Acupuncture First for IC/BPS

Inclusion Criteria: * Meets American Urologic Association (AUA) criteria for interstitial cystitis/bladder pain syndrome (IC/BPS): "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration, in the absence of other identifiable cause" * Negative urine culture * Has completed cystoscopic evaluation for IC/BPS Exclusion Criteria: * History of recurrent urinary tract infection (2 or more culture-positive in 6 months or 3 or more in 12 months) * History of overactive bladder * History of bleeding disorder or are currently on chronic anti-coagulation * Post-void residual \>100mL * Has previously undergone any of the following treatments for any indication: acupuncture, pelvic floor physical therapy, pre-tibial nerve stimulation (PTNS), sacral neuromodulation, or intradetrusor Botox * Prior bladder augmentation * Currently undergoing or will undergo treatment for a urologic or gynecologic malignancy * Currently pregnant (if applicable, based on self-report) * Implanted pacemaker or defibrillator (AICD) or any metallic implants below umbilicus (eg hip or knee replacements) * Non-English speaking and reading