41yr Old Female, Still Have All My Girly Bits. Brief

41yr old female, still have all my girly bits. Brief medical history: Uterus is tilted backwards, c section 15yrs ago, back problems, Type 2 diabetes, endometriosis, pcos, also quite a few hemorrhoids. So, I have a constant feeling like I'm bearing down, like when I was in labor & a pinching=tugging feeling in my urethra. I feel like I constantly have to tighten my pelvic muscles up. It's been going on for a couple years or so but most recently is getting more bothersome. I have a Drs appt set for next month, New to the area & it's a new Dr for me, just want some ideas of what to make sure he checks for. Thanks!