Inflammation of the lymph nodes in the groin: causes and treatment, photo. Inguinal lymphadenitis in women - an alarm bell of the immune system

The state of the lymphatic system directly determines the overall health of the body. In case of violations and failures, the level of natural protection decreases, and a person becomes unarmed in front of a huge number of pathogenic bacteria in the space surrounding him. One of the signs of problems with the lymphatic system is the inflammation of the lymph nodes in a particular part of the body. So, the pathological process in the inguinal region can occur in both men and women and can be both the result of a direct effect on the nodes, and a signal for the development of a general serious disease. For a timely and correct response, it is very important to understand the causes of this phenomenon.

Causes of lymphadenitis in the groin

Lymphadenitis in the groin is one of the types of lymphadenitis or inflammation of the lymph nodes, which can develop for two groups of reasons:

• direct reasons. The problem is due to the direct attack of an element of the lymphatic system by a pathogen;
• secondary disease that is diagnosed most often. The increase occurs due to the presence of an inflammatory process somewhere in another area of ​​the body.

Malicious microbes that often provoke a similar problem are: Escherichia coli, Pseudomonas aeruginosa, staphylo- and streptococci. Pathogenic microorganisms can enter the inguinal lymphatic plexus through the lymphatic system itself or through the blood.

Often, lymphadenitis occurs with the active development of the infectious process in the human body. It can be:

• infectious lesions of the tissues of the lower extremities;
• sexually transmitted infections;
• tuberculosis or toxoplasmosis.

It can also provoke an increase in the lymph nodes of the inguinal region by taking a certain group of drugs (for example, drugs from a course of chemotherapy), the development of malignant tumors in nearby organs, and receiving traumatic injury in the perineum.

Inflammation can occur in girls even with a banal non-compliance with the rules of genital hygiene. An increase in the inguinal lymph nodes in women may be due to vulvovaginitis, cyst formation on the internal genital organs, or a decrease in normal ovarian function.

Symptoms and signs of inflammation in women

The main signs of the course of the disease are an increase in the size of the lymph nodes and the appearance of unpleasant painful sensations in them, even if they are very mild. With inguinal lymphadenitis, women may experience other symptoms:

• nodes in the inguinal region not only increase, but also become harder to the touch;
• the skin may turn red, the area around the lymph node swells;
• fever, general weakness and malaise.

Specialist note: in general terms, the manifestations of a local form of inflammation of the lymph nodes do not differ from the symptoms of any other type of lymphadenitis. The difference lies in the peculiarities of the situation that provokes the problem, and the localization of the inflamed elements.

Inguinal lymphadenitis is manifested in the compaction of the lymph nodes

It should be noted that the disease can occur in two main forms - acute and chronic. Acute inguinal lymphadenitis is serous and purulent. The first form implies only an inflammatory process, while the second proceeds with the formation of pus and a specific symptom - the appearance of sharp pains of a jerking type. In such a situation, the nodes seem to merge, become solid and motionless. With the chronic development of lymphadenitis, symptomatic manifestations are not pronounced, in some cases only slight swelling and a slight increase in body temperature can be observed.

Recognize the problem

The main task of the doctor when treating a woman with enlarged inguinal lymph nodes is to establish the cause of this phenomenon. To do this, it is necessary to evaluate the patient's complaints and conduct a clinical examination. The presence of an inflammatory process will help to establish a blood test, an infectious agent - bacteriological culture. The following studies may also be needed:

• biopsy of the tissues of the lymph node in case of suspected tumor;
• x-ray or ultrasound of the groin area (this is necessary to differentiate symptoms from an inguinal hernia);
• tomography.

Treatment of a female ailment

If you find an increase in the size of the lymph nodes in the groin and the slightest discomfort occurs during movement or at rest, you should immediately consult a doctor, since timely detection of the disease can save a life.

Doctor's opinion: if there is a tumor process, then at first the only symptom is an increase in the size of the lymph nodes without any pain. That is why it is important to pay attention to it in time and not to ignore it.

Specific therapeutic measures are determined by the complexity of the situation and the nature of the underlying cause. So, both conservative and radical measures can be applied. A conservative approach involves taking medications (usually antibiotics and anti-inflammatory drugs), in some cases, undergoing physiotherapy procedures. It is important to remember that warming up without a doctor's prescription is strictly prohibited in the inflammatory process, especially if the lymph nodes are affected.

Surgical intervention becomes a necessary measure in the purulent form of the disease, when necrotic processes begin to spread. During the operation, an incision is made, the purulent contents of the affected node and all damaged tissues are removed.

In the treatment of inguinal lymphadenitis, the elimination of the cause that provokes the inflammatory process is of great importance. If the disease is secondary, then therapeutic measures are carried out on a larger scale.

Alternative methods for lymphadenitis are not considered effective, they can be applied only in the early stages and only to eliminate individual symptomatic manifestations.

Forecasts and prevention

The prognosis for the treatment of inguinal lymphadenitis in women in most cases is favorable. Timely diagnosis and compliance with all medical recommendations contribute to a full recovery. If the situation is ignored, then the cause provoking it will begin to develop, leading to more serious and already life-threatening problems.

Women are able to reduce the risk of developing lymphadenitis in them, for this it is important to follow the doctor's recommendations.

Basic Prevention Measures

The main function in the human body is to protect against infections. Normally, they shouldn't bother us. If reddening of the skin, enlargement, induration in the area of ​​the lymph node were noticed, you should immediately consult a doctor. Perhaps the whole point is a banal SARS or hypothermia of the legs, but there may be more serious problems, for example, a venereal disease. Increased in men causes a lot of discomfort. We will talk about the causes and consequences of this process in the article.

Understanding the problem

Many are interested in: "Why do the lymph nodes in the groin in men become inflamed?". The reasons may be the following:

1. venereal diseases
2. HIV infection
3. Early stage of tuberculosis
4. Infection in the lower extremities
5. kidney problems
6. Neoplasms
7. Reaction to certain medications
8. Problems with the pelvic organs
9. Furunculosis.

Also, do not forget that the lymph node in the groin can increase due to a common cold, allergic reactions. Remember if there was a possible injury, this is the reason. Also, slight increases can be due to inguinal hernias and the use of narcotic substances.

We study the symptoms

How to understand that the lymph node in the groin is enlarged in men? First of all, the following symptoms will be present:

Pain sensations. At first, they may be insignificant, but with the development of lymphadenitis, the pain develops into a constant, acute one.

Redness. The area of ​​skin may become crimson in color.

The lymph node increases, takes the form of a ball, the bulge is visible to the naked eye even without palpation.

Increased body temperature, chills, weakness.

If you do not see a doctor in time, these symptoms will only increase. in the groin in men, as a rule, indicates that an infection has entered the blood, with which the body is actively fighting. In order to prevent the development of the acute phase of lymphadenitis, one should not self-medicate, otherwise surgical intervention may be required.

There are methods that cannot be used:

Warm up the inflamed lymph node. This can lead to an increase in the amount of pus, sepsis.

Squeeze out the bump.

Open the seal yourself.

These actions will only aggravate the course of the disease.

Go to the doctor

If the lymph node in the groin is enlarged, men experience unpleasant pain in this area when walking. First you need to see a therapist. After that, the doctor will refer you to a highly specialized specialist, a surgeon. He, in turn, will conduct an initial examination, palpate the desired area and, based on the data obtained, prescribe a series of tests to determine the treatment. In any case, you have to do:

General blood analysis. Thanks to him, it will be possible to find out the cause of the enlargement of the lymph nodes. Particular attention should be paid to erythrocytes and leukocytes.

Ultrasound of the lymph nodes, in some hospitals they offer to do an x-ray. But still it is better to stop at the first option.

If the case is neglected or metastases are suspected, an MRI is suggested.

To make sure that there is no cancer, the doctor may suggest a biopsy and send it for a histological examination, which will show if there are cancer cells in this piece of tissue.

After all tests are completed, the doctor will choose a treatment method.

Types of lymphadenitis

With the appearance of pain in the lymph nodes in the groin in men, doctors diagnose "lymphadenitis". Classify it as follows. According to the nature of the course of the disease, it is divided into:

Spicy. The disease manifests itself abruptly.

