Pain in the groin in women is the result of skin infections, inguinal lymphadenitis, gynecological and urological diseases, pathologies of the gastrointestinal tract and the musculoskeletal system. Detected in pelvic pain syndrome. It can be dull, sharp, short-term, long-lasting, aching, twitching, bursting, pulsating. In some cases, it has an irradiating character. The cause of the symptom is determined on the basis of complaints, examination results, laboratory data and imaging studies. Treatment includes analgesics, antibiotics, hormones, physiotherapy, and surgery.
Women remove hair in the bikini area, so they have an increased likelihood of developing local infections in the area of \u200b\u200bthe hair follicles. Folliculitis is characterized by redness and induration, followed by the formation of a conical pustule filled with pus. The pains are sore, aggravated by pressure, friction of linen. The general condition is not broken. The abscess spontaneously opens and heals in about a week.
Rashes are often multiple in nature, spread from the inguinal folds to the pubis and the anterointernal surface of the thighs. If hygiene rules are not observed, immunity is weakened, complications in the form of boils, carbuncles and abscesses are possible. The progression of the infection is evidenced by increased pain, jerking, throbbing pain, depriving night sleep, fever, deterioration of the general condition.
Inguinal hernia in women is diagnosed less frequently than in men. They are characterized by dull constant or periodic pulling and aching painful sensations in the groin. Possible irradiation to the lumbosacral region. If the bladder enters the hernial protrusion, there are pains above the pubis and dysuric disorders, if the caecum - flatulence, constipation. After operations, the formation of a recurrent inguinal hernia is possible, accompanied by the same symptoms as the usual hernial protrusion.
When a hernia is infringed, a sharp increase in pain is noted against the background of physical effort, tension in the abdominal press. Painful sensations are acute, extremely intense, accompanied by the development of a painful shock with an increase in heart rate, a drop in blood pressure and blanching of the skin. A decrease in the intensity of pain within a few hours does not indicate the normalization of the condition, but the development of necrotic changes and damage to nerve endings.
In addition, pain in the groin in women is accompanied by a femoral hernia. In the early stages, the pathology is asymptomatic or manifests itself as discomfort and slight pain during active movements. Subsequently, a protrusion appears in the inguinal-femoral fold, which increases with straining and the vertical position of the body. The pains remain dull, aching, pulling, but their intensity increases somewhat. As in the previous case, with the involvement of the intestine, defecation disorders are noted, with damage to the bladder, dysuria develops.
The increase and soreness of the inguinal lymph nodes, combined with itching of the genital organs, pain during urination, the appearance of pathological discharge from the genital tract may indicate the development of STIs. Lymph nodes are mobile elastic formations that are painful to the touch. Local hyperemia and hyperthermia are possible. Inguinal lymphadenopathy in women is observed with the following genital infections:
In addition, minor pain in the groin, caused by the defeat of regional nodes in STIs, may disturb patients with chlamydia, mycoplasmosis and ureaplasmosis. However, in women, this symptom appears less frequently than in men, due to a more pronounced tendency to primary chronic low-symptomatic course of the listed pathologies.
Groin pain in women
The cause of nonspecific lymphadenitis with pulling, aching and arching pains in the groin can be purulent wounds and local infectious processes (carbuncle, furuncle, phlegmon, abscess) of the lower limb. With varicose veins, this symptom may be due to the development of thrombophlebitis, with diabetes mellitus, it is associated with the formation of trophic ulcers. The lesion is unilateral. In acute conditions, intoxication is observed, painful red stripes can be found on the thigh - a sign of lymphangitis.
With suppuration of the inflamed node caused by hypothermia, a decrease in immunity against the background of concomitant diseases, a dangerous complication develops - adenophlegmon. Growing pulsating, bursting sharp pains are characteristic, which make it difficult to move, deprive of sleep. Weakness, hyperthermia, general intoxication, an increase in edema and hyperemia on the affected side of the groin are noted. The contours of the lymph node become fuzzy, after a while a site of fluctuation is formed.
Painless or painless woody lymph nodes in the groin are also determined by metastasis of malignant tumors of the perineal skin (including vulvar melanoma). They are detected in cancer of the anus, neoplasms of the uterus, vagina and fallopian tubes.
Pain in the groin in gynecological pathologies is due to the proximity of the genital organs, frequent irradiation to the inguinal region, and the development of lymphadenopathy. It is provoked by the following diseases:
The symptom is also found in a number of other gynecological diseases. Pain in the lower abdomen, radiating to the groin, is accompanied by:
In women with urolithiasis, sudden, extremely intense pain in the groin is provoked by a low-lying stone. Associated with back pain. Weakness, pallor, frequent urge to urinate or urinary retention, blood impurities in the urine are noted. Other urinary tract infections that cause pain in the groin include:
Manifested by aching dull painful sensations in the groin, lower abdomen, in the area of the pubis, perineum, sacrococcygeal region. CPPS in women is characterized by persistent pain, lack of clear localization, and a tendency to migration of unpleasant sensations. The symptom is observed for 6 or more months. It intensifies against the background of hypothermia, defecation, urination, stress, exertion, prolonged immobility.
Soreness in the right iliac and inguinal zone is observed with a low location of the appendix. Acute appendicitis is characterized by cutting, burning, stabbing, jerking, dull or sharp pains, which are combined with diarrhea, nausea, vomiting, and general hyperthermia. In chronic appendicitis, painful sensations are aching, dull, persist constantly or occur during movements and diet violations.
Pain in the groin on the left, supplemented by pain in the abdomen and left iliac region, sometimes accompanies the following pathologies:
Soreness in the groin in women accompanies ARS syndrome. Pathology is diagnosed in athletes. One-sided pain is observed, radiating to the leg and lower abdomen. The symptom is aggravated by exercise, palpation of the damaged area, hip abduction, muscle tension. In addition, irradiation in the groin is detected when:
Medical examination
Women, as a rule, turn to a gynecologist. If necessary, a dermatologist, urologist, surgeon take part in the examination. During the conversation, the circumstances under which the symptom first arose are established, the dynamics of its development, the connection with various factors are examined. As part of a general examination, local purulent foci, signs of damage to the digestive tract, urinary tract and musculoskeletal system are detected.
With folliculitis, dermatoscopy is performed. In patients with local infectious processes, a purulent discharge is taken. To clarify the diagnosis, the following procedures are prescribed:
The plan of therapeutic measures is drawn up taking into account the cause of pain in the groin. Women may be given:
Patients with oncological pathologies are shown radiation therapy or chemotherapy. With local purulent processes, dressings are carried out.
Women with pain in the groin area undergo the following operations: