What Could Be Causing My Pelvic Pain and Fever?

What is the problem?

Hello, on Saturday evening (10/24), I experienced pain in the left side of the groin area when I pressed on the muscle.
That night, I had a fever.
By Monday afternoon (10/26), the muscle on the right side of the groin also started to hurt, and again I had a fever that night.
Gradually, the area around the vulva began to swell.
What could this be? I have not had any sexual intercourse! Should I see a general surgeon or a gynecologist for this? Thank you!

cc, 30~39 year old female. Ask Date: 2020/10/27

Dr. Cai Yonglong reply Obstetrics and Gynecology

Please visit the gynecology department (as you may experience ovulation pain) or the surgical outpatient clinic (as it could be appendicitis).

Reply Date: 2020/10/27

More Info

When experiencing pelvic pain accompanied by fever, it is essential to consider various potential underlying causes. The symptoms you describe—localized pain in the pelvic area, fever, and swelling of the external genitalia—could indicate several medical conditions that require prompt evaluation.

One possible cause of your symptoms is a pelvic inflammatory disease (PID), which is an infection of the female reproductive organs. PID can occur due to sexually transmitted infections (STIs) such as chlamydia or gonorrhea, but it can also arise from other bacterial infections. Symptoms often include pelvic pain, fever, unusual discharge, and sometimes pain during urination or intercourse. Even though you mentioned that you have not engaged in sexual activity, it is still possible for infections to occur through other means, such as bacteria from the gastrointestinal tract or other sources.

Another potential cause could be an ovarian cyst or an abscess. Ovarian cysts are fluid-filled sacs that can develop on the ovaries and may cause pain, especially if they rupture or become infected. An abscess, which is a collection of pus that can form due to infection, can also lead to localized pain and fever.
Additionally, urinary tract infections (UTIs) can present with pelvic pain and fever, particularly if the infection spreads to the kidneys (pyelonephritis). Symptoms of a UTI may include frequent urination, burning sensation during urination, and lower abdominal pain.

Given the swelling of the external genitalia, another consideration could be a Bartholin's gland cyst or abscess. The Bartholin's glands are located on either side of the vaginal opening and can become blocked, leading to swelling and pain. If an infection occurs, it can result in fever and significant discomfort.

In terms of seeking medical care, it is advisable to consult a healthcare provider who specializes in gynecology (婦產科) rather than general surgery (一般外科). A gynecologist will be better equipped to evaluate your symptoms in the context of reproductive health and perform necessary examinations, such as a pelvic exam, ultrasound, or laboratory tests to identify any infections or other underlying issues.

It is crucial not to delay seeking medical attention, especially since you are experiencing fever and worsening symptoms. Early diagnosis and treatment can prevent complications and ensure appropriate management of any potential infections or conditions. If you experience severe pain, difficulty breathing, or any other alarming symptoms, consider going to the emergency department for immediate evaluation.

In summary, your symptoms warrant a thorough evaluation by a healthcare professional, preferably a gynecologist, to determine the underlying cause and initiate appropriate treatment. Do not hesitate to seek care, as timely intervention is key to addressing your health concerns effectively.

Similar Q&A

Understanding Pelvic Pain: Is It Pelvic Inflammatory Disease?

I had sexual intercourse with my boyfriend on the fourth day of my menstrual period without using protection, but he pulled out quickly. This happened on Tuesday night. Then, on Thursday afternoon, I started feeling lower back pain, and later that evening, I developed a fever and...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is possible that you have inflammation of the pelvic cavity or urinary tract. I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant tests (such as ultrasound, bacterial cul...

Understanding Pelvic Inflammatory Diseases: Symptoms, Diagnosis, and Treatment

Hello, doctor. Thank you for taking the time to answer my questions. I am quite troubled by the recurring gynecological issues. As I am approaching the age for conception, I would like to better understand the impact of gynecological infections. I have annual blood tests, and eve...

Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Anonymous: 1. It can sometimes be difficult to differentiate between urethritis and cystitis, which is why they are often collectively referred to as urinary tract infections. The two organs are very close in proximity, and inflammation typically starts in the urinar...

Could Pelvic Inflammatory Disease Be the Cause of My Symptoms?

Having sexual intercourse during menstruation and experiencing abdominal discomfort the next day, along with decreased menstrual flow and a slight fever, could indicate pelvic inflammatory disease (PID).

Dr. Lin Wenbin reply Obstetrics and Gynecology
It is possible; please consult a physician for an examination.

Understanding Vaginal and Pelvic Inflammation: Symptoms and Causes

Vaginal inflammation can cause a sensation of chilliness, but it may also indicate that it has progressed to pelvic inflammatory disease (PID). Symptoms of pelvic inflammatory disease include lower abdominal pain, fever, unusual vaginal discharge, painful intercourse, and irregul...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, vaginal inflammation may not cause chills, but it could have progressed to pelvic inflammation. It is recommended to see a gynecologist. Wishing you good health.