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Q: Pain in groin area ( Answered 5 out of 5 stars,   7 Comments )
Subject: Pain in groin area
Category: Health > Men's Health
Asked by: petasa-ga
List Price: $50.00
Posted: 09 Sep 2003 10:30 PDT
Expires: 09 Oct 2003 10:30 PDT
Question ID: 253875
Recently, I have been experiencing a discomfort in my groin area. The
pain is more of a burning sensation than anything that intensifies
when I drink alcohol or smoke pot.I am not sexually active, I'm sure
its not an STD and I don't have any trouble going to the bathroom. The
pain started when I took some exctasy and smoked pot. The pain only
occurred the few times that I tried it, but it has been present more
every day. Now I know by reading this, the simple solution to the
problem might be to stop drinking and smoking but I would like to know
why this happens. Is there a relation between the smoking and the
pain? Is this a normal side effect of smoking? Or is the act of
smoking just intensifying another problem that I might have? I would
greatly appreciate a response.

Request for Question Clarification by techtor-ga on 09 Sep 2003 10:51 PDT
Have you had yourself examined by a physician or otherwise for
prostate cancer or kidney ailments or other possible disorders in that
area of the anatomy?

Request for Question Clarification by tutuzdad-ga on 09 Sep 2003 10:58 PDT
Can you describe this "discomfort in my groin area" specifically?
Where it originates or more specifically describe it so it might be
narrowed to a particular region?


Clarification of Question by petasa-ga on 10 Sep 2003 09:37 PDT
Yes, I stopped doing exctasy because I believed that was the cause.
And I was fine but now when I smoke or drink the pain returns. I have
not stopped drinking.

I have not gone to a get a physical, the reason being that I truly
believe it was the X but now I'm considering it because its happening
more often.

The main area of the pain is on my testicles. It feels like they're
burning, they feel hot. It also feels like they contract and want to
go up in me instead of hanging, other times they hang really low. The
problem also feels worse if I sit. When I stand the pain tends to go
away or at least it doesn't hurt as much. I hope this explains it

Request for Question Clarification by kevinmd-ga on 21 Sep 2003 09:25 PDT
I can give a comprehensive discussion on the various causes and
diagnostic workup for groin and testicle pain.  If this interests you,
let me know and I'll be happy to answer.

Kevin, M.D.

Clarification of Question by petasa-ga on 21 Sep 2003 19:02 PDT
Yes, I would be interested in learning more about this matter. I would
appreciate your response.
Subject: Re: Pain in groin area
Answered By: kevinmd-ga on 22 Sep 2003 16:46 PDT
Rated:5 out of 5 stars
Hello - thanks for asking your question.   
Although I am an internal medicine physician, please see your primary
care physician for specific questions regarding any individual cases –
please do not use Google Answers as a substitute for medical advice.
I will be happy to answer factual medical questions.  

You are asking about the various causes of burning and discomfort on
your groin and testicles.  I will describe various conditions that can
present this way.

1) Epididymitis
This is an infection of the epididymis within the scrotum.  It is
typically caused by gonorrhea or chlamydia, but common infections such
as E.coli can also cause this.  From UptoDate:
"Men with acute epididymitis typically have unilateral testicular pain
and tenderness, hydrocele, and palpable swelling of the epididymis."

A typical presentation is an otherwise healthy male complaining of
scrotal pain. Several factors may predispose men to develop subacute
epididymitis, including sexual activity, heavy physical exertion, and
bicycle or motorcycle riding.

This is typically diagnosed with a physical examination and/or scrotal
ultrasound that can detect the inflammation.  A urinalysis and culture
should also be performed.  Treatment is with proper antibiotics.

2) Prostatitis
Infection of the prostate can also cause pain radiating to the groin
or testicle.  There are many types of bacteria that cause prostatitis.
 Entry of bacteria through the urinary tract is the most common cause.

Diagnosis would typically include a urinalysis and prostatic massage
for secretions.  These secretions can then be cultured and analyzed to
see if an infection is present.  Initial treatment would typically be
with antibiotics based on the sensitivity to the culture.

Unfortunately, not all prostatitis syndromes can be easily treated. 
There are many men with chronic prostatitis that requires anywhere
from 4-12 weeks of antibiotics.  Imaging studies with an ultrasound
can also be considered to evaluate for an abscess.

3) Scrotal pathology
Any number of scrotal conditions can cause discomfort and a burning
feeling within the scrotum that can radiate to the groin.

One example would be torsion of the appendix testes.  The appendix
testis is a small structure on the anterosuperior aspect of the
testis.   Its onset is usually more gradual than with testicular
torsion; it is not uncommon for patients to have several days of
scrotal discomfort from appendiceal torsion before they present for

Another condition would be a varicocele - which are dilated veins
within the scrotum which can cause discomfort.  The pain is normally
described as dull and aching - typically presenting on the left side.

Any number of scrotal cysts, such as hydroceles, spermatoceles or
epididymal cysts can also cause scrotal discomfort - with or without
the palpable presence of masses.

