Painful Groin Lumps: Causes and Treatment Options

I have a lump on the left side near the base of my inner thigh, just below the bladder?

It has been about six months since this started, and I have had several bumps in different locations.
Currently, there are two bumps: one is located in the area described in the title question.
It feels hard but can be squeezed, approximately two centimeters in size, with some small broken skin.
It looks like a bruise, dark purple in color, and is very painful to touch because it is located at the inner thigh near the root.
Underwear and sanitary pads easily irritate it, and sometimes it hurts so much that it makes walking difficult, with occasional bleeding.
The second bump is located higher up, on the right side of the indentation of the thigh when opened.
The distance between the two bumps is about three centimeters.
This one is smaller but feels distinctly like a small lump that can be squeezed, although it is not very visible.
Surrounding both bumps, there are several smaller lumps that can be felt but cannot be squeezed.
The right side has not developed any bumps, while the left side keeps recurring.
Sometimes, if left alone, it will resolve on its own.
The larger bump has appeared many times in the same location.
I am quite young and hesitant to visit a gynecologist.
Is there any topical ointment that can be applied? Also, what could these symptoms indicate?

A Xuan, 10~19 year old female. Ask Date: 2020/07/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is advisable to visit a gynecologist for an examination to determine what the issue may be.
Wishing you good health.

Reply Date: 2020/07/21

More Info

Understanding painful groin lumps can be quite concerning, especially when they persist over time and cause discomfort. Based on your description, it sounds like you are experiencing a couple of lumps in the groin area, one of which is larger, painful, and has a bruised appearance. The other is smaller and feels like a hard lump, with additional smaller lumps nearby.
There are several potential causes for lumps in the groin area, and understanding these can help guide your treatment options. Here are some common causes:
1. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammation, or other medical conditions. The groin area has lymph nodes that can become enlarged in response to infections in the lower body, sexually transmitted infections, or even systemic infections.

2. Cysts: Sebaceous cysts or epidermoid cysts can develop in the groin area. These are usually benign and can become painful if they become inflamed or infected.

3. Hernias: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause a lump in the groin area and may be painful, especially when straining or lifting.

4. Abscesses: If there is an infection in the area, it can lead to the formation of an abscess, which is a collection of pus that can be painful and swollen.

5. Skin Conditions: Conditions such as folliculitis or hidradenitis suppurativa can cause painful lumps in the groin area due to inflammation of hair follicles or sweat glands.

Given the symptoms you described—pain, bruising, and the presence of multiple lumps—it is essential to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies or laboratory tests to determine the exact cause of your symptoms.

In terms of treatment options, it is crucial to avoid self-diagnosing or self-treating without professional guidance. Here are some potential treatment avenues that a healthcare provider might consider:
- Observation: If the lumps are not causing significant pain or discomfort and are not changing in size, your doctor may recommend monitoring them over time.

- Medications: If an infection is suspected, antibiotics may be prescribed. For inflammatory conditions, corticosteroids might be considered to reduce swelling and pain.

- Drainage: If there is an abscess, your doctor may need to drain it to relieve pain and prevent further infection.

- Surgical Intervention: In cases where a cyst or hernia is diagnosed, surgical removal or repair may be necessary.

As for topical treatments, while there are over-the-counter creams and ointments that can help with minor skin irritations or infections, it is essential to consult with a healthcare provider before applying any medication to the area, especially since you have described significant pain and bleeding.

In conclusion, while there are various potential causes for the painful lumps in your groin, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide relief from your symptoms.

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