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In order to identify the exact causes of such discomfort, as well as eliminate them with minimal health consequences, a man needs timely consultation with a doctor, as well as a thorough and comprehensive diagnosis. In general, the groin is where the thighs attach to the abdominal wall, and the manifestation of pain in the lower abdomen in the groin is the result of a whole set of disorders.
Possible causes of groin pain in men
In the groin area, in addition to the connection between the peritoneum and thighs, various organs and tissues intersect in a man; such disorders and disorders can lead to localized pain. In addition, it is in this area of the male body that hernias often appear. Urological disorders and inflammation of the genitourinary organs also lead to pain in the groin and lower back.
Right groin pain
Often discomfort and other symptoms appear in one side of the male groin. The greatest threat is caused by pain in the right side of the groin, as well as severe pain that radiates to the right side. Most often, medical practice records an exacerbation of appendicitis , against which the pain first increases in the pit of the stomach, after which it descends and concentrates in the right side of the groin.
It is also worth noting that often pain in the groin area on the right side can be a consequence of renal colic . In this case, the symptom appears suddenly, practically shooting through the lower back, leg and groin. Sometimes severe and cutting pain in the right side can be triggered by the prolapse of a stone in the duct. Moreover, pain in such an acute phase can last from several minutes to hours.
A right-sided hernia is another reason why sharp or nagging pain in the groin on the right may occur. This is also accompanied by protrusion of the intestinal loop, and the hernia can be strangulated for a number of reasons. Without timely medical care, the consequences can be severe.
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Left groin pain
The doctor’s assumptions depend on the location of the pain, so if pain appears in the left groin, the reasons for this may be some factors:
- possible infection of the genitourinary system , in this case, in addition to pain, pain during urination, lumbar and groin pain, the presence of blood and mucus in the urine;
- left-sided hernia , which in addition to pain is accompanied by swelling at the location;
- if severe pain with noticeable pulsation is observed, this is a consequence of a kidney stone that has sunk low .
If such symptoms appear in the left side of the groin, a man needs an urgent examination and diagnosis by a surgeon, urologist , since any of these reasons is a road to serious complications and irreparable consequences.
How the treatment is carried out↑
The selection of effective treatment methods depends, first of all, on the cause of the pain:
- Chronic prostatitis - antibiotic therapy, α-blockers, physiotherapeutic methods, prostate massage.
- Epididymitis and orchitis - drug treatment is carried out using macrolide and fluoroquinolone antibiotics, non-steroidal anti-inflammatory drugs (Indomethacin, Ibuprofen, Diclofenac), analgesics (Analgin, Ketorolac, Ketoprofen). For purulent inflammation, surgery is indicated.
- Renal colic - analgesics and antispasmodics (Analgin, No-shpa, Baralgin) are used to relieve pain; the removal of stones is accelerated by the use of drugs such as Avisan, Olimethin, Cystenal. You must adhere to a special diet.
- Inguinal hernia - surgery is required to eliminate it.
- Inguinal lymphadenitis - for the treatment of pathology, antibiotics (Doxycycline, Penicillin, Streptomycin, Azithromycin, cephalosporins), anti-inflammatory drugs (Diclofenac, Nimesulide, Indomethacin, Ibuprofen), homeopathic remedies, and physiotherapeutic methods are used.
- When the spermatic cord is twisted, surgical intervention is indicated in most cases.
- Osteochondrosis - warming and pain-relieving ointments, physiotherapy, massage, reflexology, therapeutic exercises.
Stories from our readers
Alexey , Krasnodar: “I had a problem with the prostate, the pain was severe, it was difficult to urinate. Doctors found traces of infection. They prescribed tons of pills that were of no use. Finally, I cured acute prostatitis, cleansed my body and strengthened my immunity against infections, all thanks to this article. Anyone who has prostate problems should read it!”
Comments Vasily 7 days ago My second wife and I couldn’t have a child together for a long time; we’re both approaching forty. I went to the doctors and her tests were normal; only my sluggish sperm interfered with pregnancy. It’s good that my friends recommended “Prostodin” and in three months I will become a dad again.
