Painful sex is a real condition. It’s not in your head!You are not alone! Nearly 15 million women suffer from chronic pelvic pain, of which nearly 6.9 million suffer from painful intercourse.Stop! No need to be a silent sufferer. You can get help for your chronic pain.Painful sex is a real condition. It’s not in your head!You are not alone! Nearly 15 million women suffer from chronic pelvic pain, of which nearly 6.9 million suffer from painful intercourse.Stop! No need to be a silent sufferer. You can get help for your chronic pain.
UGAP Pain SyndromePreviously known as POPSS syndrome

About UGAP Pain

Undiagnosed Groin, Abdominal and Pelvic pain, formerly known as POPSS syndrome.

UGAP pain (Undiagnosed Groin, Abdominal and Pelvic pain) was formerly known as POPSS (Pain Over Pubis and Surrounding Structures) syndrome. It is an enthesopathy (tendonitis) and/or periosteitis, inflammation of the lining of the bones.

It manifests as groin, lower abdominal or pelvic pain, and also as pain in the testicle, pain in the prostate, pain with intercourse (dyspareunia) and pain at the insertion of the adductor tendons. A subset of patients complain of pain in the buttocks (ischial tuberosities), tail bone (coccyx) and/or lower back over the posterior superior iliac spine.

A great masquerader, mimicking

Let’s all think of UGAP pain in patients presenting with atypical pain over the lower abdomen, groin, and pelvis. This is one of the few enigmatic conditions where a diagnosis can be strongly suspected in most of the patients just on clinical examination.

Let’s help these “Silent Sufferers” and prevent them from doctor shopping, minimize expensive diagnostic workup and prevent unnecessary endoscopies and even unnecessary surgeries. In the process, we will be saving billions of dollars which are currently spent in diagnosing and treating these unfortunate patients.

About this site

This site shares the background and lessons learned during 35 years of practice treating these patients by Pramod B. Wasudev, MD, a general surgeon in Nashville, Tennessee. It is based on a study of 203 patients seen in one office practice between 1983 and 2006 and on his published articles.

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