What can you do if your leg hurts in the groin?
The lumbar and pelvic region is the link between the upper and lower body . Here is the hip region, bladder, lymph nodes, a huge number of blood vessels, as well as the inguinal ligament and muscle groups through which the torso flexes. In one of these places, corresponding pathologies may arise that reveal the reason why the leg hurts in the groin.
This pain syndrome can become a real obstacle to performing work duties and household chores.
The pathology is a protrusion of part of the internal organs into the inguinal canal. In females, discharge occurs in the subcutaneous space of the labia majora, and in males through the scrotum.
Localization and nature of pain in the groin
The location of the pain is the part of the groin where the hernia forms. The painful sensation is characterized by a pulsating, increasing effect.
With tension, a visual enlargement of the hernia is possible.
The hernia practically disappears if you take a horizontal position.
When walking or running, you feel a kick in the area of the hernia.
If these symptoms occur, you should visit the clinic and make an appointment with a surgeon.
Diagnosis of inguinal hernia
To determine the presence of an inguinal hernia, the surgeon must conduct a visual examination and palpate the patient’s area of concern. For a more in-depth analysis of the patient’s condition, the following studies are carried out:
If an inguinal hernia is accurately diagnosed, the patient is immediately admitted to the hospital . You can only get rid of this disease through surgery. In the future, the patient should wear a special bandage to prevent relapse.
Pathologies of the musculoskeletal system
The most common pathology in which the leg hurts in the groin is osteochondrosis of the lumbosacral region. Pathology manifests itself in the steady modification of the vertebral discs if therapeutic measures are not taken in a timely manner.
How does the leg hurt with lumbosacral osteochondrosis?
With advanced pathology, back pain is so severe that it can spread to the leg. Pain may be felt on the outside of the thigh.
Additional signs of lumbosacral osteochondrosis
With sudden movements, the pain shoots through, like an electric shock.
In the morning hours, it is difficult for a person to get out of bed.
Over time, if no action is taken, flexibility in the back is lost.
To relieve pain when walking, it is easier for the patient to limp than to walk correctly.
For correct diagnosis and subsequent treatment, you should visit a neurologist’s office.
To make a diagnosis, one of the following diagnostic tests can be used:
Ultrasound.
CT scan.
You should change your lifestyle . In particular, stop wearing high heels to relieve stress on your back. For constant correct posture, it is necessary to use a special corset. For overweight patients, it is extremely important to lose excess weight to reduce the stress on the vertebrae.
At the same time, you should strengthen the lumbar and rectus back muscles by performing special gymnastic complexes. When engaging in physical education, it is prohibited to squat with a barbell and perform deadlifts. When choosing between running and race walking, it is better to prefer the second option, which puts less stress on the diseased vertebrae.
Diseases of the pelvic organs
Pain in the groin can be caused by diseases of the reproductive system: in men - inflammation of the seminal vesicles, orchitis, prostatitis; in women – endometriosis, endometritis, andexitis.
With the development of the listed pathologies of the small pelvis, the pain makes itself felt with a nagging painful effect. Over time, the syndrome subsides, but resumes again when inflammatory processes intensify. In some cases, the pain in the groin can be cutting, in which a person stops while walking to calm the severity of the pain.
Which specialist can help?
Depending on the pathology, the following specialists will be able to help the patient:
At the appointment, the specialist examines the patient, takes samples from the genital organs (vagina, penis) in order to identify possible pathogens of the disease.
Based on the pathology, the course of treatment involves the use of appropriate antibiotics that suppress the infection and relieve inflammation.
Oncological diseases of the pelvic organs
Malignant tumors can cause pain between the legs. In men, damage to the testicles and rectum is possible. In women - the cervix, ovaries, fallopian tubes, bladder.
Nature and localization of pain
Regardless of the pathology, the affected organs, having a tumor, provoke pain in the groin. With the progression of the tumor (growth in size), the painful syndrome in the groin begins to intensify. At the same time, the perineum begins to hurt constantly, causing a pressing effect.
For a qualified examination and establishment of the exact pathology, you should contact an oncologist surgeon.
Modern medical technology offers the following types of examination to detect malignant tumors of the pelvis:
Magnetic resonance imaging.
Ultrasonography.
Possible treatments
In medical practice, there are no cases when a patient was saved from death in the last stage of a malignant tumor. However, if the disease is detected in the early stages, treatment can be very effective.
Treatment methods can be of the following nature:
Surgery by performing an operation to remove the tumor.
Chemotherapy.
Radiation therapy.
Injuries and damage to the groin area
The pelvic area contains a huge number of muscles, ligaments and bones, which can cause pain in the groin due to injury. Injuries can be of a different nature: bruises, fractures, sprains.
Depending on the nature of the injury, pain in the groin can have different effects. If these are sprains, then the pain can be piercing if the victim makes an awkward movement. With fractures and bruises, the pain makes itself felt with an aching effect. The location of the pain is always individual, based on the injured area.
If you receive a fracture, sprain, or bruise, you should contact a highly specialized specialist. Such a doctor is a trauma surgeon.
In the first minutes after a bruise, it is advisable to apply ice or something cold. For fractures, the victim should be positioned correctly, depending on the broken bone, and then a plaster cast should be applied.
To relieve pain, it is advisable to take one or two tablets of an anesthetic (Ketanov, Diclofenac).
The victim is prescribed bed rest to prevent physical activity.
To do this, the patient may be prescribed the following procedures:
Massage.
Swimming.
A set of gymnastic exercises.
Visit to the physiotherapy room.
Intense stress on the muscles of the groin area
Regular physical exercise, as well as high-performance sports, carries a risk of injury . The heavier and more intense the load an athlete puts on himself, the higher the possibility of injury, including to the groin. This type of injury is especially common among weightlifters and powerlifters who train with extremely heavy barbells.
In addition, this type of injury is typical for people whose work involves lifting and carrying heavy loads, in particular, loaders.
Nature and location of pain
Basically, this type of injury includes sprains and torn ligaments. In this case, the pain does not remain only in the groin, but can also radiate to the leg. The pain in the leg is periodic and appears only when the victim moves suddenly.
Which doctor should I make an appointment with?
Contacting a trauma surgeon will help you cope with such injuries. The specialist will prescribe the optimal course of medication, prescribing the necessary painkillers.
An external examination of the injured part of the body is carried out.
Having received an injury, the patient is prescribed bed rest to protect him from vigorous activity. The best medications that ensure the fastest recovery of the musculoskeletal system are specialized ointments (Fastum Gel, Ketanol, Capsicam).
Physiological changes in the body
This question concerns women more during pregnancy. Closer to childbirth, the muscles in the pelvic and lumbar region may not be able to cope with the weight of the growing fetus. This leads to pain.
