instruction: hello doctor patient is a 50 year old female she had a history of early menopause periods stopped after 35 years her gall bladder removed last year and she has hypothyearoidism and taking thyearonorm 25 my for the past three years her present complaint is problem in urination urine flow is low and she has to go to the toilet several times for urination but the urine is very scanty even after applying force sometimes there is urine leakage she was prescribed urimax 2 but she discarded its use as it induced constipation flats and obesity sometimes there is a pain in the pelvic region joint pain and easily fatigued
output: hello do you have leakage when you feel to urinate do you have urine leakage when you cough or sneeze when you hold urine at that time did you feel burning or pain for what maximum time you are able to hold urine any history of diabetes or hypertension or any medications