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Groin pain


Definition:

Groin pain refers to discomfort in the area where the abdomen ends and the legs begin. This article focuses on groin pain in men.

Alternative Names:

Pain - groin; Lower abdominal pain; Genital pain; Perineal pain

Considerations:

In males, the terms "groin" and "testicle" are sometimes used interchangeably. But what causes pain in one won't necessarily cause pain in the other.

Common Causes:

Common causes of groin pain in men include:

Home Care:

Home care depends on the cause. Follow your health care provider's recommendations.

Call your health care provider if:

Call your health care provider if:

  • You have persistent and unexplained groin pain, especially if it is a burning pain
  • You have pain with swelling of the scrotum
  • Pain affects only one testicle for more than 3 hours
  • Physical changes have occurred in the area, such as a testicular growth or change in skin color
  • There is blood in your urine
What to expect at your health care provider's office:

The health care provider will perform a physical exam and ask questions about your medical history and symptoms, such as:

  • Have you had an injury recently?
  • Has there been a change in your activity, especially a recent strain, heavy lifting, or similar activity?
  • When did the groin pain start?
  • Is it increasing?
  • Is it always present?
  • What other symptoms do you have? For example, a groin lump, fever, swollen glands, or blood in the urine.
  • Have you been exposed to any sexually transmitted diseases?

The physical examination will include examination of the groin area. A hidden hernia can be found by inserting one finger into the upper part of the scrotum while you cough. Coughing raises the pressure in the abdomen and pushes your intestine into any hernia opening.

Tests that may be performed include:

References:

Gerber GS, Brendler CB. Evaluation of the urologic patient: History, physical examination, and the urinalysis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 3.


Review Date: 9/16/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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