Localization and nature of pain
When walking, a heavy fetus (7-9 months of pregnancy) makes itself felt by aching pain in the groin area.
Such cases should be monitored by antenatal clinic doctors.
For rational treatment, the doctor prescribes a special examination using ultrasound. As an alternative to ultrasound examination, magnetic resonance imaging is prescribed.
A pregnant woman with this pathology should exclude everyday activity, eliminating complications in the pre-pregnancy period. It is necessary to wear a special corset that relieves the groin muscles. This will help relieve pain in a short time. In extreme cases, when the pain radiates to the groin, you can take a pain reliever.
In which case, immediately consult a doctor
You should not rely on your own knowledge and the “experience” of friends who are far from medicine if a fracture or rupture of ligaments occurs. In addition, you should not hesitate if you suspect the formation of a malignant tumor. In this case, delay is crucial , which can affect the life of the patient.
Groin pain in women. Pain in the groin on the left, right, nagging, aching pain in the groin area, lower abdomen
FAQ
The site provides reference information. Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious doctor.
Anatomy of the groin region in women
ileal;
pubic;
sciatic
After twenty years, these bones fuse and form a single pelvic bone.
the large pelvis is formed by the wings of the iliac bones and also serves as a support for the internal organs of the abdominal cavity;
The small pelvis is formed by the sacral and coccygeal pelvic surface, as well as the ischium and pubic bones.
The following organs are located in the pelvis:
urethra;
rectum;
ovaries;
the fallopian tubes;
vagina.
It should be noted that the female pelvis is the birth canal through which the fetus moves during childbirth.
muscle layerconsisting of three layers of muscle fibers, the contraction of which causes urine to be expelled from the bladder;
mucous layer , which forms folds that allow the bladder to stretch as it fills;
serous layer covering the bladder above and behind.
In the lower part of the bladder there is a smooth triangle, on which the mucous layer does not form folds. On this triangle at the top there are two openings into which the right and left ureters flow. At the bottom there is an opening that passes into the urethra. At the junction of the bladder and the urethra there is a thickened circular muscle ( sphincter ), which prevents involuntary urination.
Urethra
outer connecting layer;
muscle layer;
slime layer.
wide – ampullary;
narrow - anal.
Despite the fact that the intestine is called rectum, it has two bends. The first is formed near the sacrum - the sacral flexure, the second in front of the coccyx - the perineal flexure.
mucous membrane forming folds;
muscle layer , including longitudinal and circular layers;
serous membrane covering the outside of the rectum.
There are two sphincters around the anus - external and internal. The outer one is formed by the muscles of the perineum, and the inner one is formed by the circular layer of the muscular layer of the rectum. These sphincters block the lumen of the intestine, which allows feces to be retained inside the organ.
the upper end is adjacent to the fallopian tube - tubal end;
the lower end is connected to the uterus using its own ligament - the uterine end.
The ovary has two edges:
the rear free edge faces back;
The anterior mesenteric margin is attached to the broad ligament by the mesentery.
Every month, a follicle develops in a woman’s ovary, inside which an egg grows and matures. Subsequently, the mature follicle bursts and an egg is released from it, that is, ovulation occurs. After this, the egg enters the fallopian tube and moves through it into the uterine cavity. If fertilization has occurred, the embryo implants into the wall of the uterus and further development of the fetus occurs. If conception does not occur, the woman begins menstruation.
follicular phase , during which follicle development occurs ( production of the hormone estrogen );
ovulatory phase , in which ovulation occurs;
The luteal phase is characterized by the formation and development of the corpus luteum ( production of the hormone progesterone ).
interstitial part ( located in the wall of the uterus );
isthmic part ( narrow part of the pipe );
ampullary part ( wide part of the pipe ).
The ampullary part of the pipe ends with a funnel, at the end of which there is a fringe. The fimbria approaches the edge of the ovary and during ovulation facilitates the passage of the egg into the fallopian tube.
bottom;
body;
neck.
The cervix has two parts, the vaginal and supravaginal. Inside the cervix there is a cervical canal that connects the vagina to the uterine cavity.
mucous - endometrium ( has functional and basal layers, during menstruation the functional layer is rejected );
muscular - myometrium ( consists of three layers of smooth muscle fibers );
serous – perimeter ( covers the uterus ).
Every month, a woman’s body prepares for pregnancy. In the uterus during this period, cyclical changes in the endometrium also occur, called the uterine cycle.
Regeneration. A woman's menstrual cycle ends with the tearing away of the functional layer of the endometrium and releasing it outward in the form of bloody discharge. Starting from the second day of menstruation, the regeneration phase begins in the uterus, that is, the restoration of the mucous layer.
Proliferation. With a twenty-eight day menstrual cycle, between the fifth and fourteenth day of the cycle, under the influence of the hormone estrogen, the mucous layer of the endometrium grows and thickens.
Secretion. In the period between the fifteenth and twenty-seventh day of the menstrual cycle, under the influence of the hormone progesterone, the growth of the functional layer of the endometrium continues.
Rejection. This period is characterized by the rejection of the functional layer of the endometrium if fertilization does not occur.
What structures can become inflamed in the groin of women?
- bladder;
- uterine appendages ( fallopian tubes, ovaries and uterine ligaments );
- vagina;
- nerves ( sciatic nerve, lumbar plexus nerves );
- The lymph nodes.
Causes of groin pain in women
- diseases of the urinary system;
- diseases of the reproductive system;
- diseases of the digestive system;
- diseases of the musculoskeletal system;
- diseases of the lymphatic system;
- diseases of the nervous system.
Diseases of the urinary system
- two kidneys;
- two ureters;
- Bladder;
- urethra ( urethra ).
Pain in the groin can be caused by the following diseases of the urinary system:
A disease characterized by the formation of calculi ( stones ). Most often, stones form in the kidneys, less often in other urinary tracts, for example, in the bladder. The main cause of the disease is metabolic disorders. Excess salts in the urine, as well as changes in its reaction, lead to the subsequent formation of stones.
- insufficient fluid intake;
- infectious and inflammatory diseases of the urinary tract ( for example, cystitis, urethritis, pyelonephritis );
- chronic diseases of the gastrointestinal tract ( for example, peptic ulcer of the stomach and duodenum, gastritis );
- geographical factors ( composition of drinking water, its saturation with salts, temperature and humidity ).
The danger of urolithiasis is that the stone can move and block the lumen of the ureter or urethra. In this case, the patient develops acute urinary retention and renal colic occurs, which is manifested by the development of sudden severe pain. Painful sensations are observed in the lower back and groin ( along the ureter ), and also radiate ( give ) to the perineum, inner thigh and anus. The pain can last from one hour to several days, and the patient cannot sit or lie down.
