Groin Pain: Causes and Concerns Related to Urology - Urology

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Groin pain (inner thigh near the penis)?


Recently, I have been experiencing pain in that area, but urination is normal.
The pain occurs when I am tense or even during regular times.
I am unsure if this is related to a sexually transmitted infection (STI).
Five months ago, I had unprotected oral sex and underwent anonymous testing, which came back normal.

Niming, 20~29 year old female. Ask Date: 2016/10/17

Dr. Sun Hongshun reply Urology


Hello: I have severe pain in my groin, and I am concerned that it may be caused by lymphadenopathy in the groin area.
Bacterial or viral infections cannot be ruled out either.
Anonymous screening only tests for a limited number of items.
I recommend consulting with an infectious disease specialist or a urologist as soon as possible.
Wishing you good health.

Reply Date: 2016/10/17

More Info


Understanding groin pain, especially in the context of urology, can be complex due to the various potential causes and the overlapping symptoms that can arise from different conditions. In your case, the pain you are experiencing in the groin area, along with normal urination, suggests that there may be several factors at play.

Firstly, groin pain can stem from a variety of sources, including musculoskeletal issues, nerve compression, or even referred pain from other organs. Given that you mentioned the pain intensifies during periods of stress or anxiety, it is possible that muscle tension or spasms could be contributing to your discomfort. Stress can lead to increased muscle tension in the pelvic region, which may manifest as pain in the groin area.

Additionally, you noted a history of sexual activity without protection, which raises concerns about sexually transmitted infections (STIs). While you mentioned that you underwent anonymous screening five months ago and received normal results, it is important to consider that some infections may not present symptoms immediately or could have been missed during testing. Conditions such as chlamydia or gonorrhea can sometimes lead to complications like epididymitis, which is an inflammation of the epididymis that can cause pain in the groin and testicular area.

Another potential cause of groin pain could be related to the urinary tract. Although you indicated that urination is normal, conditions such as prostatitis (inflammation of the prostate gland) can lead to discomfort in the groin area, even if urination appears unaffected. Prostatitis can be acute or chronic, and symptoms may include pain in the lower abdomen, groin, or lower back, along with urinary symptoms.

Furthermore, nerve-related issues, such as a pinched nerve in the lumbar spine, can also lead to referred pain in the groin area. This is particularly relevant if you have a history of back problems or if you engage in activities that may strain your back.

Given the complexity of your symptoms and the potential for various underlying conditions, it is advisable to seek a thorough evaluation from a urologist. They can conduct a comprehensive assessment, which may include a physical examination, imaging studies, and possibly further laboratory tests to rule out infections or other urological conditions.

In summary, while your groin pain may not be directly linked to a serious condition, it is essential to address it with a healthcare professional. They can help determine the exact cause of your pain and recommend appropriate treatment options. Whether it is related to muscle tension, nerve issues, or a potential infection, early intervention can lead to better outcomes and alleviate your concerns. Remember, taking care of your mental health is just as important, so consider discussing any anxiety or stress you may be experiencing with a healthcare provider as well.

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