Andrey 7 days ago It’s not customary to complain about this, but my “tool” is looking a little in the wrong direction, or rather in the wrong direction at all, so much so that it’s almost impossible to have sex, and I even have to avoid intimacy even when “the young lady lies down and asks!” Having studied the Internet, I found out that this is called Peyronie’s disease, and is treated only by specialized urologists, injections, and more often by surgical intervention. Fortunately, I found “Prostodin” on the Internet and after two weeks the result was already noticeable
An unpleasant sensation in the groin area attracts attention only when repeated regularly and with a high degree of severity. Minor manifestations of discomfort are explained by physical activity, uncomfortable body position during sleep, and dietary errors. The causes of groin pain in men are determined through diagnostics – hardware and instrumental. To prevent the factors that caused the deterioration from leading to complications, the patient should visit a doctor as early as possible.
According to the nature of the pain
Doctors can also distinguish signs of pain in the groin area by the nature of their manifestation, based on which the specialist’s assumptions and laboratory diagnostic methods are based. In general, pain in the lower groin, above the groin, or directly here can be pulling, aching or sharp. By the nature of the course, you can even predict the causes of discomfort and the diseases that precede it.
It's a dull pain
Aching pain in the left side of the groin, in the right side of the groin, as well as along the entire perimeter of this part of the body usually signals an exacerbation of cystitis . We are talking about an inflammatory process that manifests itself on the mucous membranes of the bladder. Cystitis occurs against the background of infection of the bladder and subsequent inflammation, which further spreads to neighboring organs.
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The causes of aching pain are as follows:
- hormonal imbalances;
- trauma to the bladder mucosa;
- exposure to low temperatures;
- blood stagnation in the pelvic area (veins);
- decline in immunity.
In rare cases, such symptoms may signal a malignant tumor that is growing in the rectum (more precisely, on the mucous membrane). Periodic or constant dull pain is a consequence of the growth of oncology, as well as the germination of cancer cells in nearby organs or tissues.
Nagging pain
Regardless of whether it is a nagging pain in the groin on the left or right, we are talking about the chronic course of the disease that precedes it. According to medical practice, most often nagging pain and frequent urination are the causes of chronic prostatitis.
For reference! Among patients 20-50 years old, nagging pain in the groin area in 30% of cases is a consequence of advanced prostatitis. This is preceded by the activity of pathogenic microbes that attack the prostate gland.
The causes of nagging pain are as follows:
- trauma to the pelvic organs;
- imbalance of the hormonal system;
- genitourinary system infections;
- exposure to low temperatures;
- long absence of sexual intercourse;
- constant wearing of tight underwear;
- sedentary life;
- bad habits;
- psychoemotional disorders.
In addition to pain, chronic prostatitis complicates the process of urination and also causes discomfort in the perineal area, disrupting a man’s sexual activity. Sometimes the causes of aching pain can occur when walking, when this is preceded by a sprain of the ligaments and muscles in this part of the body after overdoing it in the gym.
Sharp pain
The causes of sharp pain in the groin area most likely indicate the presence of a hernia . Sometimes this is accompanied by other diseases - problems with the kidneys and ureters, in rare cases, testicular torsion.
A sharp manifestation of pain is a characteristic sign of certain ailments:
- the presence and growth of a malignant tumor;
- inflammatory processes of the testicles - orchitis, less often testicular abscess;
- inflammatory process of the appendages - acute adnexitis.
In this case, a timely consultation with a doctor is especially important, as well as a thorough comprehensive examination of the patient. Any of the possible causes of sharp pain in the groin is a serious disease that requires qualified treatment. The likelihood that acute and sharp pain will go away on its own is minimal.
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Pain when urinating
Provided that the patient's pain in the groin area is closely related to painful urination, most likely the genitourinary system is suffering . To clarify these circumstances, you need to visit a urologist .
Prerequisites for this:
- urethritis or cystitis and nephritis, prostatitis;
- the presence of sexually transmitted infections that are transmitted during sexual intercourse;
- prolonged hypothermia;
- urinary salt diathesis;
- urolithiasis.
As practice shows, in patients under 40 years of age, such symptoms are a consequence of prostatitis, when the prostate gland suffers from an inflammatory process. If the patient is in the age category of 50+, additional examination for oncology is necessary, since the risks of developing tumors are quite high.
Pain in the inguinal lymph nodes
Sometimes a man may experience pain in the lymph nodes in the groin, which is usually a consequence of inflammation in them. Lymph nodes, which are located symmetrically throughout the human body, represent the personification of immunity. They protect the body from the influence of microbes and toxic substances.