With this disease, inflammation of the urethra occurs.
- specific ( caused by specific pathogens, for example, gonococci );
- nonspecific ( characterized by the pathological proliferation of microorganisms that normally live on the surface of the skin and mucous membranes ).
A woman with this disease experiences pain, pain and burning when urinating. There is abundant mucopurulent discharge from the urethra. There may also be a feeling of heaviness in the groin area. An increase in body temperature and a disturbance in the general condition of the patient, as a rule, are not observed.
A malignant neoplasm characterized by uncontrolled proliferation of cells in the mucous membrane of the urethra.
- bladder cancer;
- sexually transmitted diseases in a chronic form ( for example, gonorrhea, chlamydia );
- frequent trauma to the urethra.
With urethral cancer, a woman may experience the following symptoms:
- cutting, burning and pain when urinating;
- pain in the urethra, perineum and groin area;
- enlarged inguinal lymph nodes;
- pain in the groin area during sexual intercourse;
- urinary incontinence;
- bloody discharge from the urethra.
Cystitis
A disease characterized by inflammation of the mucous membrane of the bladder. In most cases, cystitis develops due to bacteria entering the bladder. This disease develops to a greater extent in women, which is associated with the anatomical features of the structure of the urethra. The urethra in women is much shorter and wider than in men. These features contribute to easier entry of infectious agents into the urinary tract and the subsequent development of the inflammatory process.
- hypothermia;
- decreased immunity;
- urination problems ( for example, with urolithiasis );
- passive lifestyle;
- inflammatory diseases of the genitourinary organs ( for example, urethritis, vaginitis );
- violation of personal hygiene.
Acute cystitis is characterized by the sudden development of cutting and pain when urinating. The patient also has a frequent urge to urinate, cloudy urine and the presence of blood in it. During urination, a woman experiences painful sensations radiating to the groin area, vagina and perineum. In addition, the patient may experience increased body temperature, weakness and malaise.
Bladder injuries are severe pelvic injuries that require emergency medical attention.
- pain in the groin and suprapubic region, radiating ( radiating ) to the perineum and rectum;
- hematoma in the inguinal and suprapubic areas;
- presence of blood in the urine;
- urinary retention;
- pallor of the skin.
Bladder cancer
A disease in which there is a pathological proliferation of cells in the mucous membrane of the bladder or in the wall of the organ.
- smoking;
- prolonged and regular contact with carcinogens;
- chronic cystitis;
- cancer of nearby organs ( for example, uterus ).
The earliest sign of bladder cancer is hematuria ( blood in the urine ). When an infection occurs, the patient experiences frequent and painful urination, as well as pain in the suprapubic and groin areas.
Diseases of the reproductive system
- labia majora and minora;
- Bartholin glands;
- clitoris;
- vestibule of the vagina.
The internal genital organs include:
- uterus;
- ovaries.
The reproductive function is largely performed by the internal genital organs. The vagina serves to propel sperm into the overlying organs. The fetus attaches, grows and develops in the uterus. The ovaries produce sex cells ( ova ) and hormones necessary for pregnancy and its subsequent development. The fallopian tubes, in turn, due to peristaltic movements, ensure the passage of the fertilized egg into the uterine cavity for its subsequent implantation into the wall of the organ.
- surgical interventions on the pelvic organs;
- infectious and inflammatory diseases of the pelvic organs ( for example, endometritis, salpingoophoritis );
- endometriosis.
The development of the disease occurs as follows. The presence of an inflammatory process in the pelvic organs provokes the production of fibrin - an adhesive substance that, by gluing adjacent tissues, prevents the subsequent spread of the inflammatory process. The tissues glued together subsequently form connective tissue adhesions called adhesions.
- follicular cyst ( formed from a follicle );
- luteal cyst ( formed from the corpus luteum );
- endometrioid cyst ( formed as a result of ovarian endometriosis );
- dermoid cyst ( a tumor that may contain, for example, hair, bone or muscle tissue );
- cystadenoma ( a benign tumor can be serous or mucinous ).
- genital , when the genitals are affected ( occurs in 95% of cases );
- extragenital , when other organs are affected ( occurs in 5% of cases ).
Genital endometriosis, in turn, is divided into internal and external. With internal damage to the uterus is observed. With external, in turn, the ovaries, fallopian tubes, vaginal part of the cervix, as well as the external genitalia can be affected.
subperitoneal;
intermuscular;
submucosal.
The main reason for the development of uterine fibroids is considered to be a hormonal imbalance in a woman, in which there is a predominance of estrogen. Chronic inflammatory processes of the genital organs, as well as hereditary predisposition, can also increase the risk of developing this disease.
serous-fibrous form , in which an adhesive process develops, which helps limit inflammation;
purulent form , in which there is an accumulation of purulent contents in the retrouterine cavity.
exocervicitis ( the vaginal part of the cervix is affected );
endocervicitis ( the mucous membrane of the cervical canal is affected ).
ascending , from underlying organs ( vagina, uterus );
descending , from nearby organs ( for example, appendix, sigmoid or rectum );
hematogenously ( entry through the blood ).
Initially, the inflammatory process develops in the mucous membrane of the fallopian tube ( salpingitis ). This leads to the formation of exudate, which, accumulating in the tube ( hydrosalpinx ), can close its lumen, resulting in the development of obstruction of the fallopian tube. Progression of the disease over time can lead to the spread of the inflammatory process to the ovary ( salpingoophoritis ).
pain in the lower abdomen, groin area and lower back;
increased body temperature;
dysuric disorders ( increased or decreased number of urinations, pain and pain when urinating );
nausea, vomiting;
tension and pain in the anterior abdominal wall;
upon palpation, an increase in size and pain in the appendages is noted.
Exudate, which forms in the fallopian tubes during the inflammatory process, eventually begins to flow into the abdominal cavity. The severity of pain will depend on the degree of spread of inflammation throughout the peritoneum. The more the peritoneum is involved in the process, the more severe the pain reaction will be observed.
hormonal disorders;
violation of the integrity of the vaginal mucous layer;
sexually transmitted diseases;
inflammatory diseases of the uterus and appendages;
violation of personal hygiene;
allergies to contraceptives ( spermicides, condoms ) and cosmetics;
long-term use of antibacterial drugs.
menstrual irregularities ( amenorrhea );
pathological bleeding;
painful menstruation ( severe pain in the lower abdomen and groin area );
infertility.
prolapse and prolapse in nulliparous women;
prolapse and prolapse in women who have given birth;
prolapse and prolapse in older women.
tubal ( in the lumen of the fallopian tube );
ovarian ( in the follicle or on the surface of the ovary );
abdominal ( for example, on the omentum, uterine ligament ).