Each of these conditions warrant a scrotal ultrasound for further

4) Referred nerve pain
There are a variety of nerve disorders that can radiate to the
scrotum. The diseases that may cause referred scrotal pain are
diverse, reflecting the somatic nerves that travel to the scrotum: the
genitofemoral, ilioinguinal, or posterior scrotal nerves. Reported
causes of referred pain include abdominal aortic aneurysm,
urolithiasis, lower lumbar or sacral nerve root impingement,
retrocecal appendicitis, retroperitoneal tumor, and postherniorrhaphy

A referral to a neurologist can be done to further evaluate these
neurologic causes of pain.  Electrodiagnostic testing can also be

5) Inguinal hernia
An inguinal (groin) hernia can present with groin discomfort,
radiating to the scrotum.  These can be ruled in or out by an exam by
a physician.  If there is doubt, an ultrasound or CT scan can be
considered for further evaluation.

To summarize, I would recommend a referral to a urologist for further
evaluation on the various causes of scrotal and groin discomfort.  I
would have your urine tested for infection and prostate and prostatic
secretions examined.  A scrotal ultrasound would be reasonable.

If the urological evaluation is not revealing, I would pursue a
neurology referral to evaluate if any number of nerve conditions that
can lead to the burning pain and discomfort you are experiencing.

I stress that this answer is not intended as and does not substitute
for medical advice - please see your personal physician for further
evaluation of your individual case.   
Please use any answer clarification before rating this answer. I will
be happy to explain or expand on any issue you may have.      
Kevin, M.D.    
Search strategy:     
No internet search engine was used in this answer.  All sources are
from physician-written and peer-reviewed sources.    
1) Zenilman.  Chlamydia syndromes in men.  UptoDate, 2003.
2) Eyre.  Evaluation of scrotal pathology.  UptoDate, 2003.

Request for Answer Clarification by petasa-ga on 23 Sep 2003 21:14 PDT
Thank you for your response and detailed answer. but I do have one
more question that is unanswered.  Could there be any relation between
theses infections and alcohol or drugs? That is to say, could these
infections be caused by the alcohol or drugs, is it possible to only
experience the effects  of the diseases you stated when using alcohol
or drugs?

Clarification of Answer by kevinmd-ga on 24 Sep 2003 04:52 PDT
To my knowledge, I am unaware of alcohol or drugs directly causing the
infections (i.e. prostatitis, epididymitis) that I mentioned in my
answer.  Before attributing the symptoms to alcohol or drugs, I would
consider the various diagnostic studies mentioned to make sure it
isn't anything else.

Kevin, M.D.
petasa-ga rated this answer:5 out of 5 stars
Thank you for the response

Subject: Re: Pain in groin area
From: probonopublico-ga on 09 Sep 2003 11:00 PDT
Have you considered cutting out the stuff that you suspect might be
the cause of your problems?

If only for a trial period?
Subject: Re: Pain in groin area
From: stressedmum-ga on 10 Sep 2003 19:51 PDT
Honey, what are you waiting for? Go to your doctor and get it checked out!
Subject: Re: Pain in groin area
From: tukucha-ga on 19 Mar 2004 05:19 PST
Hello petasa-ga,
Have you resolved your groin-pain problem? How it was diagnosed and treated?

Subject: Re: Pain in groin area
From: petasa-ga on 22 Mar 2004 21:17 PST
Well, there is nothing wrong with me. I went and got it checked and
everything is fine. Although he did prescribe doxycycline to get rid
of anything. But besides that, nothing was out of the ordinary. He did
tell me to stop taking drugs, but my doubts as to why that happens
still exist.
Subject: Re: Pain in groin area
From: probonopublico-ga on 22 Mar 2004 21:39 PST
Great news, Peseta!

Many thanks for letting us know the outcome.
Subject: Re: Pain in groin area
From: tukucha-ga on 23 Mar 2004 08:21 PST
Dear petasa-ga,

Thanks for update. Actually I am having the same problem as you have.
Last week I visited Urologist in Berlin. He examined throughly
including ultrasound of my urinary system. Everything came normal and
told me no medication is required.

But I wanted to know what causes the pain. He told me that pain in
testis might be because of cold weather. To avoid this, one should put
on trouser inside. Furthermore pain in groin area might be because of
much acid deposited in the body. He asked me to drink a lot of water
i.e. 3-4 litre per day, avoid citrus fruits especially sour in taste
and eat lots of salad (cucumber, salad leaves, and carrots). Exclude
tomatoes because it creates a lot of acids.

I am doing the same as my doctor advised. Even I am not eating meat
products and cheese and want to continue at least for another one
week. I am feeling much better now. I hope this would helps you all to
manage and relieve from pain.

Best wishes,
Subject: Re: Pain in groin area
From: socalbeachbum02-ga on 18 Apr 2004 04:06 PDT
cuz i have experienced it and have a good knowledge of this area.. I
noticed that you were on Proscar 5mg (but may have even switched to
the stronger DHT supressant Avododart/Dutasteride).  Let me tell you
that a pain in the testicles is a common side effect of
Proscar/Propecia(finasteride).  I take 1mg Finasteride(Proscar) for
hair loss and did experience a pain in left testicle..  You can find
much information about this at  This pain usually
lasts for a couple days to a couple weeks and hopefully it goes away. 
Everybody responds differently to the meds and some people are forced
to quit due to the unwanted side effects..  for example, some people
even develop gynocomastia.  Anyway, I think im getting off of it since
the side effects seem to outweight the benefits.. hope this helps..

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