Chronic. Due to untimely treatment to the doctor, it develops into a chronic form. Subsequently, any ARVI causes inflammation of the node.

Recurrent. After treatment, the disease returns again.

According to its etiology, it can be:

Nonspecific. Appears as a result of damage to the skin and the penetration of infections through them.

specific. It is observed as a result of damage to the body by tuberculosis, syphilis, HIV and other diseases.

Serous. Occurs as a result of neoplasms or metastases.

Purulent. One of the fastest flowing, can lead to sepsis.

Vaccination. The body's response to vaccination. Very often it is a complication of the BCG vaccine.

In any case, with an increase in the lymph node in the groin, it is necessary to seek the advice of a specialist.

Choosing a treatment method

Treatment of lymphadenitis can be chosen by a doctor. It is of two types: radical and conservative. In the second case, antibiotics, local anesthetics, ointments are used that do an excellent job with suppuration. Well helps electrophoresis, the use of ultrasound. In addition, medications can be prescribed that help increase the protective functions of the body. Also attributed to the diet, health-improving gymnastics, which does not load the muscles of the lower extremities.

Radical measures include surgery. In the event that lymphadenitis is detected in an advanced stage, sepsis and necrosis of surrounding tissues may begin. To prevent this, a lymph node is opened under local anesthesia, pus and other fluid are pumped out, antibiotics are injected into the wound. After that, rest and bed rest are attributed.

If lymphodenitis is chronic, doctors often resort to removing the inflamed lymph node. But this is a radical measure, and is not supported by every surgeon.

At the initial stage of the disease, folk remedies, for example, dandelion juice, help well. To do this, the stems of the plant must be washed well with water, poured over with boiling water, finely chopped, extract the juice and apply with gauze to the inflamed knot. Leave the compress on for 2 hours. Do the procedure 2 times a day.

Peppermint leaves are helpful. They need to make incisions so that they let the juice flow, and also attach to the sore spot.

You can use traditional methods of treatment only after consulting a doctor. It is important not to start the course of the disease, so as not to resort to surgical procedures.



How to distinguish lymphadenitis from a neoplasm?

The photos of which are presented below were formed as a result of lymphadenitis (the body's reaction to the presence of an infection in the blood). An experienced doctor can immediately conclude that this is not an oncological disease. With lymphadenitis, the diameter of the seal will be no more than 2 centimeters. It is important that they are well palpable, not soldered to the skin, loose. When touched, they cause pain. A more accurate picture will give an ultrasound of the lymph nodes.

If there is a tumor lesion, the seal will be solid, the ball does not move during palpation, it is firmly soldered to the skin.



We carry out prevention

Inflamed lymph nodes, the photo of which is presented in the article, deliver a lot of unpleasant pain to the patient. They need to be treated immediately. Are there any preventive measures that can prevent such a disease? First of all you need:

Treat wounds if they occur to prevent infection from entering through them.

Avoid injuries in the groin area.

Treat colds.

Strengthen immunity.

Eat properly.

Those people who have been ill with lymphadenitis should adhere to a certain diet. It is better to exclude fatty meat, spicy, salty foods, whole milk from the diet.

Could there be consequences?

An inflamed lymph node in the groin in men may indicate the onset of a serious illness. Therefore, you must immediately consult a doctor for help. Delay can cause a number of complications:

• tissue necrosis.

  Encephalitis.

These complications occur only in extremely advanced cases, but there is still a risk of their development.

Summing up

In the groin in men - up to 10 mm in diameter. In all other cases, they are considered enlarged, which indicates the presence of an infection in the body. Beginning lymphadenitis is impossible not to notice. The affected is enlarged, the skin has a reddish tint. Perhaps the reason lies in wet legs, or a wound that is on the lower extremities. But the cause of this disease can only be determined by a doctor based on the results of tests and ultrasound.

Inflammation of the lymph nodes in the groin in men indicates that there is some kind of infection in the body that should definitely be treated. When the first signs of the disease appear, you should contact the clinic. Perhaps the reason is a weakened immune system, but there may be more serious factors that contributed to the development of lymphadenitis.

Pain in the groin can be caused by various diseases of the gastrointestinal tract ( e.g. appendicitis, colon cancer), sexual ( e.g. salpingoophoritis, cervicitis) and urinary ( e.g. cystitis, bladder cancer) organs.

Sudden and severe pain in the groin can be a symptom of a serious illness that requires timely medical attention.

Anatomy of the inguinal region in women

Taz

The pelvic bones are connected in front by the pubic articulation.

The pelvic bone up to twenty years consists of three separate bones connected by cartilage:

• iliac;
• pubic;
• ischial.

There are large and small pelvis:

• large pelvis formed by the wings of the ilium, and is also a support for the internal organs of the abdominal cavity;
• small pelvis formed by the sacral and coccygeal pelvic surfaces, as well as the ischial and pubic bones.

• bladder;
• urethra;
• rectum;
• uterus;
• vagina.

Bladder

The bladder is located in front of the pubis, behind it the woman has the uterus and vagina.

The urinary bladder is divided into the following parts:

• bottom (lower extended part);
• body (middle part);
• tip (upper part adjacent to the lower anterior wall of the abdomen).

• muscle layer, consisting of three layers of muscle fibers, during the reduction of which urine is expelled from the bladder;
• mucous layer, which forms folds that allow the bladder to stretch when it is filled;
• serous layer covering the bladder from above and behind.

Urethra

In women, this organ, unlike men, is wider and serves only to excrete urine ( in men also for the passage of the seed). Due to the fact that the urethra in women is wider and shorter, this increases the risk of penetration into the canal of pathogenic agents that can cause an infectious and inflammatory process ( e.g. urethritis, cystitis).

The wall of the urethra consists of the following layers:

• outer connecting layer;
• muscle layer;
• slime layer.

Rectum

The rectum is a section of the large intestine. It originates after the sigmoid colon and ends at the anus. Its average length is thirteen to fifteen centimeters. In women, the uterus and the posterior wall of the vagina are in front of the intestine, and the sacrum and tailbone are behind.

The functions of the rectum are the formation and accumulation of feces.

The rectum is divided into two parts:

• wide- ampoule;
• narrow- anal.

The wall of the rectum consists of:

• mucous membrane, forming folds;
• muscle layer, including a longitudinal and circular layer;
• serous membrane covering the rectum from the outside.

ovaries

There are two ends in the ovaries:

• upper end adjacent to the fallopian tube - tubal end;
• lower end connects to the uterus with its own ligament - the uterine end.

• rear free edge looks back;
• anterior mesenteric border is attached to the broad ligament by the mesentery.

It should be noted that in place of the bursting follicle in the ovary, a corpus luteum is formed, which produces the hormone progesterone. If a woman has fertilized, then this hormone helps prepare the whole body for pregnancy. If conception did not occur, then the corpus luteum resolves, and the process of maturation of a new follicle begins anew in the ovary.

Based on this, the ovarian cycle has three phases:

• follicular phase at which the follicle develops production of the hormone estrogen);
• ovulatory phase at which ovulation occurs;
• luteal phase characterized by the formation and development of the corpus luteum ( production of the hormone progesterone).

The fallopian tubes

The fallopian tube consists of the following parts:

• interstitial part (located in the wall of the uterus);
• isthmic part (narrow part of the pipe);
• ampullary part (wide part of the pipe).

The wall of the fallopian tube consists of mucous, muscular and serous layers.

Uterus

The uterus is divided into the following parts:

• body;
• neck.

In the uterus, the development of the fetus takes place, and during childbirth, it participates in its expulsion. Also, the uterus performs the menstrual function, during which the rejection of its mucous membrane occurs.

The wall of the uterus has the following layers:

• slimy- endometrium ( has functional and basal layers, during menstruation the functional layer is rejected);
• muscular- myometrium ( consists of three layers of smooth muscle fibers);
• serous– perimetry ( covers the uterus).

