Pain or tingling in the scrotum and groin while walking?
Hello Dr.
Lee, since the beginning of summer, I have been experiencing sharp pain in my groin and under my scrotum after exercising or walking.
There is a burning sensation, and it feels prickly regardless of the type of fabric my pants are made of, which is very uncomfortable.
Could this be a fungal infection? What should I do?
Xiao Sheng, 50~59 year old female. Ask Date: 2016/05/22
Dr. Li Xinyi reply Urology
It may be neuropathic pain.
It is recommended to take some B vitamins and avoid wearing tight or hot pants.
Do not sit for long periods; make sure to get up and walk around frequently, and drink plenty of water.
Avoid vigorous washing; it is suggested to use only water for cleaning.
Minimize exposure to chemical substances.
After bathing, use a hairdryer to dry off, and make sure to wipe dry after urination while paying attention to cleanliness.
Reply Date: 2016/05/22
More Info
Experiencing pain and discomfort in the groin and scrotum while walking can be concerning and may stem from various underlying causes. Given your description of a sharp, burning sensation in the groin and scrotum, it is essential to consider several potential factors that could contribute to these symptoms.
1. Muscle Strain or Injury: One of the most common causes of groin pain is a strain or injury to the muscles or tendons in the area. This can occur during physical activities, especially if there has been a sudden increase in exercise intensity or duration. If you have recently started a new workout routine or increased your activity level, this could be a contributing factor.
2. Nerve Compression or Irritation: Conditions such as a hernia or nerve entrapment can lead to pain in the groin and scrotum. A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. This can cause discomfort, especially when engaging in physical activities. Nerve compression, such as from a pinched nerve in the lower back, can also radiate pain to the groin area.
3. Infections: While you mentioned the possibility of a fungal infection, it is essential to consider other types of infections as well. Bacterial infections, sexually transmitted infections (STIs), or even epididymitis (inflammation of the epididymis) can cause pain and discomfort in the scrotum and groin. Symptoms of infections may include swelling, redness, or discharge, which can help differentiate them from other causes.
4. Skin Conditions: Skin irritations, including fungal infections like jock itch (tinea cruris), can cause itching, burning, and discomfort in the groin area. This condition is often exacerbated by moisture and friction, which can occur during physical activities. If you suspect a fungal infection, over-the-counter antifungal creams may provide relief.
5. Testicular Issues: Conditions affecting the testicles, such as testicular torsion or varicocele, can also lead to pain in the scrotum and groin. Testicular torsion is a medical emergency that requires immediate attention, as it involves the twisting of the spermatic cord, cutting off blood supply to the testicle.
Recommendations:
- Consult a Healthcare Provider: Given the range of potential causes, it is crucial to consult a healthcare provider for a thorough evaluation. They may perform a physical examination and, if necessary, imaging studies (like an ultrasound) to determine the underlying cause of your symptoms.
- Rest and Ice: If the pain is due to a muscle strain, resting the affected area and applying ice can help reduce inflammation and discomfort.
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.
- Maintain Hygiene: If you suspect a fungal infection, keeping the area clean and dry is essential. Wearing loose-fitting clothing can also help reduce friction and moisture buildup.
- Avoid Self-Diagnosis: While it is tempting to self-diagnose based on symptoms, it is essential to seek professional advice to ensure proper treatment and avoid complications.
In summary, while your symptoms could be indicative of a fungal infection, they may also stem from other causes such as muscle strain, nerve issues, or infections. A healthcare provider's evaluation is vital to determine the exact cause and appropriate treatment plan.
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