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Please select your option
It began not long ago
About Six months or less
A period of six months to a period of two years
2 years and counting

If you have, what was is the main reason of your incontinence and your doctor's recommendation?
If not, what has kept you from obtaining expert help and do you intend to seek for further medical advice regarding the condition?
Do you require assistance?

You can choose one or more options
When your bladder is put under extra sudden pressure say from coughing
sneezing
hard lifting; or exercise
you may leak pee.
You have an urgent need to pass urine and you can't wait to go to the bathroom.
Urinary retention occurs when the bladder does not empty completely upon passing urine.
Difficulty passing all the urine

If you answered yes, please estimate how many times you need to get up to urinate during a regular night.


If you answered yes, please describe how frequently you have bladder infections and how severe they are.

This question must only be answered by men. Women, please answer "yes"


If you do have diabetes, please provide us with as much information as you can regarding your diagnosis or test.
If the answer is no, we recommend getting a diabetic screening test from your doctor or local drugstore (fasting blood sugar).

It is never a good idea to self-diagnose and treat urine incontinence.
At the very least, you should see your doctor for a checkup once a year.
You must follow your doctor's instructions for any treatment.
You should only order repeat supplies of medicines that your doctor has prescribed.

Do you require assistance?


Please select your option
3 months or less
From 3 to 12 months
For more than a year
It is not currently recommended.

A complete inability to pass pee or a great deal of trouble passing urine.
Any stomach or intestinal problem that is serious.
Myasthenia gravis is a kind of myasthenia.
Glaucoma.
Constipation.
Hernia hiatus.

Orlistat causes an allergic reaction or hypersensitivity in you.
You've previously used Orlistat and experienced serious side effects.
You are experiencing rectal bleeding.
You have chronic malabsorption syndrome, which has been identified by a doctor.
You have been diagnosed with cholestasis (condition where the flow of bile from the liver is blocked)

Please select your option
Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Please select your option
Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Please provide more information of the medication being used if any.


You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function

Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.