The uterine cycle consists of four phases:

• Regeneration. The menstrual cycle in a woman ends with the rejection of the functional layer of the endometrium and its release to the outside in the form of spotting. Starting from the second day of menstruation, the regeneration phase begins in the uterus, that is, the restoration of the mucous layer.
• Proliferation. With a twenty-eight day menstrual cycle, between the fifth and fourteenth day of the cycle, under the influence of the hormone estrogen, the growth and thickening of the mucous layer of the endometrium occurs.
• Secretion. Between the fifteenth and twenty-seventh day of the menstrual cycle, under the influence of the hormone progesterone, the growth of the functional layer of the endometrium continues.
• Rejection. This period is characterized by rejection of the functional layer of the endometrium, if fertilization has not occurred.

Vagina

The wall of the vagina consists of a mucous and muscular layer, as well as dense connective tissue that covers the organ from the outside. The mucous membrane normally has a light pink color and numerous folds. These folds stretch during intercourse and during childbirth.

At the top of the vagina is a domed depression called the fornix.

The vagina also performs a protective function, as it protects the internal genital organs from external conditions. In this, he is actively helped by opportunistic microorganisms that normally live inside the organ. The vaginal microflora is mostly formed by lactic acid bacteria - Doderlein sticks. By producing lactic acid, they provoke the development of an acid reaction, which creates a reliable barrier for the entry and development of pathogenic microorganisms inside the organ.

In women, vaginal discharge is normal. These secretions consist of cervical mucus, vaginal secretions secreted by glands, and dead epithelial cells. Allocations are necessary for the body to moisturize its mucosa and prevent drying out. Normally, a woman's vaginal discharge is mucous in nature, milky in color and does not have a sharp unpleasant odor. A change in these indicators may indicate the development of an infectious-inflammatory process in the vagina or other internal genital organs.

What structures can become inflamed in the groin in women?

• bladder;
• urethra;
• rectum;
• uterine appendages ( fallopian tubes, ovaries and uterine ligaments);
• uterus;
• vagina;
• nerves ( sciatic nerve, lumbar plexus nerves);
• The lymph nodes.

Causes of pain in the groin in women

• diseases of the urinary system;
• diseases of the reproductive system;
• diseases of the digestive system;
• diseases of the musculoskeletal system;
• diseases of the lymphatic system;
• diseases of the nervous system.

Diseases of the urinary system

Torsion of the cyst pedicle, as well as an increase in the size of the cyst ( leads to compression of adjacent organs and tissues) leads to the development in a woman of such signs as severe pain in the lumbar region, a feeling of heaviness in the groin, general malaise and nausea.

There are the following types of endometriosis:

• genital when the genitals are affected occurs in 95% of cases);
• extragenital when other organs are affected occurs in 5% of cases).

There are the following forms of myomatous nodes:

• subperitoneal;
• intermuscular;
• submucosal.

Characteristic symptoms of uterine fibroids are menstrual irregularities, especially prolonged, heavy and painful menstruation. Pain ( localized in the lower abdomen, in the groin area) not associated with menstruation may have a different origin. This may be due to the growth of the myomatous node and the stretching of the peritoneum or the pressure of the fibroids on the nerve plexuses in the pelvis. In rare cases, pain can be caused by necrotic changes in the node.

There are the following forms of pelvioperitonitis:

• serous-fibrous form, in which the adhesive process develops, which helps to limit inflammation;
• purulent form, in which there is an accumulation of purulent contents in the retrouterine cavity.

Distinguish:

• exocervicitis (the vaginal part of the cervix is ​​affected);
• endocervicitis (the mucous membrane of the cervical canal is affected).

Microbes can enter the appendages in the following ways:

• ascending way, from the underlying organs ( vagina, uterus);
• downstream, from nearby organs ( e.g. appendix, sigmoid or rectum);
• by hematogenous route (entry through the blood).

• pain in the lower abdomen, groin and lower back;
• increase in body temperature;
• dysuric disorders ( increased or decreased number of urination, pain and cramps when urinating);
• nausea, vomiting;
• tension and soreness of the anterior wall of the abdomen;
• on palpation, there is an increase in size and pain in the appendages.

In the chronic form of the disease, the symptoms subside and the woman has only periodic aching pains in the lower abdomen and groin.

Predisposing factors for the development of colpitis are:

• hormonal disorders;
• violation of the integrity of the mucous layer of the vagina;
• inflammatory diseases of the uterus and appendages;
• decreased immunity;
• violation of personal hygiene;
• allergic to contraceptives spermicides, condoms) and cosmetics;
• long-term use of antibacterial drugs.

• menstrual disorders ( amenorrhea);
• pathological bleeding;
• painful menstruation severe pain in the lower abdomen and groin);
• infertility.

Distinguish:

• omission and prolapse in nulliparous women;
• omission and prolapse in women giving birth;
• prolapse and prolapse in older women.

Depending on the site of attachment, an ectopic pregnancy can be:

• pipe (in the lumen of the fallopian tube);
• ovarian (in the follicle or on the surface of the ovary);
• abdominal (e.g. omentum, uterine ligament).

Normally, fertilization of the egg occurs in the ampullar part of the fallopian tube, after which, due to the peristaltic movements of the tubes and the presence of cilia of the ciliated epithelium, the egg moves to the uterine cavity. However, due to various factors, such as hormonal disorders, inflammatory diseases of the fallopian tubes, transport of the egg can be impaired, and the woman will develop an ectopic pregnancy.

Termination of a tubal pregnancy can be carried out as a rupture of the tube or tubal abortion ( more common). In most cases, tubal pregnancy is terminated at five to six weeks.

When a fallopian tube ruptures, a woman experiences the following symptoms:

• sudden severe pain in the lower abdomen and groin, extending into the rectum;
• cold sweat;
• pallor of the skin;
• decrease in blood pressure and increased heart rate;
• bloody issues.

Algomenorrhea can be:

• primary, in most cases observed in nulliparous women and appears with the onset of menstruation;
• secondary, which is associated with the presence of diseases of the genital organs, causing pain during menstruation.

Also, with algomenorrhea, a woman has the following symptoms:

• weakness;
• sleep disturbance ( drowsiness or insomnia);
• headache and dizziness;
• nausea and vomiting;

Diseases of the digestive system

Blockage of the appendix leads to the growth and reproduction of pathogenic microorganisms, which subsequently leads to inflammation of the appendix. This disease can also develop due to vasculitis ( inflammation of the mucosal layer) and some infectious diseases ( e.g. typhoid fever).

Also, a patient with appendicitis may experience the following symptoms:

• nausea and vomiting;
• increase in body temperature;
• stool disorder.

Depending on the predominant symptom, three forms of the course of the disease are distinguished:

• the main symptom is abdominal pain and bloating;
• the main symptom is diarrhea;
• the main symptom is constipation.

The reasons for the development of sigmoiditis can be:

• intestinal dysbacteriosis;
• infectious diseases ( e.g. dysentery);
• circulatory disorders in the intestines ( such as atherosclerosis);
• Crohn's disease and ulcerative colitis.

• catarrhal (superficial bowel injury);
• erosive (characterized by ulceration);
• ulcerative (formation of deeper ulcers);
• perisigmoiditis (damage to the deep layers of the intestine).

With sigmoiditis, there is a change in the general condition of the patient:

• increase in body temperature ( if sigmoiditis is caused by an infectious disease);
• loss of appetite;
• weight loss;
• sleep disturbance;
• decrease in working capacity;
• signs of body dehydration due to frequent diarrhea ( dry skin, dark circles under the eyes, decreased skin elasticity).

There are three groups of causes that lead to the development of chronic constipation:

• primary causes associated with anomalies in the development and innervation of the colon;
• secondary causes in which chronic constipation develops due to existing diseases, exposure to certain medications, injuries;
• idiopathic causes characterized by impaired intestinal motility.

• food(food related);
• mechanical (associated with the presence of neoplasms in the intestine);
• dyskinetic (associated with functional bowel dysfunction).

• pronounced straining when emptying the intestines;
• less than three bowel movements per week;
• hard stool;
• feeling of incomplete bowel movement;
• feeling of spasm in the anus.

In addition, there are:

• bloating;
• loss of appetite;
• sleep change ( daytime sleepiness, nocturnal insomnia);
• dryness of the skin and a decrease in their elasticity.

Among the predisposing factors are:

• hereditary predisposition;
• inadequate nutrition ( for example, the predominance of animal proteins in the diet);
• bowel disease ( e.g. polyps, Crohn's disease).