Most often ( 98–99% ) tubal pregnancy occurs. Ovarian and abdominal pregnancies are rare forms.
sudden severe pain in the lower abdomen and groin, radiating to the rectum;
cold sweat;
pale skin;
decreased blood pressure and increased heart rate;
bloody issues.
With tubal abortion, there is a gradual development of symptoms. As a rule, some time after a delay in menstruation, a woman experiences periodic cramping pain in the lower abdomen and groin, usually on one side. Later, bloody discharge of a dark color and in small quantities begins to appear.
primary , in most cases observed in nulliparous women and appears with the onset of menstruation;
secondary , which is associated with the presence of diseases of the genital organs that cause pain during menstruation.
weakness;
sleep disturbance ( drowsiness or insomnia );
headache and dizziness;
heartache;
painful sensations in the joints.
A change in general condition leads to women becoming unable to work during menstruation.
Digestive system diseases
cecum with appendix;
sigmoid colon;
rectum.
Pain in the groin can be caused by the following diseases of the digestive system:
increased body temperature ( if sigmoiditis is caused by an infectious disease );
decreased appetite;
weight loss;
sleep disturbance;
decreased performance;
signs of dehydration of the body due to frequent diarrhea ( dry skin, dark circles under the eyes, decreased skin elasticity ).
primary causes are associated with abnormalities in the development and innervation of the colon;
secondary causes in which chronic constipation develops due to existing diseases, exposure to certain medications, injuries;
idiopathic causes , characterized by impaired intestinal motility.
Depending on the mechanism of development, chronic constipation can be:
food ( related to nutrition );
mechanical ( associated with the presence of neoplasms in the intestines );
dyskinetic ( associated with a functional disorder of the intestines ).
severe straining during bowel movements;
less than three bowel movements per week;
hard stool;
feeling of incomplete bowel movement;
feeling of spasm in the anus.
With chronic constipation, the patient may also be bothered by a feeling of discomfort and pain in the lower abdomen, in the groin area on the left and in the anus.
bloating;
changes in sleep ( daytime sleepiness, nighttime insomnia );
dry skin and decreased elasticity.
hereditary predisposition;
inadequate nutrition ( for example, the predominance of animal proteins in the diet );
intestinal diseases ( eg polyps, Crohn's disease ).
the presence of mucus, pus, and blood in the stool;
unreasonable weight loss;
pain in the left iliac region and groin ( with sigmoid colon cancer );
pain in the perineum, sacral, coccygeal and lumbar regions ( with rectal cancer );
bowel dysfunction ( constipation );
feeling of incomplete bowel movement.
Diseases of the musculoskeletal system
hernial orifice;
hernial sac;
shells of the hernial sac;
contents of the hernial sac.
A hernia can be uncomplicated or complicated. With an uncomplicated inguinal hernia, a woman experiences a protrusion in the groin area, which disappears when lying down, as well as painful sensations that increase with physical activity.
acute onset;
severe increasing pain in the groin area;
tightness and pain of the hernial protrusion;
stool retention;
nausea and vomiting;
The danger of an inguinal hernia in women is that the ovary may be strangulated. Therefore, this disease requires immediate surgical treatment.
Diseases of the lymphatic system
increasing the size of nodes;
soreness of the affected nodes;
discomfort and pain in the groin area ( on the affected side ) when walking or physical activity;
hyperemia ( redness ) and swelling of the tissue in the affected area;
increase in local and general temperature;
general malaise ( for example, weakness, loss of appetite, sleep disturbance ).
Nervous system diseases
surgical intervention;
injuries;
compression of the nerve by a tumor, uterus during pregnancy, hematoma;
inflammatory disease.
There are the following nerves that arise from the lumbar plexus:
iliohypogastric nerve ( innervates the rectus abdominis muscle );
ilioinguinal nerve ( innervates the oblique muscles of the lower abdomen );
femoral-genital nerve ( innervates the inner thigh and skin of the genital organs );
lateral cutaneous nerve of the thigh ( innervates the skin of the outer thigh );
obturator nerve ( innervates the muscles of the lower extremities );
femoral nerve ( innervates the greater and lesser muscles of the lower back, as well as the muscles of the thigh );
saphenous nerve ( innervates the inner surface of the skin of the knee, leg and foot ).
Pain in the groin area occurs when the following nerves are damaged:
iliohypogastric nerve , in which the woman experiences pain in the lower abdomen and in the inguinal canal area;
ilioinguinal nerve , with painful sensations in the groin, radiating along the inner thigh and lower back;
femoral-genital nerve , when damaged, the patient complains of pain in the groin area, which radiates down the abdomen and into the inner thigh;
femoral nerve , with the patient experiencing pain in the groin and thigh.
Diagnosis of the causes of groin pain in women
interviewing the patient;
objective examination;
laboratory research;
instrumental studies.
passport data ( name and surname, age, living and working conditions, profession, marital status are specified );
complaints ( what clinical signs prompted the woman to seek help from a doctor );
heredity ( it is revealed what the closest relatives were sick with );
past diseases ( asks about past diseases, time of occurrence, course, whether any treatment was carried out );
system functions ( for example, if a woman comes with complaints about the reproductive system, the menstrual, reproductive, and secretory functions are clarified );
organ functions ( asks about the functioning of individual organs, for example, intestines, urinary tract );
history of the present illness ( the disease with which the woman sought help from a doctor is being examined ).
Individual anamnesis data should be examined especially carefully:
woman's age;
working and living conditions;
nutrition;
menstrual function;
sexual function;
reproductive function;
secretory function;
urinary system;
bowel functions.
when did your first menstruation appear?
duration of the menstrual cycle;
duration of menstruation;
whether there is pain during menstruation;
excessive bleeding during menstruation;
whether the course of menstruation has changed after the onset of sexual activity, childbirth or abortion;
date of last menstruation, and how it proceeded.
when did the onset of sexual activity occur?
whether there is a weakening or absence of sexual desire;
Are there any painful sensations during and after sexual intercourse?
whether there are contact bleedings;
whether the woman uses any contraceptive methods, and which ones.
increased frequency of urination ( for example, with cystitis );
difficulty urinating ( for example, in the presence of a tumor compressing or blocking the urinary tract );
acute urinary retention ( for example, with urolithiasis, injuries of the bladder or urethra );
the presence of blood in the urine, its cloudiness ( for example, in inflammatory diseases, urolithiasis, tumors );
pain and stinging during urination ( for example, with cystitis, urethritis ).
what is the quality of food ( for example, what foods predominate in the diet );
is there a bowel disorder ( constipation or diarrhea );
whether pain and bloating are observed ( whether they occur after consuming certain foods or suddenly );
does blood, mucus, or pus appear in the stool;
Is there a decrease in appetite, nausea, vomiting?