Causes of groin pain and lymph nodes:
- sexually transmitted diseases;
- fungus of the lower extremities;
- trauma to the groin organs and their infection;
- tumors in the pelvic organs.
Important medical information:
- Andrologist and urologist: what is the difference between specialists?
- Andrologist: who is he and what does he treat in men?
- Urologist: who is he and what does he treat in men?
If we are talking about inflammation, the lymph nodes first increase in size, after which they become significantly thicker to the touch. This leads to redness and swelling, as well as localized pain.
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Prevention
To avoid the development of conditions that cause pain in the groin, you should follow simple recommendations:
- Avoid casual sexual contact, always use contraception when intimate with a new partner
- Perform personal hygiene procedures
- Normalize the quality of food, working and living conditions
- Increase the volume of physical activity, avoid staying in a constant position for a long time
Additional recommendations are to avoid hypothermia, give up bad habits, and maintain regular sexual activity.
Groin pain in men is a sign of a disorder associated with the condition and function of the organs of the urogenital, digestive or musculoskeletal system. To avoid the development of complications, including disability, infertility, and death, you should not hesitate to consult a doctor. Getting diagnosed and avoiding self-medication provide favorable prospects for recovery.
What do we have to do?
Medical practice usually perceives localized pain of various types as a symptom of a serious illness. If severe pain occurs periodically or constantly, during rest or when walking, most likely there is reason to talk about pathological processes and a threat to the man’s health.
For reference! It is forbidden to take painkillers before visiting a doctor and getting a diagnosis, as this can blur the clinical picture and mislead specialists.
Therapeutic treatments are as follows:
- Drug therapy , which includes etiotropic, pathogenetic and symptomatic therapy strictly as prescribed by the doctor.
- Surgical intervention , which is performed if a hernia, appendicitis or urolithiasis is detected in a patient.
- Physiotherapy , which, depending on the diagnosis, may include UHF therapy, magnet and electrophoresis.
Only after a detailed examination by the attending physician and diagnostician, as well as the establishment of a 100% accurate diagnosis, can the doctor choose a treatment method, prescribe certain medications, establish regimens for their administration and dosage.
Treatment
Depending on the nature of the identified pathology, the stage of its development, and the general well-being of the patient, conservative or surgical treatment is prescribed. The operation is performed only if drug therapy is ineffective or in cases where complications of the underlying pathology have begun. In this case, complications may already be present at the time a man seeks medical help.
Drug therapy
Prostatitis is eliminated with antibiotics (administered intramuscularly or intravenously), nonsteroidal anti-inflammatory drugs, and hormonal agents. A man’s body is strengthened with vitamin complexes – Neurorubin, Neurobex. Additionally, the man undergoes a prostate massage (manipulation is performed by a urologist).
For the treatment of vesiculitis and orchitis, the following actions are used:
- compresses with Dimexide (an anti-inflammatory solution) are applied to the groin area
- perform antibiotic therapy (intravenous administration of Ceftriaxone, Ceftazidime and infusion of Metrogyl)
- regularly anesthetize the patient (Ketanov, Dexalgin)
Osteochondrosis of the lumbar spine is eliminated through the use of chondroprotectors, non-steroidal anti-inflammatory and hormonal drugs.
Renal colic is treated with antispasmodics and analgesics, but stones are removed from the body with diuretics and anti-inflammatory drugs. Fitolit, Urolesan, Canephron are characterized by effectiveness.
Surgery
A strangulated inguinal hernia is eliminated primarily surgically - open or closed (using incisions or a laparoscope). To block the lumen of the protrusion, special mesh-type implants are used. Before the operation, the patient is given anesthesia.
Appendicitis, spermatic cord cyst, varicocele are removed surgically.
Inflammation of the appendix of the cecum requires emergency surgery. Hospitalization to the surgical department is indicated. The sutures are removed 7-10 days after surgery (provided the man is feeling normal).
A spermatic cord cyst is eliminated urgently, and not routinely, only if it pinches blood vessels and nerve fibers. This is determined both during an ultrasound and by examining the scrotum: it takes on a bluish tint.
For varicocele, surgery is performed using the Ivanissevich method. The sutures are removed on day 8-9. During rehabilitation, a man is recommended to wear tight-fitting underwear (to keep the groin area in good shape); refusal of physical activity (for 4-5 months).