Later, as the disease progresses, the following symptoms appear:

• the presence in the feces of impurities of mucus, pus, blood;
• unreasonable weight loss;
• pain in the left iliac region and groin ( in sigmoid colon cancer);
• pain in the perineum, sacral, coccygeal and lumbar region ( with rectal cancer);
• stool disorder constipation);
• feeling of incomplete emptying of the bowels.

Diseases of the musculoskeletal system

Among the diseases of the musculoskeletal system that can lead to the development of pain in the groin, inguinal hernia should be distinguished.

An inguinal hernia is characterized by the formation of a hernial protrusion in the region of the inguinal triangle. In this area in the abdominal wall there is a defect - the inguinal gap. The round ligament of the uterus passes through this canal in women. As a result of a sharp increase in intra-abdominal pressure and weakness of the anterior wall of the aponeurotic canal, a protrusion of the parenteral peritoneum, a hernial sac, where the contents of the abdominal cavity will exit, is formed.

In hernias distinguish:

• hernial ring;
• hernial sac;
• membranes of the hernial sac;
• contents of the hernial sac.

A complicated hernia is characterized by its infringement, while the woman will experience:

• acute onset;
• severe increasing pain in the groin area;
• compaction and soreness of the hernial protrusion;
• stool retention;
• nausea and vomiting;
• deterioration in general condition.

Diseases of the lymphatic system

The main disease of the lymphatic system that can cause pain in the groin is inguinal lymphadenitis. With this disease, an inflammatory lesion of the inguinal lymph nodes is observed.

Inguinal lymphadenitis can be primary and secondary. Primary develops if the infection enters directly into the inguinal lymph nodes due to impaired integrity of the skin or mucosa. Secondary inguinal lymphadenitis, in turn, develops against the background of another disease ( for example, sexually transmitted diseases, infectious and inflammatory diseases of the genital organs, neoplasms).

With inguinal lymphadenitis, a woman has the following symptoms:

• increase in the size of nodes;
• soreness of the affected nodes;
• discomfort and pain in the groin area ( on the side of defeat) when walking, physical activity;
• hyperemia ( redness) and swelling of the tissue in the affected area;
• increase in local and general temperature;
• general malaise ( e.g. weakness, loss of appetite, sleep disturbance).

Diseases of the nervous system

The central nervous system consists of the spinal cord and brain. The spinal cord directly controls the trunk and limbs with the help of thirty-one pairs of spinal nerves extending from it. The brain, through twelve pairs of cranial nerves, controls the tissues and organs of the head.

The peripheral nervous system provides two-way connections of the central nervous system with tissues and organs.

Among diseases of the nervous system, pain in the groin occurs when the lumbar plexus is affected. The lumbar plexus includes nerves that innervate the lower abdomen, pelvic girdle, and lower limbs.

Damage to the nerves of the lumbar plexus can occur due to the following reasons:

• surgical intervention;
• trauma;
• compression of the nerve by a tumor, uterus during pregnancy, hematoma;
• inflammatory disease.

• iliohypogastric nerve (innervates the rectus abdominis muscle);
• ilioinguinal nerve (innervates the oblique muscles of the lower abdomen);
• genitofemoral nerve (innervates the inner part of the thigh and the skin of the genital organs);
• lateral femoral cutaneous nerve (innervates the skin of the outer thigh);
• obturator nerve (innervates the muscles of the lower extremities);
• femoral nerve (innervates the large and small muscles of the lower back, as well as the muscles of the thigh);
• saphenous nerve (innervates the inner surface of the skin of the knee, lower leg and foot).

• iliohypogastric nerve, while the woman has pain in the lower abdomen and in the region of the inguinal canal;
• ilioinguinal nerve, while there are painful sensations in the groin, extending along the inner surface of the thigh and into the lower back;
• genitofemoral nerve, with the defeat of which the patient complains of pain in the inguinal region, which radiates down the abdomen and into the inner part of the thigh;
• femoral nerve, while the patient has pain in the groin and thigh.

Diagnosis of the causes of pain in the groin in women

• questioning the patient;
• objective examination;
• laboratory research;
• instrumental research.

Interrogation of the patient

When interviewing a patient, the doctor receives the following information:

• passport data (name and surname, age, living and working conditions, profession, marital status are specified);
• complaints (what clinical signs prompted the woman to seek medical help);
• heredity(it is revealed what the next of kin were sick with);
• past illnesses (asked about previous diseases, the time of occurrence, the form of the course, whether any treatment was carried out);
• systems functions (for example, if a woman came with complaints about the reproductive system, menstrual, reproductive, and secretory functions are specified);
• organ functions (asks about the work of individual organs, for example, the intestines, urinary tract);
• history of present illness (the disease with which the woman turned to the doctor for help is being investigated).

• woman's age;
• working and living conditions;
• food;
• menstrual function;
• sexual function;
• reproductive function;
• secretory function;
• urinary system;
• bowel functions.

During the survey, the following data is revealed:

• localization of pain right, left, both sides);
• the nature of the pain aching, pulling, cramping, pressing);
• pain intensity ( strong, moderate, weak);
• irradiation ( reflection) pain ( e.g. rectum, sacrum, lower back, perineum).

Objective examination

Before palpation, the doctor first examines the area being examined.

When examining a patient, the doctor notes:

• the presence of rashes;
• color of the skin ( redness, blueness);
• the presence of damage to the integrity of the skin and hematomas;
• the presence of hernial protrusions;
• symmetry of the abdomen;
• the presence of bloating.

During the examination of the external genital organs, the doctor determines:

• presence of pathological changes e.g. swelling, redness, presence of tumors, ulceration);
• shape and type of perineum ( are there gaps);
• walls of the vagina is there a omission);
• the nature of the vaginal discharge.

A study using mirrors reveals:

• pathological changes in the vagina e.g. ulceration, atrophy);
• precancerous lesions of the cervix e.g. erosion, pseudoerosion, hyperplasia);
• the presence and nature of discharge from the vagina and cervix.

Laboratory research

For pain in the groin, a woman may be assigned the following laboratory tests:

• blood test;
• urogenital smear;
• cytological smear;
• bacteriological research;
• stool test for occult blood.

Instrumental Research

For pain in the groin, a woman can be assigned the following instrumental studies:

• ultrasound procedure ( ultrasound);
• cystography;
• cystoscopy;
• anorectal and colonic manometry;
• sigmoidoscopy;

What to do with pain in the groin in women?

• secondary prevention (implies the prevention of exacerbation of a chronic disease, as well as the exclusion of the progression of the disease);
• actual treatment (pathological process therapy);
• body rehabilitation (body recovery after illness).

• correct diagnosis;
• drawing up an adequate treatment plan;
• evaluation of the results of the treatment.

• drug treatment;
• surgery;
• physiotherapy treatment.

Medical treatment

Medical treatment may be:

• etiotropic in which the treatment is aimed at combating the cause of the disease ( for example, prescribing antibiotics for infectious and inflammatory diseases);
• pathogenetic, in which the treatment is aimed at the mechanism of the development of the disease ( for example, with insufficient production of progesterone by the ovaries, hormone therapy is prescribed);
• symptomatic, in which treatment is aimed at reducing or eliminating the clinical signs of the disease ( for example, for pain in the groin, painkillers are prescribed).

• painkillers ( analgesics);
• antispasmodics;
• antibiotics;
• hormone therapy.

Surgery

Depending on the existing disease, a woman may be prescribed:

• laparoscopy;
• hysteroscopy;
• colonoscopy;
• cystoscopy.

First of all, during laparoscopy, diagnostics are performed, which allows you to identify the cause of the pain in the groin, and also helps to assess the nature and extent of the pathological process. During the procedure, the pelvic organs, peritoneum and ligamentous apparatus are examined. In the future, the procedure allows you to proceed to treatment and, if possible, eliminate the discovered cause.

With the help of laparoscopy, it is possible to perform the following medical manipulations:

• remove adhesions;
• restore the patency of the fallopian tubes;
• remove the fetal egg during intrauterine pregnancy;
• remove benign and malignant neoplasms of the uterus and ovaries;
• eliminate foci of endometriosis;
• do tubal ligation;
• remove the ovaries, fallopian tubes and uterus;
• correct abnormalities in the structure of the uterus ( for example, with a bicornuate uterus).