The symptom of pain in the groin requires especially careful study.
localization of pain ( right, left, both sides );
nature of the pain ( aching, pulling, cramping, pressing );
intensity of pain ( strong, moderate, weak );
irradiation ( reflection ) of pain ( for example, to the rectum, sacrum, lower back, perineum ).
Objective examination
presence of rashes;
skin color ( redness, bluishness );
the presence of damage to the integrity of the skin and hematomas;
the presence of hernial protrusions;
symmetry of the abdomen;
presence of bloating.
In women, in addition to an external examination of the abdomen and groin area, the gynecologist performs a special gynecological examination. Initially, the external genitalia are examined.
the presence of pathological changes ( for example, swelling, redness, the presence of tumors, ulcerations );
shape and appearance of the perineum ( are there any tears );
vaginal walls ( is there any prolapse );
nature of vaginal discharge.
After examining the external genitalia, the doctor proceeds to examining the vagina in the speculum.
pathological changes in the vagina ( for example, ulceration, atrophy );
precancerous diseases of the cervix ( for example, erosion, pseudo-erosion, hyperplasia );
the presence and nature of discharge from the vagina and cervix.
After the examination, the doctor proceeds to palpation, with the help of which he can identify tension in the abdominal muscles, the presence of hernias, and enlarged inguinal lymph nodes. During a gynecological examination, a two-handed examination is also performed, which allows you to assess the condition of the internal genital organs. The examination is carried out by inserting two to three fingers of one hand into the vagina, while the second hand is placed on the anterior abdominal wall. Using this study, the width, depth and length of the vagina, the condition of the pelvic muscles, the length and condition of the vaginal part of the cervix, as well as the uterine appendages are determined.
Laboratory research
General blood analysis. Allows you to evaluate the parameters of blood cells ( erythrocytes, platelets, leukocytes ), the amount of hemoglobin and the color indicator of blood. It can also be used to study the leukogram and erythrocyte sedimentation rate. For example, in case of inflammatory diseases ( for example, cystitis, sigmoiditis ) that cause pain in the groin, leukocytosis and an accelerated erythrocyte sedimentation rate ( ESR ) will be observed in the results of a general blood test. The presence of neoplasms will be expressed in an increase in the number of leukocytes, erythrocytes and accelerated ESR.
Blood chemistry. A study that allows you to assess the condition and functioning of the internal organs and systems of the body. In inflammatory diseases, the results of a biochemical blood test will show signs of inflammation ( C-reactive protein, hyperfibrinogenemia, seromucoid three plus ).
Immunological blood test. A study that can be used to determine the presence and quantity of antigens ( pathogenic microorganisms ) and antibodies ( proteins that are produced by the immune system when foreign agents invade the body ) in the blood.
the first stage is characterized by the absence of any abnormal changes in the cells ( observed in healthy women );
the second stage is characterized by minor changes in cells ( caused by the presence of an inflammatory process in the vagina or cervix );
the third stage is characterized by the presence of a small number of cells with an abnormal nuclear structure;
the fourth stage is characterized by the presence of cells with obvious malignant changes;
The fifth stage is characterized by the presence of a large number of cancer cells.
such indicators as transparency, color, density and acidity of urine are assessed;
the presence and level of protein, glucose, and ketone bodies are determined;
The content and level of red blood cells and white blood cells are studied ( an increased level of white blood cells indicates the presence of an inflammatory process ).
Instrumental studies
changes in blood vessels;
benign and malignant neoplasms.
This test allows you to diagnose cervical cancer at an early stage.
simple ( examination without the use of medications );
dilated ( examination is carried out after applying Lugol's solution or three percent acetic acid to the cervix ).
In addition to examination during colposcopy, the doctor may take a piece of tissue from the affected area of the cervix for a biopsy.
malformations of the uterus;
patency of the fallopian tubes;
uterine polyps;
myomatous submucosal nodes;
endometrial cancer.
Contraindications for this study are local and general infectious and inflammatory processes, allergies to iodine preparations, and pregnancy.
endometrial hyperplasia;
endometrial polyps;
adhesive disease;
endometrial cancer;
malformations of the uterus.
Contraindications for hysteroscopy are inflammatory diseases of the genital organs, stenosis and cervical cancer, and pregnancy.
benign or malignant formation;
adhesive process;
ectopic pregnancy;
endometriosis;
hernias;
inflammatory process in the pelvic organs;
remnant of the ovary due to its incomplete removal.
bladder malformations;
benign and malignant neoplasms;
stones;
vesicoureteral reflux ( backflow of urine from the bladder into the ureter ).
Contraindications for cystography are inflammatory diseases of the urinary tract in the acute stage, pregnancy, and urethral trauma.
benign and malignant formations of the urethra and bladder;
chronic inflammatory process ( cystitis ).
This research method is prescribed if the patient has dysuric symptoms, if there is a suspicion of neoplasms ( a biopsy is taken ), as well as with frequent relapses ( repeated exacerbations ) of cystitis.
chronic constipation;
irritable bowel syndrome;
pain in the lower abdomen;
intestinal diverticulosis;
intestinal motility disorders of unknown etiology;
fecal incontinence.
the presence of impurities of blood, pus, and mucus in the stool;
bowel dysfunction ( constipation or diarrhea );
causeless weight loss;
anemia;
suspicion of the presence of benign or malignant neoplasms.
Colonoscopy can detect:
diverticula of the large intestine;
polyps;
cancer;
nonspecific ulcerative colitis and Crohn's disease.
Before the study, two to three days before the study, the patient is prescribed a special diet with the exclusion of gas-forming foods ( for example, fresh vegetables and fruits, brown bread, legumes ). It is allowed to eat low-fat boiled meats and fish, soups, and white bread. On the eve of the study, you should exclude dinner, and on the day of the procedure, breakfast. Also, as prescribed by your doctor, you may be prescribed laxatives or an enema.
stomach ache;
bowel disorder ( constipation or diarrhea );
impaired intestinal motility;
suspicion of malignant or benign formations;
the presence of blood, pus or mucus in the stool;
suspicion of inflammatory bowel disease.
With the help of this study it is possible to identify:
benign formations ( for example, polyps );
malignant tumors;
chronic inflammatory bowel diseases and the degree of organ damage;
fistulas;
intestinal malformations.
What to do for groin pain in women?
secondary prevention ( implies prevention of exacerbation of a chronic disease, as well as exclusion of disease progression );
the actual treatment ( therapy of the pathological process );
rehabilitation of the body ( restoration of the body after an illness ).
