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SYMPTOMS:
 Chronic groin, abdominal, and pelvic (UGAP) pain is a combination of physical symptoms including, in addition to pain, restricted mobility, nausea, loss of appetite, and psychological/behavioral effects such as depression, insomnia, and changes in relationships.
UGAP pain can affect adjoining muscles and organs, causing muscle tension resulting in leg and back pain. It can cause pain over the tailbone and other sitting bones. It can affect bladder and rectal functions, causing painful urination and painful bowel movements. It is commonly misdiagnosed as interstitial cystitis and proctalgia fugax..
It can cause painful intercourse in both sexes.
Mobility can be affected. Walking, standing or prolonged sitting can be painful and restricted.
UGAP pain can affect all aspects of emotional life and may cause anxiety, depression, sleep disturbances, and sexual dysfunction and can interfere with both work and home life. Emotional distress makes the pain worse, and likewise, living with chronic pain makes the emotional distress worse. So, chronic pain and emotional distress frequently become locked into a vicious cycle.
Chronic tension shortens the muscles of the pelvic floor which then functions somewhat like a clinched fist. This leads to pain which, in turn, causes anxiety. Anxiety leads to tension. The cycle of tension, anxiety, and pain plays a significant role in UGAP pain patients.
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