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

Etiology and Precipitation Factors

What sets the pain in motion.

Exact etiology of UGAP pain syndrome is not known. Several different causes are mentioned, like infection, impaired circulation, venous congestion and nerve entrapment. In our series we feel that the majority of our patients’ problem can be explained as tendonitis (enthesopathy).

Ninety-three (46%) patients gave a history of lower abdominal surgeries, the most common being hysterectomies, C-sections and bladder suspensions. Nineteen males gave a history of previous groin hernia surgeries. Eight patients were involved in sports activities such as jogging, soccer, football and kick boxing. Fifteen patients initially had infections like prostatitis, cystitis or orchitis. In the remaining 68 patients no clear-cut precipitating factors were detected (Graph 1).

Think of UGAP pain syndrome when presented with unexplained dyspareunia, especially when present after hysterectomy and bilateral salpingo-oophorectomy.

Graph 1. Precipitating factors