Multiple lymph nodes in the left groin and left thigh region?
I engaged in high-risk sexual behavior from February to April and underwent an HIV test four months later, which came back negative.
However, I later discovered multiple 1 cm hard lumps in my left groin and the inner thigh, which are often sore but do not hurt when pressed.
I have also experienced left lower abdominal pain for two years, along with a history of urinary tract infections and genital infections.
I plan to get tested again for HIV after more than six months of high-risk behavior.
If I confirm that I am HIV negative, which specialty should I consult? Is obstetrics and gynecology appropriate?
Niming, 20~29 year old female. Ask Date: 2018/10/07
Dr. Hu Ziren reply Oncology
It is recommended to visit an obstetrician-gynecologist.
Reply Date: 2018/10/07
More Info
When it comes to understanding lymph nodes in the groin and when to seek medical advice, it’s essential to consider several factors, especially given your recent history of risk behavior and the symptoms you are experiencing.
Firstly, the presence of multiple hard lumps in the groin area, particularly those that are painful or tender, warrants a thorough evaluation. Lymph nodes can become enlarged for various reasons, including infections, inflammatory conditions, or malignancies. In your case, the fact that these lumps are hard and associated with pain raises a flag for potential underlying issues that should not be ignored.
Given your history of risk behavior and the subsequent development of these symptoms, it is prudent to consult a healthcare professional sooner rather than later. While you mentioned planning to get tested for HIV after six months, it is important to address the current symptoms as they may not necessarily be related to HIV alone.
In terms of which specialty to consult, while gynecology could be relevant due to your history of infections, it may be more appropriate to see a primary care physician or a specialist in infectious diseases first. They can conduct a comprehensive evaluation, including a physical examination and possibly imaging studies, to assess the lymph nodes and determine if further testing is necessary. If there is any suspicion of a sexually transmitted infection (STI) or another infectious process, they can guide you on the appropriate tests and treatments.
Additionally, if the primary care physician finds it necessary, they may refer you to a specialist, such as a surgeon or an oncologist, especially if there is a concern about malignancy. It’s also worth noting that if you experience any other concerning symptoms, such as fever, night sweats, unexplained weight loss, or persistent pain, you should seek medical attention promptly.
In summary, while it is good to plan for an HIV test after six months, do not wait until then to address the lumps in your groin. Seek medical advice as soon as possible to ensure that any potential issues are identified and managed appropriately. Early intervention can make a significant difference in outcomes, especially if there is an underlying condition that needs treatment.
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