With hysteroscopy, it is possible to perform the following medical manipulations:

• cut adhesions;
• remove submucosal uterine fibroids;
• remove polyps;
• dissect the uterine septa;
• perform scraping of the mucosa with hyperplasia ( excessive thickening of the lining of the uterus);
• stop the bleeding;
• remove the remnants of the intrauterine device.

Colonoscopy
Minimally invasive ( less traumatic) surgical treatment performed using special endoscopic equipment. Thanks to colonoscopy, it is possible to examine the mucosa of the large intestine and perform some medical manipulations.

During a colonoscopy, you can:

• remove polyps;
• remove foreign bodies;
• stop intestinal bleeding for example, coagulate the site of bleeding or administer hemostatic drugs);
• remove the tumor at an early stage.

It should be noted that before a colonoscopy, a woman is prescribed special preparation, which includes dieting and taking laxatives. Three days before the study, all foods rich in fiber should be excluded ( e.g. fresh vegetables and fruits, legumes, black bread, mushrooms). During this period, it is recommended to eat boiled meat and fish, white bread, broths. The day before the procedure, the woman is prescribed to take laxatives ( e.g. fortrans, duphalac).

Cystoscopy
An endoscopic method of surgical treatment, characterized by the introduction of an optical device into the bladder, with the help of which it is possible to perform some therapeutic manipulations.

With the help of cystoscopy it is possible:

• to eliminate blockage of the bladder with a calculus in case of urolithiasis;
• crush and remove stones from the bladder;
• stop the bleeding ( for example, with a bleeding polyp);
• remove benign and malignant at an early stage) education;
• eliminate the stricture constriction) urethra.

It should be noted that after cystoscopy, a woman may experience pain and burning during urination for several days.

Physiotherapy treatment

Despite the fact that physiotherapeutic methods of treatment are safe, do not cause allergic and side effects, their appointment and use should be carried out under the strict supervision of a physiotherapist.

Physiotherapy treatment is determined taking into account:

• woman's age;
• existing disease;
• the severity of the course of the disease;
• the general health of the patient.

• UHF (electromagnetic fields of ultrahigh frequency are used);
• inductothermy (impact on the body with a high-frequency magnetic field);
• magnetotherapy (effect on the body of a magnetic field).

• inflammatory diseases of the urinary tract ( e.g. urethritis, cystitis, pyelonephritis);
• inflammatory diseases of the genital organs ( e.g. salpingoophoritis, endometritis, cervicitis, colpitis);
• menstrual disorders ( e.g. algomenorrhea);
• inflammatory diseases of the digestive system ( e.g. colitis);
• postoperative wounds;
• injuries.

When exposed to the body, these methods of physiotherapy have the following therapeutic effects:

• produce an anti-inflammatory effect;
• improve the process of tissue healing;
• have an analgesic effect;
• stop the growth and development of bacteria;
• improve metabolic processes;
• improve local blood circulation.

Features of groin pain in women

Why do pulling pains in the groin occur in women?

• ovarian cyst;
• cervicitis;
• genital prolapse.

There are the following types of cysts:

• follicular cyst
• corpus luteum cyst;
• endometrioid cyst;
• dermoid cyst;
• cystadenomas.

cervicitis
It is characterized by inflammation of the mucous layer of the cervix. With the defeat of the vaginal segment of the cervix, it is customary to talk about exocervicitis, and with inflammation of the cervical canal - about endocervicitis.

With cervicitis, a woman has the following symptoms:

• pulling or dull pain in the lower abdomen and groin;
• cloudy mucopurulent discharge;
• pain during intercourse;
• contact spotting;
• dysuric phenomena.

genital prolapse
It is characterized by prolapse or prolapse of the genitals. It can be observed in nulliparous women, women who have given birth, and the elderly. The main reason for the development of genital prolapse is a decrease in the tone of the ligamentous apparatus.

There are five degrees of prolapse of the internal genital organs:

• first degree characterized by a partial weakening of the pelvic muscles ( there is a slight prolapse of the walls of the vagina);
• second degree characterized by pronounced weakening of the pelvic muscles ( there is a prolapse of the walls of the vagina, bladder and anterior wall of the rectum);
• third degree characterized by prolapse of the uterus, while the cervix is ​​at the entrance to the vagina;
• fourth degree characterized by the protrusion of the cervix beyond the boundaries of the entrance to the vagina ( incomplete uterine prolapse);
• fifth degree characterized by prolapse of the uterus with eversion of the walls of the vagina.

Why do aching pains in the groin occur in women?

• Colon cancer. A disease in which there is a growth of a malignant tumor from the mucous layer of the organ. Most often, the tumor is located in the blind, sigmoid and rectum. This is due to the fact that these departments are characterized by the presence of bends and stagnation of feces. The tumor can grow into the lumen of the colon ( exophytic growth) or into the thickness of the organ wall ( endophytic growth). When a malignant tumor is located in the sigmoid or rectum, the patient experiences aching pain in the left iliac and inguinal region. In addition to pain, the patient has admixtures of blood, mucus and pus in the stool, there is a decrease in body weight, as well as a violation of the stool.
• Adhesions in the pelvic organs. All organs of the small pelvis are covered with peritoneum. If there is an inflammatory process in these organs, the production of a substance called fibrin is observed, which subsequently leads to the formation of connective tissue strands, that is, adhesions, in the pathological focus. The manifestation of the adhesive process will depend on the form of the disease. In the acute form, the patient will experience severe pain, fever, weakness. While in the chronic form of the disease, a woman will experience painful sensations of a aching nature.
• Myoma of the uterus. A benign neoplasm that develops from the muscular tissue of the uterus. The myoma node during its growth goes through three stages of development. At the first stage, a rudiment of growth is observed, at the second - active growth of the tumor, which can only be determined microscopically. The third stage is characterized by tumor growth, which is determined macroscopically. The manifestation of uterine fibroids will depend on factors such as the age of the woman, the duration of the course of the disease, the area where the node is located, as well as the existing pathological processes. Characteristic symptoms in the presence of myomatous nodes are menstrual irregularities ( e.g. profuse, painful), infertility and pain syndrome. Painful sensations are located in the lower abdomen and inguinal region, most often they are aching in nature.
• Salpingoophoritis. A disease characterized by inflammation of the fallopian tubes and ovaries. Primarily, inflammation is localized in the fallopian tubes, then, with the progression of the disease, the ovaries are also involved in the pathological process. In the acute form of the disease, a woman has vivid symptoms ( for example, severe pain in the lower abdomen and groin, fever, dysuric phenomena), however, during the transition to the chronic form, the signs subside and only aching pains in the lower abdomen and groin are noted.
• Cystitis. A disease characterized by inflammation of the mucous layer of the bladder due to the penetration of microbial flora into the organ. In the acute form, cystitis is manifested by urination disorders, pain, and changes in urine. The disease in the chronic form practically does not manifest itself. Women note only the presence of aching pains in the lower abdomen and inguinal region.

What can hurt on the right in the groin in women?

Pain in the groin on the right can cause the following diseases and pathological processes:

• Appendicitis. It is characterized by inflammation of the appendix. The inflammatory process develops as a result of pathogenic flora entering the appendix. The disease begins acutely with pain. Initially, pain sensations are localized in the epigastric region, then after a while they descend to the right iliac region and are given to the lumbar and inguinal region on the right, as well as the leg.
• Inguinal hernia. A disease in which there is a protrusion of the peritoneum in the region of the inguinal ring. A hernia can be complicated or uncomplicated. With an uncomplicated hernia, located in the right inguinal region, a woman will experience protrusion and pain, which will intensify with physical exertion. A complicated hernia is characterized by its infringement. In this case, the patient will have acute pain in the groin on the right, nausea, vomiting, and impaired stool.
• Ovarian cyst. It is characterized by the development in the ovary of a cavity formation filled with liquid contents. The main reason for the development of this disease is considered to be hormonal disorders. When a cyst is formed in the right ovary, a woman experiences pulling pain in the groin on the right. Menstrual irregularities and infertility may also occur.
• Apoplexy of the ovary. A pathological condition in which there is a violation of the integrity of the ovarian tissue, followed by the development of bleeding into the abdominal cavity. Pain in the groin on the right can develop, for example, during ovulation due to rupture of the follicle or hematoma of the corpus luteum. Painful sensations in this case will be acute, give to the rectum and right leg. In most cases, these pains go away on their own after a while.
• Ectopic pregnancy. It is characterized by the development of pregnancy outside the uterine cavity. Ninety-eight to ninety-nine percent of cases develop a tubal pregnancy. Initially, a woman has the same symptoms as in a normal pregnancy. Later, with the development of tubal abortion or rupture of the tube, severe pains appear in the lower abdomen and in the right inguinal region ( if the pregnancy developed in the right fallopian tube). Also, a woman may experience spotting and a violation of the general condition.
• Urolithiasis disease. A disease characterized by the formation of stones in the urinary tract. With the penetration of the calculus into the right ureter, its obstruction is observed, and the woman develops an acute pain attack. Painful sensations spread along the ureter and give to the right inguinal region, perineum, inner thigh and rectum.

