowel Health Habits | You & Physio on follow-up | Normal bowel frequency and function with no straining or leakage. |
| 6 | General Medical Review | You & Your GP | 1 item(s) suggested for routine GP discussion |
Twenty to thirty minutes, private, by phone or video, with your Artia women's health physiotherapist. Your results are talked through and your plan is agreed together. You can bring a support person if you wish. Nothing discussed is shared with your club without your consent.
If anything in your answers changes, message the clinical team through your portal or raise it on your call.
How your scores were worked out
| Measure | Your score | How it is read |
|---|---|---|
| Bladder Health (Sandvik ISI & Bother) | ISI 6/12 · Bother 4/10 | Sandvik Index: 0 None, 1-2 Slight, 3-6 Moderate, 8-9 Severe, 12 Very Severe. Bother scale: 0-10. Placed in moderate band. |
| Energy Availability (LEAF-Q) | Triggered (1 indicators) | Total >= 10 is above cut-off (Priority). Trigger count: 1. |
| Menstrual Pain (NRS) | 3 / 10 | 0 is None, 1-3 Mild, 4-6 Moderate, 7-10 Severe. Performance impact: 1/4. |
| Pelvic Pain Frequency | 0 / 5 | Score >= 3 indicates frequent pain (weekly or more), warranting physiotherapy assessment. |
Prepared and reviewed by Kylie Faulks, APA Titled Women's Health Physiotherapist, AHPRA registered. Artia is a screening and education service delivered by registered physiotherapists. Screening identifies where further assessment may be warranted; it is not a diagnosis and does not replace care from your treating practitioners. If you are unwell, contact your doctor, or call 000 in an emergency. Capital Women's Health Pty Ltd, ABN 68 650 033 533, trading as Artia. hello@artiahealth.au
- Teixeira RV et al. Prevalence of urinary incontinence in female athletes: a systematic review with meta-analysis. Int Urogynecol J 2018.
- Urinary incontinence in elite female athletes. Current Urology Reports 2022.
- Faulks K, Catto T et al. Prevalence of pelvic floor dysfunction in elite Australian rugby union players. 2021.
- Prevalence and experience of urinary incontinence among elite female Gaelic sports athletes. Int Urogynecol J 2024, n = 159.
- Urinary incontinence among elite track and field athletes according to their event specialization. Sports Medicine Open 2022.
- Machado et al. Pelvic floor dysfunctions and associated factors in female CrossFit practitioners. Int Urogynecol J 2020.
- The prevalence of urinary incontinence among adolescent female athletes: a systematic review. J Funct Morphol Kinesiol 2021.
- Nygaard IE et al. Urinary incontinence in elite nulliparous athletes. Obstet Gynecol 1994.
- Thyssen HH et al. Urinary incontinence in elite female athletes and dancers. Int Urogynecol J 2002.
- The prevalence of menstrual cycle disorders in female athletes from different sports disciplines: a rapid review. Int J Environ Res Public Health 2022.
- The prevalence of menstrual cycle disorders and menstrual cycle-related symptoms in female athletes: a systematic literature review. Sports Medicine 2023.
- Martin D et al. Menstrual cycles and the impact upon performance in elite British track and field athletes. Front Sports Act Living 2024.
- Logue D et al. Low energy availability in athletes 2020: an updated narrative review. Nutrients 2020. Condo D et al. Nutrients 2019 (VFLW).
- Risk for low energy availability, disordered eating and sleep disturbance among female football players. Phys Act Nutr 2024.
- Prevention and management of urinary incontinence, anal incontinence and pelvic organ prolapse in military women and female elite athletes. J Mil Veterans Health; Davis GD et al. Military Medicine 1999.
- Haylen BT et al. IUGA/ICS joint report 2010. Barber MD, Maher C. 2013. Foxman B. 2014. Sobel JD. 2016.