The effectiveness of treatment will depend on:
correctly established diagnosis;
drawing up an adequate treatment plan;
assessing the results of treatment.
For pain in the groin, a woman may be prescribed:
drug treatment;
surgery;
physiotherapeutic treatment.
Drug treatment
etiotropic , in which treatment is aimed at combating the cause of the disease ( for example, prescribing antibiotics for infectious and inflammatory diseases );
pathogenetic , in which treatment is aimed at the mechanism of development of the disease ( for example, if there is insufficient production of progesterone by the ovaries, hormonal therapy is prescribed );
symptomatic , in which treatment is aimed at reducing or eliminating the clinical signs of the disease ( for example, painkillers are prescribed for pain in the groin ).
When treating groin pain, a woman may be prescribed the following groups of drugs:
painkillers ( analgesics );
antispasmodics;
antibiotics;
hormonal therapy.
non-narcotic analgesics ( for example, aspirin, analgin, paracetamol, ibuprofen );
narcotic analgesics ( eg, morphine, fentanyl ).
Non-narcotic analgesics are weaker in action than narcotic drugs. However, this group of drugs has a number of advantages. When taken, there is no depression of the respiratory center, the formation of drug dependence and the development of euphoria. Non-narcotic painkillers effectively eliminate pain during inflammatory processes, and also have antipyretic and anti-inflammatory effects. It is recommended to take drugs in this group twice - three times a day, one tablet.
myotropic ( reduce smooth muscle tone by direct action on cells );
neurotropic ( act through receptors of nerve cells of the autonomic nervous system ).
For pain in the groin caused, for example, by renal colic due to urolithiasis, menstrual syndrome, a woman may be prescribed myotropic antispasmodic drugs ( for example, papaverine, drotaverine ). They reduce increased cell contractility, leading to muscle relaxation, eliminating spasm and, as a result, reducing pain.
narrow spectrum of action ( drugs affect gram-positive or gram-negative flora );
broad spectrum of action ( drugs that act simultaneously on gram-positive and gram-negative flora ).
Before antibacterial treatment, a woman is prescribed a bacteriological analysis of urine or vaginal secretions to identify the causative agent of the disease, as well as determine its sensitivity to the antibiotic.
penicillins ( eg oxacillin, ampicillin );
cephalosporins ( eg cefazolin, ceftriaxone );
macrolides ( for example, erythromycin );
fluoroquinolones ( eg, ofloxacin, ciprofloxacin );
aminoglycosides ( eg gentamicin, kanamycin ).
In parallel with taking antibacterial drugs, a woman may also be prescribed antifungal agents ( for example, fluconazole, ketoconazole ). This is necessary because antibiotics can negatively affect the normal microflora of the intestines and vagina and lead to the development of a fungal infection.
amines ( thyroid hormones );
steroids ( sex hormones, corticosteroids );
peptides ( hormones of the pancreas and parathyroid glands, as well as the pituitary gland ).
Women are prescribed the use of sex hormones to treat hormonal diseases that cause pain in the groin ( for example, testicular cyst ). Depending on the existing disorders, estrogen or progestogen drugs may be prescribed. Estrogen drugs can be used, for example, for ovarian dysfunction and infertility.
benign or malignant neoplasms of the genital organs, mammary glands and other organs;
endometritis;
uterine bleeding;
hyperestrogenic phase during menopause.
Gestagens, in turn, are prescribed for endometriosis, corpus luteum insufficiency, uterine bleeding, algomenorrhea and other menstrual disorders.
Surgery
The laparoscopy procedure is performed under local anesthesia. Three punctures are made on the anterior abdominal wall, through which special instruments are subsequently inserted. The devices used have an optical system that allows you to capture and transmit the image of the organ under study to the monitor.
remove adhesions;
restore patency of the fallopian tubes;
remove the fertilized egg during intrauterine pregnancy;
remove benign and malignant neoplasms of the uterus and ovaries;
eliminate foci of endometriosis;
do a tubal ligation;
remove the ovaries, fallopian tubes and uterus;
correct abnormalities in the structure of the uterus ( for example, with a bicornuate uterus ).
Hysteroscopy
Surgical treatment that can help eliminate some pathological processes in the uterine cavity. During the procedure, the patient is given epidural anesthesia, then the doctor inserts a hysteroscope through the cervical canal into the organ cavity. To expand the walls of the uterus and improve visualization, carbon dioxide or a special solution is injected into its cavity. If there is blood or pus in the cavity, the injected solution also allows the contents to be removed.
cut adhesions;
remove submucosal uterine fibroids;
dissect the uterine septum;
perform curettage of the mucous membrane in case of hyperplasia ( excessive thickening of the mucous layer of the uterus );
stop the bleeding;
remove the remains of the intrauterine device.
It should be noted that in the first days after hysteroscopy, a woman experiences slight bleeding, which soon goes away on its own.
Minimally invasive ( low-traumatic ) surgical treatment performed using special endoscopic equipment. Thanks to colonoscopy, it is possible to examine the mucous membrane of the large intestine and perform some therapeutic manipulations.
remove polyps;
remove foreign bodies;
stop intestinal bleeding ( for example, coagulate the bleeding site or administer hemostatic drugs );
remove the tumor at an early stage.
Colonoscopy can be performed under local or general anesthesia. During the procedure, the patient lies on his back or left side. An optical device is inserted through the anus into the colon, after which carbon dioxide is injected to expand the walls of the organ and improve visibility. The treatment procedure for a colonoscopy can last from fifteen to forty-five minutes on average.
An endoscopic method of surgical treatment, characterized by the introduction of an optical device into the bladder, with the help of which it is possible to perform some medical manipulations.
eliminate blockage of the bladder with stones due to urolithiasis;
crush and remove stones from the bladder;
stop bleeding ( for example, with a bleeding polyp );
remove benign and malignant ( early stage ) formations;
eliminate stricture ( narrowing ) of the urethra.
Before starting the procedure, the woman must undergo a thorough toileting of the external genitalia. During cystoscopy, the patient lies on his back ( possibly in a lateral position ) on a special urological chair. Surgery can be performed under local anesthesia by injecting an anesthetic into the urethra ( for example, novocaine, lidocaine ) or under general anesthesia.
Physiotherapeutic treatment
woman's age;
existing disease;
severity of the disease;
the general health of the patient.
For groin pain, the following physiotherapy methods may be prescribed:
UHF ( Ultra High Frequency electromagnetic fields are used );
inductothermy ( exposure to the body by a high-frequency magnetic field );
magnetotherapy ( exposure to a magnetic field on the body ).
