1. Start with the timeline
Write down when the current episode began, whether it started suddenly or gradually, and whether similar symptoms have happened before. If symptoms come and go, note the typical length of a flare and what “better” actually means.
2. Describe pain without compressing it into one score
Location and behaviour are often more useful than a number alone. Record whether discomfort is in the perineum, lower abdomen, penis, testicles, lower back or elsewhere; whether sitting changes it; and whether ejaculation or urination changes it.

3. Separate urinary symptoms
Frequency, urgency, burning, weak stream, trouble starting, interrupted flow, feeling that the bladder did not empty, or complete inability to urinate are different observations. Complete urinary retention deserves prompt medical attention.
4. Record fever and general illness
If you measured a temperature, write down the value and time rather than only “felt hot.” Note chills, vomiting, marked weakness or a rapid deterioration. These details can help establish urgency.
5. Bring relevant context
- current medicines and supplements;
- drug allergies;
- recent antibiotics and whether they were prescribed for this problem;
- previous urine culture or infection results if available;
- urinary procedures, catheter use or surgery;
- other health conditions that may affect treatment.
DO NOT SEND THROUGH THIS WEBSITEClean Systems does not need laboratory reports, medical records, photographs of prescriptions or detailed sexual-health information through its general contact form. Bring those to the clinician or use a secure channel supplied by your health provider.
Questions worth asking
- What diagnoses are you considering, and what findings make them more or less likely?
- Do I need urine testing or other investigations?
- If you recommend an antibiotic, what evidence suggests bacteria are involved?
- What symptoms should make me seek urgent care?
- What can I safely do for comfort while the cause is being assessed?
- When should I follow up if symptoms continue?