Groin Pain After Folliculitis: When to Seek Further Care

Folliculitis has caused tenderness in the groin area, but the wound has healed, and there is still tenderness in the groin?

On the evening of November 9th, I discovered a large pimple-like bump on the left labia majora near the clitoris while taking a shower.
I wanted to squeeze it, but nothing came out, and it was very painful.
After showering, I applied acne medication, and a few hours later, the same area appeared to have a white head like it was about to burst.
I used a cotton swab and managed to squeeze out a little.
That day, when I pressed on the left groin area, I felt a dull ache similar to a bruise, but there was no noticeable swelling.
The next day, I saw a doctor, who prescribed medication and an ointment.
The doctor said it was folliculitis causing lymphatic inflammation.
By the third day, the skin where the pimple was had returned to normal, but there was still some tenderness when pressing on the groin area.
Is this normal? Should I continue to monitor it, or should I go for a follow-up appointment right away? I've heard from colleagues that they usually experience no pain before the wound heals, but in my case, the wound healed by the second or third day, yet on the fourth day, there is still tenderness in the groin (it doesn't hurt during normal walking or when touched, but there is sensitivity with light pressure).

JAN, 20~29 year old female. Ask Date: 2020/11/12

Dr. Ye Qianyu reply Family Medicine

Hello! Based on your description, it is possible that an infection is causing lymphadenopathy.
If there is no relief after treatment, muscle strain and hip joint issues should also be considered, and you may need to consult an orthopedic specialist.

Reply Date: 2020/11/12

More Info

It sounds like you are experiencing some discomfort in your groin area following an episode of folliculitis, which has led to inflammation of the lymph nodes. This can be concerning, especially when it comes to understanding whether the pain you are feeling is normal or if it warrants further medical attention.

First, it’s important to recognize that folliculitis is an infection of the hair follicles, often caused by bacteria, and can lead to localized inflammation. When the infection spreads or if the body reacts to it, it can cause lymphadenopathy, which is the swelling of lymph nodes, often felt as tenderness or pain in the surrounding areas, such as the groin. The fact that your doctor has already diagnosed you and provided treatment is a positive step.

Regarding your specific questions:
1. Is the groin pain normal after folliculitis?
Yes, it can be normal to experience some residual pain or discomfort in the groin area after an episode of folliculitis, especially if there was inflammation of the lymph nodes. The healing process can take time, and some tenderness may persist even after the visible symptoms of folliculitis have resolved. However, the pain should gradually decrease over time.

2. Should you continue to observe or seek further care?
If the pain is mild and not affecting your daily activities, it may be reasonable to continue monitoring it for a few more days. However, if the pain worsens, if you develop new symptoms (such as fever, increased swelling, or redness), or if the discomfort does not improve within a week, it would be wise to return to your healthcare provider for a follow-up. Persistent pain could indicate that the infection has not fully resolved or that there may be another underlying issue.

3. What to look out for?
Key symptoms that would warrant immediate medical attention include:
- Increased swelling or redness in the area
- Fever or chills
- Pus or drainage from the site of the folliculitis
- Severe pain that interferes with your daily activities
- Any new or unusual symptoms that arise
In terms of self-care, continue to keep the area clean and dry, avoid tight clothing that may irritate the area, and follow any additional instructions your doctor provided regarding medications or topical treatments. If you were prescribed antibiotics, ensure you complete the full course, even if symptoms improve.

In conclusion, while some residual pain in the groin area can be normal following an episode of folliculitis, it is essential to remain vigilant for any changes in your symptoms. If you have any doubts or if the pain persists, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to your well-being.

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