The operation is also performed for vesiculitis, which is accompanied by suppuration of the seminal vesicles.
Physiotherapeutic techniques
UHF, magnetic therapy, and electrophoresis are characterized by effectiveness. The purpose of using physiotherapeutic techniques:
- Relief of the inflammatory process
- Reduced pain, reduced consumption of analgesics
- Improving metabolic processes
The doctor prescribes a specific physiotherapeutic method, the duration of each session and the number of procedures based on the specific clinical picture.
The relationship between pain and urination
If pain occurs in parallel with discomfort during urination, one can also make assumptions about the causes of such symptoms. Namely:
- pain at rest - cystitis, the result of overfilling of the bladder, tumors;
- pain at the very beginning of the urination process - urethritis;
- pain throughout urination - urinary diathesis, cystitis or neoplasms in this organ;
- pain after urination - cystitis or prostatitis, prostate adenoma, tumors in the triangle of the bladder, stones in this organ.
In any case, regardless of the location of the pain, its nature and degree of manifestation, a negligent attitude towards such signals from the body can cost a man his potency and erectile function, as well as the possibility of procreation. Only a comprehensive approach from a doctor and timely contact with him can eliminate disorders and disorders within a man’s body, subject to minimal health losses.
Diagnosis of the cause of the symptom
If there are no visible reasons contributing to the appearance of discomfort in the groin (for example, pregnancy, menstruation, etc.), then the disease is developing.
For different pathologies, diagnostic methods will differ:
- Detection of inguinal hernia. External picture: the presence of a formation that is easy to palpate, because it rises above the skin. Only a doctor should palpate and determine the size of the hernia. Ultrasound and, if necessary, other instrumental studies are prescribed.
- Detection of urolithiasis. An ultrasound examination is prescribed, which allows identifying stones, x-ray diagnostics, and laboratory tests.
- Detection of lymphadenitis. The diagnosis can be made by external examination and palpation of the node: it is enlarged, swollen and may hurt. Laboratory tests are also ordered.
- Detection of osteochondrosis. Problems with the spine can occur with irradiation of pain to the groin. This pathological condition is diagnosed by a neurologist.
Pain after ejaculation
As a rule, pain in the groin after ejaculation is caused by the presence of chronic or acute inflammatory processes in the genitals. Sexual contact provokes a rush of blood to the penis, intensifying existing symptoms.
The cause of pain in the groin after ejaculation may be:
- excessive sexual activity, which can lead to disturbances in the rhythm of blood circulation;
- vesiculitis;
- prolonged sexual abstinence, which also provokes impaired blood flow;
- inflammatory processes in the urethra of an infectious nature (for example, colliculitis);
- herpes virus;
- prostatitis;
- urethritis;
- epididymitis.
Consequences
When the source of the problem lies in the male genital area, the consequences can be the most dire. If the underlying disease causing discomfort is not treated, the following may occur:
- Infertility. Especially often with orchitis, epididymitis, prostatitis.
- Infection of the affected anatomical structure (again with inflammation of the testicles, appendages, with cystic space-occupying formations).
- Necrosis. It is relatively rare.
- Cancerous transformation of neoplasms.
How to treat groin pain
If physiological discomfort in the groin does not require specific therapeutic measures, then the discomfort caused by the disease must be treated by a doctor. The intensity of the syndrome can be reduced with the help of analgesic drugs.
If it is a hernia, you need to visit a surgeon. Before surgery, you must wear a special bandage and limit physical activity. If there is an increased risk of hernia strangulation, surgery is performed immediately.
If urolithiasis develops, the help of a urologist is required. Conservative or surgical treatment is prescribed based on the location and size of the stone.
Osteochondrosis is treated by a neurologist. If necessary, the patient is referred to another specialist (osteopath, physiotherapist, doctor performing exercise therapy, etc.). In severe cases of the disease, neurosurgical surgery is prescribed.
At the first alarming symptoms, you should contact a therapist, who, if necessary, will refer the patient to a specialized doctor.
Prevention of discomfort
To prevent discomfort in the groin area, it is necessary to take care of the prevention of diseases that can develop here.
Preventive measures include:
- maintaining a healthy lifestyle with the exception of bad habits;
- compliance with the drinking regime;
- timely consultation with a doctor at the first warning symptoms;
- eliminating increased load on the groin area.
The prognosis in each case depends on how timely the primary disease was detected.