Lymph Node Pain: Is It Related to STDs? - Urology

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Doctor, I am very concerned?


Hello, doctor.
I have been in a relationship with my boyfriend for three and a half years, and we are each other's first.
In mid-June, I suddenly noticed pain in the right groin and lymph nodes under my hip.
I went to a gynecologist for an ultrasound, and both my uterus and ovaries were normal.
A Pap smear I had done in March was also normal, and I underwent blood tests at a major hospital's hematology department, which showed normal white blood cell counts.
The doctors concluded that I have lymphadenitis.
They prescribed anti-inflammatory medication for me to take.
Over the past couple of days (June 30 - July 1), my condition has improved somewhat, but I still feel some discomfort, so I returned to the gynecologist for another check-up, which was also normal.
The doctor prescribed more anti-inflammatory medication and antibiotics for me to take.
However, I am still very worried.
Is this condition related to a sexually transmitted infection, or is it simply lymphadenitis? Should I get tested for STIs? Thank you.
Note: There was no sexual activity in May or June.

nina, 20~29 year old female. Ask Date: 2015/07/03

Dr. Xu Weikai reply Urology


Nina: If the antibiotics are effective, you can wait until you are completely cured to observe.
If you are still concerned, consider getting tested for sexually transmitted infections (STIs) in three months.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/03

More Info


Lymph node pain, particularly in the groin area, can be concerning and may lead to questions about its underlying causes, including the possibility of sexually transmitted diseases (STDs). In your case, it appears that you have already taken several important steps by consulting with healthcare professionals, undergoing ultrasounds, and having blood tests to rule out serious conditions. The fact that your tests have returned normal results is reassuring, but it’s understandable that you still have concerns.

Lymph nodes are part of the immune system and can become swollen or painful due to various reasons, including infections, inflammation, or malignancies. In your situation, the doctors have indicated that you may be experiencing lymphadenitis, which is the inflammation of the lymph nodes. This condition can occur due to localized infections, systemic infections, or even as a response to inflammation in nearby tissues.

While STDs can cause lymphadenopathy (swelling of the lymph nodes), especially in the groin area, it is important to note that not all cases of lymph node pain are related to STDs. Common infections that can lead to lymph node swelling include viral infections (like the flu), bacterial infections (such as strep throat), and even non-infectious causes like autoimmune diseases. Given that you have not engaged in sexual activity in the months leading up to your symptoms, the likelihood of an STD being the cause is reduced, but it cannot be completely ruled out without appropriate testing.

In terms of your treatment, the anti-inflammatory medications and antibiotics prescribed by your doctor are standard approaches to manage inflammation and infection. It is crucial to follow your healthcare provider's recommendations and complete the course of any prescribed medications. If your symptoms persist or worsen, it would be prudent to return to your healthcare provider for further evaluation.

Regarding your concern about STD testing, it is always a good idea to have regular screenings, especially if you have any new symptoms or changes in your health. Many STDs can be asymptomatic, meaning they do not always present with obvious signs, so testing can provide peace of mind. If you are feeling anxious about your health, discussing your concerns with a healthcare provider can help clarify whether further testing is necessary based on your specific risk factors and symptoms.

In summary, while lymph node pain can be associated with STDs, it is not the only potential cause, and your current symptoms may be due to a benign process such as lymphadenitis. Continuing to monitor your symptoms, adhering to your treatment plan, and considering STD testing as part of your routine healthcare can help you manage your health effectively. If you have any further questions or if your symptoms do not improve, do not hesitate to seek additional medical advice.

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