What can hurt on the left in the groin in women?

The development of pain in the groin on the left can provoke the following diseases:

• Sigmoiditis. It is characterized by an inflammatory lesion of the mucous layer of the sigmoid colon. A woman with this disease has severe pain in the left iliac region, which radiates ( give away) in the lower back, inguinal region on the left and leg. In addition, there is a violation of the stool, fever, general weakness, loss of appetite and body weight.
• Ovarian cyst. A disease in which the formation of a cavity sac filled with liquid contents is observed. With the development of a cyst in the left ovary, a woman has periodic pulling pains in the lower abdomen and left inguinal region, menstrual irregularities and infertility.
• Apoplexy of the ovary. A pathological condition characterized by hemorrhage into the abdominal cavity due to a violation of the integrity of the ovarian tissues. This can happen, for example, due to rupture of the hematoma of the follicle or corpus luteum. At the same time, in a woman in the case of apoplexy of the left ovary, a sharp, pronounced pain occurs in the lower abdomen and groin on the left.
• Ectopic pregnancy. Pregnancy that develops outside the uterine cavity. In most cases, tubal pregnancy develops. Initially, the same changes are observed in the body of a woman as during uterine pregnancy. If an ectopic pregnancy has not been detected in a timely manner, then there is a risk of a rupture of the tube or the development of a tubal abortion. In this case, the woman will have sudden pronounced pains on the side of the lesion, that is, if the pregnancy has developed in the left fallopian tube, then pain will be observed in the lower abdomen and inguinal region on the left.
• Urolithiasis disease. A disease in which there is the formation of stones in the urinary tract. Pain in the groin on the left with urolithiasis can cause a stone to enter the left ureter, which will lead to its obstruction and the development of renal colic. In this case, the woman will develop a pronounced pain syndrome, which will be observed in the left iliac and inguinal region.

Why do pains occur in the lower abdomen and give to the groin in women?

• Appendicitis. With this disease, inflammation of the appendix occurs. Initially, with appendicitis, pain occurs, which is localized in the epigastric region or the navel, and after a few hours descends into the right iliac abdomen ( right lower abdomen). From the lower abdomen, pain is given to the groin, leg and lower back.
• Urolithiasis disease. A disease in which stones form in the kidneys and urinary tract. Urolithiasis is asymptomatic, but if the resulting calculus suddenly blocks the lumen of the organ, this will cause a woman to have an attack of renal colic. So, for example, a stone that has fallen into the lumen of the ureter will lead to its blockage, which will manifest itself in the patient with severe pain, which will initially be localized in the lower back, and then, along the ureter, pass into the lower abdomen and give to the inguinal region, leg and external genitalia.
• Endometritis. A disease characterized by inflammation of the mucous layer of the uterus due to the entry of microbial flora into the organ. Symptoms of endometritis are fever, mucopurulent discharge from the vagina, and pain in the lower abdomen, which can radiate to the groin.
• Parametritis. It is characterized by the formation of an inflammatory process in the periuterine tissue due to the penetration of pathogenic microorganisms into it. The first sign of parametritis is the development in a woman of constant pain in the lower abdomen, radiating ( giving) in the groin, sacrum and lumbar region.
• Sigmoiditis. A disease in which the mucous layer of the sigmoid colon becomes inflamed. With sigmoiditis, the patient has an increase in body temperature, a violation of the stool, a violation of the general condition, as well as severe pain in the left iliac region, which is given to the lumbar and inguinal regions.

Why do inguinal lymph nodes hurt in women?

Inguinal lymphadenitis can be:

• primary, in which there is an initial lesion of the lymph nodes;
• secondary when it develops as a result of the primary inflammatory process.

• infectious and inflammatory diseases of the genital organs;
• malignant formations of the genital organs;
• groin injury.

• an increase in the size and compaction of the lymph nodes;
• hyperemia ( redness) and swelling of the skin in the affected area;
• pain in the lower abdomen and groin, aggravated by physical exertion;
• increase in body temperature;
• deterioration in general condition.

• serous lymphadenitis;
• purulent lymphadenitis.

Why does a woman get pain in her groin when urinating?

Pain in the groin during urination is observed in the following diseases:

• cystitis;
• bladder cancer;
• urethritis;
• cancer of the urethra;
• colpitis.

Cystitis can be primary and secondary. Primary cystitis develops due to the direct entry of microbial flora into the bladder. In women, in most cases it develops due to the anatomical features of the urethra. Compared to the male urethra, the female urethra is much shorter and wider. This feature facilitates the penetration of infectious agents by ascending into the bladder. Secondary cystitis, in turn, develops against the background of another disease. For example, urolithiasis, as well as benign or malignant neoplasms can lead to stagnation of urine in the bladder, which will create favorable conditions for the development of the inflammatory process.

In acute cystitis, a woman experiences increased urination, pain, cramps and burning during urination. During the period of menstruation, the manifestation of these signs is aggravated, and after its completion, the phenomena subside somewhat.

It should be noted that the pain intensifies at the end of urination. In this case, irradiation is observed ( reflection) pain in the groin, vagina and external genitalia. Urine with cystitis is cloudy, an admixture of blood can also be observed.

bladder cancer
A malignant tumor that grows from the cells of the mucous layer of the bladder. The exact cause of the development of this disease has not been identified to date. However, it is believed that the predisposing factors for its development are chronic cystitis, smoking, a malignant tumor in nearby organs, as well as regular contact with pesticides.

The main symptoms of bladder cancer are:

• the presence of blood in the urine;
• painful urination;
• pain in the pubic and groin areas.

With urethritis, a woman may experience the following clinical signs:

• pain, cramps and burning during urination;
• increased number of urination;
• mucopurulent discharge from the urethra;
• feeling of heaviness in the groin;
• increase in body temperature.

However, factors that increase the risk of developing this disease are known:

• hereditary factor;
• chronic urethritis;
• frequent injuries of the urethra (for example, during catheterization);
• malignant formations of the bladder;
• chronic infectious diseases of the genital organs.

Colpitis
A disease in which inflammation of the mucous layer of the vagina is observed due to the penetration of microbial flora into the organ. The inflammatory process can be localized focally or diffusely, involving nearby organs, for example, the vaginal part of the cervix. (cervicitis) or vulva (vulvovaginitis).

With colpitis, a woman may experience the following clinical signs:

• serous-purulent discharge from the vagina;
• burning sensation and itching in the vagina and in the vulva;
• pain and burning sensation during urination;
• pain in the lower abdomen and groin, which may increase during urination.

Why do women experience pain in the groin and lower back?

• salpingoophoritis;
• parametritis;
• cervicitis;
• genital prolapse;
• urolithiasis disease.

Why do pain in the groin and leg occur?

