Lymphatic issues
I have been experiencing persistent itching in the genital area, and a few months ago, I noticed a lump on the left side of my genitals.
Additionally, I have been having frequent pain during urination and difficulty urinating.
Last month, I visited a gynecologist, who initially diagnosed me with trichomoniasis and started treatment.
However, after three weeks, I am still experiencing itching and pain.
During a follow-up visit two days ago, I casually asked the doctor about the lump on the left side, and he mentioned it could be related to lymph nodes.
I researched online and found that lymphatic issues in the genital area could potentially indicate symptoms of vulvar cancer, which include painful urination, abdominal pain, night sweats, itching, and sudden weight loss.
I have been experiencing all of these symptoms, and the itching and pain at night have been affecting my sleep.
Should I seek further evaluation, and which specialist should I consult? Thank you.
Shi, 40~49 year old female. Ask Date: 2024/04/06
Dr. Chen Sirong reply Oncology
Patient: 42-year-old female
1.
Gynecological examination
2.
Theoretically, there should be no gynecological cancer since the gynecological evaluation has been completed.
3.
Lymph nodes can enlarge due to infection, but they may also indicate cancer spread to the lymph nodes.
We will need to monitor the changes in the lymph nodes after controlling the infection before making further assessments.
4.
During this time, continue to follow up with gynecology.
Wishing you peace and health.
Taoyuan Hospital, Dr.
Chen Sih-Rong.
Reply Date: 2024/04/06
More Info
When it comes to lymph node issues, especially in the context of symptoms like persistent itching, pain during urination, and the presence of a lump in the groin area, it is crucial to approach the situation with a thorough understanding of the potential underlying causes and the appropriate steps to take.
Firstly, the symptoms you describe—itching in the genital area, pain during urination, and the presence of a lump—can be indicative of several conditions. The lump you mentioned could indeed be a lymph node that has become enlarged due to an infection or inflammation. Lymph nodes can swell in response to various stimuli, including infections (like sexually transmitted infections), inflammatory conditions, or even malignancies. The fact that you have been experiencing these symptoms for several months, coupled with the recent diagnosis of a trichomoniasis infection, suggests that there may be an ongoing issue that needs further investigation.
The itching and pain you are experiencing could be related to the infection itself or could indicate a secondary infection or irritation. It is not uncommon for lymph nodes in the groin area to become reactive due to infections in the surrounding tissues. However, the concern about the possibility of cancer, particularly given your symptoms and the presence of a lump, is valid and warrants further evaluation.
Given your symptoms, it is advisable to seek further medical attention. You should consider visiting a healthcare provider who specializes in gynecology or urology, as they can provide a comprehensive evaluation of your symptoms. A gynecologist can assess the lump in the context of your overall reproductive health, while a urologist can address any urinary symptoms you are experiencing.
During your visit, it would be beneficial to discuss all your symptoms in detail, including the duration of the itching, the nature of the pain during urination, and any other changes you have noticed in your body, such as weight loss or night sweats. These details can help your doctor determine the appropriate diagnostic tests, which may include blood tests, imaging studies (like an ultrasound), or even a biopsy of the lymph node if deemed necessary.
In terms of the potential for cancer, while it is important to be aware of the signs and symptoms, it is equally important to remember that many conditions can cause similar symptoms, and not all swollen lymph nodes are indicative of malignancy. The key is to have a thorough evaluation to rule out serious conditions and to address any infections or other issues that may be present.
In summary, given your symptoms and the presence of a lump, it is crucial to seek further medical evaluation. A gynecologist or urologist would be the appropriate specialists to consult. They can perform the necessary examinations and tests to determine the cause of your symptoms and guide you on the best course of action. Early intervention is essential, especially when it comes to persistent symptoms, so do not hesitate to seek help.
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