These methods can be used when:
inflammatory diseases of the urinary tract ( for example, urethritis, cystitis, pyelonephritis );
inflammatory diseases of the genital organs ( for example, salpingoophoritis, endometritis, cervicitis, colpitis );
menstrual irregularities ( for example, algomenorrhea );
inflammatory diseases of the digestive system ( for example, colitis );
postoperative wounds;
injuries.
These physiotherapeutic methods effectively help restore the body in the post-traumatic period, and also have a therapeutic and preventive effect in chronic inflammatory diseases.
produce an anti-inflammatory effect;
improve the tissue healing process;
have an analgesic effect;
stop the growth and development of bacteria;
improve metabolic processes;
improve local blood circulation.
Features of groin pain in women
Why do women experience nagging pain in the groin?
It is a benign cavity formation containing fluid inside. The main reason for the development of cysts is considered to be the presence of hormonal disorders in a woman.
follicular cyst
corpus luteum cyst;
endometrioid cyst;
dermoid cyst;
cystadenomas.
If a woman has a cyst, as a rule, painful sensations in the lower abdomen and in the groin area of a pulling and dull nature are observed. In addition, menstrual irregularities appear in the form of irregular and painful menstruation.
Characterized by inflammation of the mucous layer of the cervix. When the vaginal segment of the cervix is affected, it is customary to talk about exocervicitis, and when there is inflammation of the cervical canal, about endocervicitis.
nagging or dull pain in the lower abdomen and groin area;
cloudy mucopurulent discharge;
pain during sexual intercourse;
contact bleeding;
dysuric phenomena.
However, it should be noted that in a chronic course the disease often occurs with mild symptoms. For example, in a woman, discharge may be absent or observed in small quantities, and dysuric symptoms and painful sensations may occur only with an exacerbation of the inflammatory process.
Characterized by prolapse or loss of the genital organs. It can be observed in nulliparous, parous women and the elderly. The main reason for the development of genital prolapse is a decrease in the tone of the ligamentous apparatus.
the first degree is characterized by partial weakening of the pelvic muscles ( there is a slight prolapse of the vaginal walls );
the second degree is characterized by a pronounced weakening of the pelvic muscles ( prolapse of the walls of the vagina, bladder and anterior wall of the rectum is observed );
the third degree is characterized by prolapse of the uterus, with the cervix located at the entrance to the vagina;
the fourth degree is characterized by the cervix extending beyond the boundaries of the vaginal opening ( incomplete uterine prolapse is observed );
fifth degree is characterized by uterine prolapse with eversion of the vaginal walls.
The first degrees of genital prolapse can be asymptomatic in women. Later, with prolapse of the vagina and uterus, the woman begins to complain of a sensation of a foreign body, nagging pain in the lower abdomen, groin, lumbar and sacral region. In addition, due to the participation of organs such as the bladder and rectum in this pathological process, disturbances in urination and defecation appear.
Why do women experience aching pain in the groin?
Colon cancer. A disease in which a malignant tumor grows from the mucous layer of an organ. Most often the tumor is located in the cecum, sigmoid and rectum. This is due to the fact that these sections are characterized by the presence of bends and stagnation of feces. The tumor can grow into the lumen of the colon ( exophytic growth ) or into the thickness of the organ wall ( endophytic growth ). If the malignant tumor is located in the sigmoid or rectum, the patient experiences aching pain in the left iliac and groin region. In addition to pain, the patient experiences impurities of blood, mucus and pus in the stool, there is a decrease in body weight, as well as stool disturbances.
Adhesions in the pelvic organs. All pelvic organs are covered by peritoneum. If there is an inflammatory process in these organs, the production of a substance called fibrin is observed, which subsequently leads to the formation of connective tissue cords, that is, adhesions, in the pathological focus. The manifestation of the adhesive process will depend on the form of the disease. In the acute form, the patient will experience severe pain, increased body temperature, and weakness. While in the chronic form of the disease, a woman will experience painful, aching sensations.
Uterine fibroids. A benign neoplasm that develops from the muscle tissue of the uterus. During its growth, the myomatous node goes through three stages of development. During the first stage, a germ of growth is observed; during the second stage, active growth of the tumor is observed, which can only be determined microscopically. The third stage is characterized by tumor growth, which is determined macroscopically. The manifestation of uterine fibroids will depend on factors such as the woman’s age, the duration of the disease, the location of the node, as well as existing pathological processes. Characteristic symptoms in the presence of myomatous nodes are menstrual irregularities ( for example, heavy, painful ), infertility and pain. Painful sensations are located in the lower abdomen and groin area, most often aching in nature.
Salpingo-oophoritis. A disease characterized by inflammation of the fallopian tubes and ovaries. The inflammation is primarily localized in the fallopian tubes, then as the disease progresses, the ovaries are also involved in the pathological process. In the acute form of the disease, a woman experiences severe symptoms ( for example, severe pain in the lower abdomen and groin, increased body temperature, dysuria ), but when the disease becomes chronic, the symptoms subside and only aching pain in the lower abdomen and groin is noted.
Cystitis. A disease characterized by inflammation of the mucous layer of the bladder due to the penetration of microbial flora into the organ. In its acute form, cystitis is manifested by urination disorders, pain, and changes in urine. The disease in its chronic form practically does not manifest itself at all. Women note only the presence of aching pain in the lower abdomen and groin area.
What can cause pain in the right groin in women?
Appendicitis. Characterized by inflammation of the appendix. The inflammatory process develops as a result of pathogenic flora entering the appendix. The disease begins acutely with pain. Initially, painful sensations are localized in the epigastric region, then after some time they descend to the right iliac region and radiate to the lumbar and groin region on the right, as well as the leg.
Inguinal hernia. A disease in which there is a protrusion of the peritoneum in the area of the inguinal ring. A hernia can be complicated or uncomplicated. With an uncomplicated hernia located in the right groin area, the woman will experience protrusion and pain, which will intensify with physical activity. A complicated hernia is characterized by its strangulation. In this case, the patient will experience acute pain in the groin on the right, nausea, vomiting and abnormal bowel movements.
Ovarian cyst. It is characterized by the development in the ovary of a cavity formation filled with liquid contents. The main reason for the development of this disease is considered to be hormonal disorders. When a cyst forms in the right ovary, a woman experiences a nagging painful sensation in the groin on the right. Menstrual irregularities and infertility may also occur.
Apoplexy of the ovary. A pathological condition in which there is a violation of the integrity of the ovarian tissue with the subsequent development of bleeding into the abdominal cavity. Pain in the groin on the right can develop, for example, during ovulation due to rupture of the follicle or hematoma of the corpus luteum. The painful sensations will be acute and radiate to the rectum and right leg. In most cases, such pain goes away on its own after some time.
