Once I was diagnosed with IC the treatment I was given worked perfectly well for years and I had very few flare ups. I didn't have a distention back then as it wasn't needed as the medication was keeping it all under control. I started to get issues again a few years ago and was sent to a gyno. I wrongly assumed that the problem was IC again when in fact it has progressed to being associated with meno. It didn't dawn on me that it could actually be something else! I'm not meaning to go on about IC on here, I was only trying to explain that I have had a few bladder issues previously. The major thing for me to sort out if I will benefit from taking HRT as well as vagifem. If all of this fails then I will be back on the gyno merry-go-round again and then they may have to look at IC again!! Deep joy!