• Appendicitis. A disease in which inflammation of the appendix occurs due to the penetration of pathogenic flora into it. Appendicitis can be acute or chronic. In the acute form, there is a sudden onset of severe pain, which is initially localized in the epigastric or umbilical region, and after a few hours descends into the right iliac region. Painful sensations in this case can radiate ( give away) in the right inguinal region, leg and lower back. Chronic appendicitis, in turn, is extremely rare and its development is observed as a result of acute appendicitis with subsequent degenerative changes in the appendix.
• Inguinal hernia. It is characterized by the formation of a hernial protrusion through the inguinal ring. The causes of the development of the disease are severe weight loss, non-closure of the vaginal process of the peritoneum, obesity and old age. A hernia can be strangulated and uninjured. With an uninjured inguinal hernia, a woman, as a rule, is not bothered by any symptoms other than a visual protrusion and a feeling of discomfort in the inguinal region. With a strangulated hernia, it is pinched, which is manifested by the appearance of acute pain in the patient's groin, radiating ( giving) in leg. Nausea, vomiting, deterioration in general condition and stool retention are also noted.
• Damage to the lumbar plexus. A pathological condition characterized by damage to the lumbar plexus. The nerves included in this plexus innervate the lower abdomen, pelvic girdle and lower limbs. The causes of damage to the nerve plexus are injuries, surgical interventions, infectious and inflammatory diseases, as well as hematoma and tumor. (compressed nerves). Pain in the groin and leg is observed with damage to the ilioinguinal, femoral-genital, and femoral nerve.
• Apoplexy of the ovary. A disease in which there is a violation of the tissues of the ovary with the subsequent development of bleeding into the abdominal cavity. In most cases, this disease develops due to rupture of the hematoma of the corpus luteum or follicle. In a woman, this pathological condition is manifested by a sharp sudden pain in the lower abdomen and groin, which will radiate to the leg and rectum. The duration and severity of the course of the process will depend on the cause of the disease.

Why do groin pains occur during pregnancy?

It is known that during pregnancy a woman experiences an active increase in the size of the uterus due to the growth and development of the fetus in it. The uterus, becoming heavy in later pregnancy, can cause sprains, thereby provoking the development of pain in the lower abdomen and inguinal region.

Another physiological cause leading to the development of groin pain is constipation. During pregnancy, hormonal changes in the body, in particular an increase in the hormone progesterone, leads to a decrease in intestinal motility, which causes constipation in a woman. With constipation, a woman has a feeling of discomfort or pain in the lower abdomen on the left, groin and rectum. Also, a pregnant woman has flatulence, sleep disturbance and decreased appetite.

Pain in the groin during pregnancy may be due to the following diseases:

• Symphysite. A disease that develops during pregnancy and is characterized by inflammatory changes in the pubic joint. With symphysitis, a woman has a divergence of the pubic symphysis. The exact cause of the development of this disease has not been established to date. However, it is believed that a large role in its development is played by a lack of calcium in the body of a pregnant woman. Symptoms of the disease are pain in the pubic and inguinal region, aggravated by movement and hip extension. It becomes difficult for a pregnant woman to climb stairs, lameness and pain in the lower back appear.
• Infectious and inflammatory diseases. The presence of infectious and inflammatory diseases of the genitourinary organs during pregnancy leads to the development of pain in the groin. So, for example, this symptom can be observed with colpitis, cervicitis, cystitis.
• Ectopic pregnancy. Pregnancy that develops outside the uterine cavity. In most cases, tubal pregnancy occurs, in which the growth and development of the fetus in the fallopian tube is observed. Initially, an ectopic pregnancy proceeds in the same way as a uterine pregnancy. However, if it was not diagnosed in time, the pregnancy is terminated in the form of a tubal abortion or rupture of the fallopian tube. At the same time, a woman has severe pains in the lower abdomen and inguinal region, on the side of the lesion, extending into the rectum. There are also spotting, weakness, pallor of the skin.

Pain in the ovaries - causes, symptoms and what to do?

Inflammation of the lymph nodes in the groin is an extremely unpleasant, painful and dangerous phenomenon. When treatment is started on time, the process can be stopped at an early stage without fear of relapses and complications.

What is lymphadenitis in the groin

Lymph nodes act as purifiers, releasing the lymph from infections and toxic elements. In addition, special cells mature in them, which provide the body's immune defense against tumors and viruses.

Inflammation of the lymphatic structures located in the inguinal zone is called inguinal lymphadenitis. This disease occurs in both children and adults, regardless of gender.

It is characterized by hyperactive growth and reproduction of immune cells, which leads to the formation of excess volume of lymphoid tissue, and its inflammation.

Why is this happening

The cause of inflammation of the lymph nodes in the groin is considered to be the action of pathogenic and opportunistic flora, which can, perineum or affected leg tissues, where there are foci of infection.

The main causative agents of the disease include:

• cocci and spirochetes;
• tick-borne encephalitis and human immunodeficiency viruses;
• tuberculosis mycobacteria;
• chlamydia and plague bacillus.

Inflammatory lesions of the nodes rarely appear as an independent pathology. More often it is detected against the background of other health problems, when pathogens are transferred through the body with lymph.

The most important preventive measure is a normal lifestyle and periodic health monitoring. In this case, the risk of problems with the lymph nodes, and not only, will be minimal, and the chances of living a long and happy life will increase.

Quite often, a flu disease or any other is accompanied by an increase in the lymph glands in the neck. Sometimes the disease seems to have passed, and the nodes do not decrease further. This may indicate the development of a serious illness.

The lymphatic system, consisting of lymph nodes and blood vessels, acts as a kind of filter in the human body, it contains immune cells.

With purulent lymphadenitis, the lymph nodes hurt and increase - this is inflammation.

When an infection enters the body, lymphocytes catch it and transmit a signal to the immune system. on the need for activation, stimulating action. Of course, at the same time, the lymph nodes thicken.

When the infection is strong, the lymph node enlarges, an inflammatory process begins in it. If it is properly treated, then by the third day the inflammation can be overcome.

The most common are submandibular and cervical lymphadenitis, less often inguinal (caused by infection through a scratch on the legs or from non-compliance with basic hygiene - a person does not like to wash, and then inflammation of the sex glands of the subgroin area develops).

Angina, inflammation of the gums, a carious tooth, a scratch on the skin, even a runny nose - all these infectious diseases can cause lymphadenitis.

Therefore, after an illness, it is necessary to ask a child or an adult if it does not hurt in the neck, when turning the head, under the jaws and probe these areas to determine if there are painful nodules.

Also, swelling of the lymph nodes is observed with a blood disease (for example, leukemia, lymphogranulomatosis), with cancer.

Thickened lymph nodes can also be found in women who have had their reproductive organs removed. And also - due to the defeat of the herpes simplex virus, cytomegalovirus, AIDS virus, venereal diseases, mononucleosis.

If enlarged lymph nodes are found, it is necessary to have a laboratory examination of the blood, and pay attention to the level of ESR (the rate at which red blood cells settle). If it is very high, for example, more than 30, then this indicates a serious inflammatory process in the body.

Having made more detailed examinations, it is necessary to discard the most terrible diseases.

When it turns out that these are the consequences of a cold, flu or sore throat, you need to carry out antiviral treatment, which is aimed at strengthening the immune system.

Although it often happens that one or two "nodules" are enlarged for a long time. If it is also submandibular, then in this case it does not hurt to contact a dentist to examine the oral cavity, there may be a certain pathology.

As you know, lymph plays one of the most important roles in the metabolic processes of human life. Thanks to the entire lymphatic system of the body, biological filters are formed that prevent foreign elements from entering the bloodstream.

In the inguinal muscles, with the help of lymph nodes, lymph is filtered and neutralized, starting from the limbs of the legs and ending with the genitals.

When the lymph nodes accumulate in this place, they form the largest group among others., which is divided into several important parts:

• The upper accumulation of lymph nodes includes lymph from the abdomen, sides and buttocks.
• The middle cluster has nodes of the perineum, intestines and genitals.
• The lower accumulation of lymph is in the legs.

Why do the lymph nodes in the groin begin to increase

In the normal state, men and women should not feel the accumulation of inflamed lymph nodes in the groin.

However, if they become inflamed or infected, the nodes may gradually increase. If they are not treated, edema may appear over time and serious illnesses may develop.

In the standard the lymph node should not be larger than 1.5 cm, however, during the disease, it can increase even 4 times.

To correctly determine the size and condition of the lymph node, you need to use only ultrasound.

The main causes of inflammation of the lymph nodes are:

• complications after colds (SARS, colds, flu);
• infectious diseases;
• injury in the groin area;
• diseases, which will be discussed below.