Ectopic pregnancy. Characterized by the development of pregnancy outside the uterine cavity. In ninety-eight to ninety-nine percent of cases, tubal pregnancy develops. Initially, a woman experiences the same symptoms as during a normal pregnancy. Later, with the development of tubal abortion or rupture of the tube, severe pain appears in the lower abdomen and in the right groin area ( if the pregnancy developed in the right fallopian tube ). A woman may also experience bloody discharge and a disturbance in her general condition.
Urolithiasis disease. A disease characterized by the formation of stones in the urinary tract. When a stone penetrates the right ureter, its obstruction is observed, and the woman develops an acute pain attack. Painful sensations spread along the ureter and radiate to the right groin, perineum, inner thigh and rectum.
What can hurt the left groin in women?
Sigmoiditis. It is characterized by inflammatory damage to the mucous layer of the sigmoid colon. A woman with this disease experiences severe pain in the left iliac region, which radiates ( gives ) to the lower back, groin area on the left and leg. In addition, there is a violation of stool, increased body temperature, general weakness, decreased appetite and body weight.
Ovarian cyst. A disease in which the formation of a cavity sac filled with liquid contents is observed. When a cyst develops in the left ovary, a woman experiences periodic nagging pain in the lower abdomen and left groin area, menstrual irregularities and infertility.
Apoplexy of the ovary. A pathological condition characterized by hemorrhage into the abdominal cavity due to a violation of the integrity of the ovarian tissue. This can occur, for example, due to rupture of a hematoma of the follicle or corpus luteum. In this case, if a woman develops apoplexy of the left ovary, she experiences sharp, severe pain in the lower abdomen and groin on the left.
Ectopic pregnancy. Pregnancy that develops outside the uterine cavity. In most cases, tubal pregnancy develops. Initially, the same changes are observed in a woman’s body as during intrauterine pregnancy. If an ectopic pregnancy is not detected in a timely manner, there is a risk of tube rupture or tubal abortion. In this case, the woman will experience sudden severe pain on the affected side, that is, if the pregnancy has developed in the left fallopian tube, then painful sensations will be observed in the lower abdomen and groin area on the left.
Urolithiasis disease. A disease in which the formation of stones in the urinary tract is observed. Pain in the groin on the left with urolithiasis can cause a stone to enter the left ureter, which will lead to its obstruction and the development of renal colic. In this case, the woman will develop severe pain, which will be observed in the left iliac and groin region.
Why does pain occur in the lower abdomen and radiate to the groin in women?
Appendicitis. With this disease, inflammation of the appendix occurs. Initially, with appendicitis, pain occurs, which is localized in the epigastric region or the navel area, and after a few hours descends to the right iliac abdomen ( lower abdomen on the right ). From the lower abdomen, painful sensations radiate to the groin area, leg and lower back.
Urolithiasis disease. A disease in which stones form in the kidneys and urinary tract. Urolithiasis is asymptomatic, but if the resulting calculus suddenly blocks the lumen of the organ, this will cause the woman to have an attack of renal colic. So, for example, a stone that gets into the lumen of the ureter will lead to its blockage, which will manifest itself in the patient with severe pain, which will initially be localized in the lower back, and then along the ureter move to the lower abdomen and radiate to the groin area, leg and external genitalia.
Endometritis. A disease characterized by inflammation of the mucous layer of the uterus due to microbial flora entering the organ. Symptoms of endometritis are increased body temperature, mucopurulent discharge from the vagina, as well as pain in the lower abdomen, which can radiate to the groin area.
Parametritis. It is characterized by the formation of an inflammatory process in the periuterine tissue due to the penetration of pathogenic microorganisms into it. The first sign of parametritis is the development in a woman of constant pain in the lower abdomen, radiating ( radiating ) to the groin, sacrum and lumbar region.
Sigmoiditis. A disease in which the mucous layer of the sigmoid colon becomes inflamed. With sigmoiditis, the patient experiences an increase in body temperature, abnormal bowel movements, a disturbance in the general condition, as well as severe pain in the left iliac region, which radiates to the lumbar and groin areas.
Why do inguinal lymph nodes hurt in women?
primary , in which initial damage to the lymph nodes is observed;
secondary , when it develops as a result of a primary inflammatory process.
There are the following reasons for the development of inguinal lymphadenitis:
infectious and inflammatory diseases of the genital organs;
malignant formations of the genital organs;
groin injuries.
With inguinal lymphadenitis, a woman will experience the following symptoms:
enlargement and hardening of lymph nodes;
hyperemia ( redness ) and swelling of the skin in the affected area;
painful sensations in the lower abdomen and groin area, aggravated by physical activity;
deterioration of general condition.
There are two forms of inguinal lymphadenitis:
serous lymphadenitis;
purulent lymphadenitis.
Serous lymphadenitis can be treated conservatively, while purulent lymphadenitis requires surgical intervention.
Why does a woman experience pain in the groin when urinating?
It is one of the most common diseases of the urinary system. It is characterized by inflammatory damage to the mucous layer of the bladder due to the entry of infectious agents into it.
A malignant tumor that grows from the cells of the mucous layer of the bladder. The exact cause of the development of this disease has not been identified to date. However, it is believed that predisposing factors for its development are chronic cystitis, smoking, a malignant tumor in nearby organs, as well as regular contact with pesticides.
painful urination;
painful sensations in the pubic and groin areas.
Urethritis
A disease in which there is an inflammatory lesion of the mucous layer of the urethra. Urethritis can be specific, when the disease is caused by a specific pathogen (for example, chlamydia) and nonspecific, when the disease develops as a result of the pathological proliferation of bacteria that normally live on the mucous membranes and skin.
painful sensations, pain and burning when urinating;
increased number of urinations;
mucopurulent discharge from the urethra;
feeling of heaviness in the groin area;
increase in body temperature.
Urethral cancer
A disease characterized by pathological proliferation of cells in the mucous layer of the urethra. The exact cause of urethral cancer has not been found to date.
hereditary factor;
chronic urethritis;
frequent urethral injuries (for example, during catheterization) ;
malignant tumors of the bladder;
chronic infectious diseases of the genital organs.
With urethral cancer, a woman may experience pain in the urethra, groin and perineum. Also, during urination, the patient experiences pain, burning and stinging. A small amount of blood may be released from the urethra. There is also an increase in inguinal lymph nodes.
A disease in which inflammation of the vaginal mucosa is observed due to the penetration of microbial flora into the organ. The inflammatory process can be localized focally or diffusely, involving nearby organs, for example, the vaginal part of the cervix (cervicitis) or the vulva (vulvovaginitis) .
vaginal discharge of a serous-purulent nature;
a feeling of burning and itching in the vagina and vulva area;
pain and burning sensation during urination;
painful sensations in the lower abdomen and groin, which may intensify during urination.