Which Specialist Should You Consult for Groin Lumps?

Which specialty should I see?

I have noticed small, hard lumps on both sides of my groin, where the upper thigh meets the lower abdomen.
They feel similar to lymph nodes and have been present for about a year.
They are not painful to the touch, but there are no signs of them disappearing.
I previously consulted a gynecologist but did not receive any answers.
Is this normal? Which specialist should I consult for further evaluation?

Monica, 20~29 year old female. Ask Date: 2000/11/14

Dr. Li Yuqi reply Family Medicine

You can consult a general surgeon and, if necessary, perform a pathological biopsy to determine the exact cause.
Attending physician: Dr.
Li Yuqi, November 15, 2000.

Reply Date: 2000/11/14

More Info

When it comes to groin lumps, particularly those that feel like small, hard lumps resembling lymph nodes, it's essential to approach the situation with caution and seek the appropriate medical advice. Given your description of the lumps being present for a year, non-painful, and not disappearing, it is advisable to consult a specialist who can provide a thorough evaluation.

The first step is to consider consulting a general surgeon or a primary care physician. These professionals are well-equipped to assess lumps in various body areas, including the groin. They can perform a physical examination, take a detailed medical history, and determine whether further diagnostic tests, such as imaging studies or a biopsy, are necessary.
If the lumps are suspected to be related to lymphatic issues or infections, a hematologist or an infectious disease specialist might also be appropriate. They can evaluate whether there is an underlying condition affecting the lymphatic system or if there are signs of infection that need to be addressed.

In some cases, if the lumps are thought to be related to gynecological issues, a gynecologist may be consulted, especially if there are accompanying symptoms related to the reproductive system. However, since you mentioned that a gynecologist did not provide answers, it may be more beneficial to explore other specialties first.

It's also important to consider that lumps in the groin can arise from various causes, including:
1. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammatory conditions, or malignancies.

2. Hernias: Inguinal hernias can present as lumps in the groin area and may require surgical intervention.

3. Lipomas: These are benign fatty tumors that can occur in the groin and are usually harmless.

4. Sebaceous cysts: These can also form in the groin area and are generally benign.

5. Infections: Conditions like abscesses or skin infections can lead to lumps in the groin.

Since you have already consulted a gynecologist without satisfactory answers, it may be prudent to seek a second opinion from a general surgeon or your primary care physician. They can provide a more comprehensive evaluation and guide you on the next steps based on their findings.

In conclusion, while the presence of non-painful lumps in the groin can sometimes be benign, it is essential to have them evaluated by a qualified healthcare provider. Early assessment can help rule out any serious conditions and provide peace of mind. If you experience any changes in the lumps, such as increased size, pain, or other concerning symptoms, do not hesitate to seek medical attention promptly.

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