Which Specialist to Consult for Groin Discomfort? - Family Medicine

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If you are experiencing discomfort in the groin area, you should consult a specialist in urology or a general surgeon?


Hello Dr.
Hsiao,
1.
Three months ago, I started feeling a warm sensation in my left groin, and over the past month, the discomfort has become more pronounced when I squat, accompanied by a prickly, warm feeling.
Additionally, I have been experiencing discomfort in my lower back (lumbar ligament swelling, lower back pain).
I wonder if these issues are related?
2.
About five to six years ago, I also experienced a warm sensation in my left groin.
Since then, I have felt a swelling in that area, but it has not affected my daily life and has not been painful.
The swelling does not feel like a hard lump; rather, it feels like a soft, swollen mass.
3.
Recently, after the discomfort in my left groin returned, I researched online and found that the groin is related to many bodily functions, such as hernias, urinary function, gynecological issues, and lymph node convergence.
I am very concerned.
Which specialty should I start with?
4.
My menstrual cycle has also been irregular lately.
Should I first visit a gynecologist? Can I ask the gynecologist to examine my groin area as well?
Thank you, doctor! I appreciate your hard work!

Jiao Lü De Xiao Ai, 20~29 year old female. Ask Date: 2019/01/03

Dr. Xiao Yongxun reply Family Medicine


Dear Miss Xiao Ai,
The conditions related to the groin area are generally consistent with the information you have searched for, although there are other possible diagnoses as well.
I agree that you should first consult a gynecologist to discuss potential diagnoses; theoretically, they should be able to identify the source of the problem.

Reply Date: 2019/01/03

More Info


When experiencing discomfort in the groin area, it is essential to consult the appropriate specialist to ensure a thorough evaluation and accurate diagnosis. Based on your symptoms and history, here are some recommendations on which specialists to consider and why.

1. Primary Care Physician (PCP): It is often best to start with your primary care physician. They can perform an initial assessment, take a detailed medical history, and conduct a physical examination. Your PCP can help determine whether your symptoms are related to a specific condition or if they may be indicative of a broader issue. They can also refer you to a specialist if necessary.

2. Urologist: Given that groin discomfort can be related to urinary issues, consulting a urologist may be beneficial, especially if you have concerns about potential conditions such as a hernia or other urological disorders. Urologists specialize in male and female urinary tract issues and male reproductive organs, and they can evaluate any potential problems related to these systems.

3. Gynecologist: If you are female and experiencing groin discomfort, especially in conjunction with menstrual irregularities, it would be prudent to see a gynecologist. They can assess any gynecological conditions that may be contributing to your symptoms, such as ovarian cysts, fibroids, or other reproductive health issues. Since you mentioned irregular menstrual cycles, a gynecologist can provide insights into whether these symptoms are interconnected.

4. Orthopedic Specialist: If your groin discomfort is associated with lower back pain or if you suspect it may be related to musculoskeletal issues, an orthopedic specialist may be appropriate. They can evaluate your spine and hips to determine if there are any underlying orthopedic conditions contributing to your discomfort.

5. Physical Therapist: If your discomfort is related to muscle strain or if you have a history of physical activity that may have contributed to your symptoms, a physical therapist can help. They can provide exercises and treatments to alleviate pain and improve mobility.

6. General Surgeon: If there is a suspicion of a hernia or other surgical conditions, a general surgeon may be the right specialist to consult. They can perform the necessary evaluations and recommend surgical intervention if required.

In summary, it is advisable to start with your primary care physician, who can guide you through the process of identifying the appropriate specialist based on your symptoms. Given your history of discomfort in the groin area, along with the recent changes in your menstrual cycle, it may be beneficial to consult a gynecologist as a next step. They can assess both your gynecological health and any potential connections to your groin discomfort.

Additionally, it is important to keep track of your symptoms, including when they occur, their intensity, and any other associated symptoms. This information will be valuable for any healthcare provider you consult. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek medical advice.

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