The lymph node becomes inflamed as a result of the fact that foreign particles begin to fight with lymphocytes, antibodies and macrophage cells that are produced by the body.

It's important to know! If women experience severe pain in the area of ​​​​inflamed lymph nodes, it is urgent to consult a doctor to diagnose and treat inflammation.

It is worth paying attention to the fact that by increasing the size of the lymph nodes, one can also determine a group of diseases: inflammatory (lymphadenitis) or non-inflammatory (lymphadenopathy).

Inflammatory diseases (lymphadenitis)

Very often, if a lymph node in the groin of a woman is inflamed, the causes are distinguished as follows: infection and infection, bacteria or viruses.

Some of them cause inflammation - lymphadenitis, which can expose a person to tuberculosis, syphilis, and even plague.

Lymphatic tuberculosis in many cases appears in males. This disease is divided into groups of acute and chronic diseases. If you look at the characteristics of inflammation, then they are still serous and purulent.

Symptoms of serous lymphadenitis

If the cause is serous lymphadenitis in the groin in women, then the lymph nodes become inflamed with moderation. Lymph nodes become softer and cease to be soldered to other tissues and lymphs.

At the same time, the inguinal region does not swell and does not turn red. There are also cases of increased body temperature.

When touched, mild pain may occur. Serous lymphadenitis can be cured conservatively, that is, with the help of antibiotics and physiotherapy.

Symptoms of purulent lymphadenitis

In the case of a sharp increase in the lymph nodes in women in the groin, and the nodes begin to become inflamed and ache, swelling begins, then the following reason can be put forward: the occurrence of purulent lymphadenitis.

The diagnosis can only be confirmed by ultrasound.. During acute purulent inflammation, the lymph nodes can be enlarged several times. They begin to swell and blush, severe pain is felt.

What are the causes of inflammation and enlargement of the lymph nodes in the groin in women in this case? This is because lymphocytes with macrophages begin to proliferate, and leukocytes with monocytes migrate. The patient begins to feel worse, his body temperature rises.

Need to remember! If this disease is not treated, then the tissues that surround the lymph nodes will also become inflamed.

In some cases, patients complain to the doctor that their lymph node has burst. In other words, he opened up on his own. Then only surgery can help here.

Chronic lymphadenitis

Lymphadenitis of a chronic nature, regardless of medical procedures, is protracted. Then the lymph nodes do not increase much, they thicken, but do not hurt.

They do not get drunk with those tissues and knots that are not far from them. Subfebrile fever may appear, although the temperature may remain normal.

Non-inflammatory diseases (lymphodenopathy)

With each increase, and if a lymph node in the groin of women suddenly becomes inflamed, the reasons may differ. A different type of inflammation of the lymph implies different sources of appearance.

For example, in this case, tissues are impregnated with those cells that can cause pathologies. Such a disease may occur as a result of leukotic disorders.

Then the lymph nodes have elasticity or density. They may hurt, but not much. Lymphadenitis can occur in both adults and children.

Muscle lymphadenopathy can be caused not only by tissue impregnation of cancer cells. The reasons that the lymph nodes increase can also be tumors in the buttocks and lower back, cancers of the groin in women and other inflammatory processes.

Lymphadenopathy is easy to detect due to a significant increase in lymphatic congestion (it is best to check with an ultrasound). Nodes are soldered to other surrounding elements. They are tight and don't hurt. It is immediately clear that in this case it is necessary to treat the underlying disease.

Worth paying attention! If leukemia occurs, then lymphadenopathy can spread not only to the inguinal, but also to other thickening of the lymph nodes. Hodgkin's disease may also appear, due to which some accumulation begins to gradually grow, which does not hurt when enlarged.

What diseases are enlarged lymph nodes

Children can also be prone to inflammation of the lymph nodes. However, mostly such pain begins in the areas of the neck and jaw.

Lymph nodes begin to increase due to diseases of external tissues, including the skin. For example, when neurodermatitis or psoriasis occurs, the node may become inflamed. It gets bigger up to 5 cm.

With dermatosis, the lymphs are not painful and soldered. Purulent inflammation does not occur, but due to melanin, which comes from damaged tissues, hyperplasia is caused.

Also, the lymphatic congestion becomes inflamed in the groin in people due to diseases that are sexually transmitted. Then it will be painful to urinate, the genitals will hurt. Perhaps the presence of pus, ulcers. The mucous membrane of the genitals may turn red. The body temperature will also rise.

It's important to know! Swollen lymph nodes can be a sign of HIV infection.

In some cases, if the lymph node in the groin is inflamed, in women the reasons may be the following: organs near the small pelvis become inflamed, the appearance of tumors. Then you need to seek help from a gynecologist, use an ultrasound scan and undergo examinations.

Due to inguinal inflammation, complications of wounds with pus and gluteal, leg boils, diseases of the pelvis and hips appear.

As a result of tuberculosis, plague diseases, specific lymphadenopathy may occur.

It is worth considering that with lymphadenopathy, cancers can appear in the legs, buttocks, and pelvis.

Lymphadenopathy: what is accompanied and what causes it

Usually this disease is accompanied by fever. This is usually caused by an infection. For example, rubella or mononucleosis.

Also, the lymph node can become inflamed due to infection with syphilis, toxoplasmosis and disseminated tuberculosis disease. In these cases, it is recommended to conduct an epidemiological survey to study the specifics of the infected tissue.

If a social adenopathy is present (that is, a person becomes infected from other people and animals), then special attention should be paid to rubella, which can lead to inflammation of the lymph nodes.

If mononucleosis is observed (a change in the composition of the blood), then it is better to be wary - toxicosis and HIV infection are possible.

In people with lymphadenopathy, febrile illnesses can drag on, not only the lymph node in the groin, but also the tissues that surround the nodes become inflamed. Viruses of these diseases can be detected using a blood and urine test.

Some diseases of a social nature can cause generalized lymphadenopathy in a specific, acute form.

In the event that unexplained diseases, such as lymphadenopathy and lymphadenitis, are present for more than 2 weeks, it is necessary to urgently call a doctor.

It is categorically not recommended to treat the lymph node itself until the exact cause of the inflammation is clarified.

Lymph nodes in children under 4-5 years old are often enlarged. Because they are part of the immune system and are actively involved in its work (at this age it is developing rapidly).

With sore throat, sore throat and other purulent edema, alcohol compresses should not be applied or the lymph nodes should be warmed with sand or salt.

Such actions are extremely dangerous and will lead to a sharp deterioration in the patient's condition, an increase in the intensity of pain, the appearance of suppuration, which ultimately will require urgent hospitalization.

Chronic lymphadenitis can disturb the patient for a year or even more. and in many cases the person hopes it will go away on its own. But then he suffers not only because of pain in the affected areas, but also because of a feeling of weakness and excessive fatigue, deterioration in performance.

So why suffer so much if you can get rid of the disease.

How to properly treat swollen lymph nodes in the groin area

Before starting treatment of the lymph node, it is necessary to confirm the diagnosis. Of course, this may not be possible without the use of ultrasound in the groin area. It does not hurt to pass other examinations.

Useful composition of Echinacea able to quickly cope with the infection, stop its spread, strengthen the protective functions of the body. In parallel, echinacea is used to treat the underlying disease and its consequences - inflammation of the lymph nodes.

If there are inguinal seals that hurt a lot, an ultrasound examination will indicate the exact cause and focus of inflammation.

Thanks to the examination, the causes of these diseases will be clarified, the exact parameters of the lymph nodes and their distribution will be determined. In some cases, it is necessary to use a lymphatic biopsy.

Inflammation can be treated conservatively or with surgery.

If lymphadenitis appeared due to infections, then it is necessary to carry out a complex initial treatment immediately, but as directed by a doctor.

If acute lymphadenitis is present, - it is important to start using medications and be treated with physiotherapy.

If such a disease has a purulent character then it needs to be treated promptly.

We hope this article answered all your questions. Don't get sick and take care of yourself!

Watch this video to learn about inflammation of the inguinal lymph nodes in women:

This video will explain what an inguinal lymphogranuloma is:

The following video tells about the causes of enlarged lymph nodes: