
The groin area, where the abdomen meets the thigh, contains five muscles that work together to move the leg. Groin pain can be caused by muscle pulls, ligament strains, or inflammation. In women, groin pain can be a symptom of many conditions, including athletic and non-athletic injuries, internal anatomical factors, and underlying conditions. While mild groin injuries may heal on their own, severe groin pain or discomfort may require medical attention and, in rare cases, surgery.
| Characteristics | Values |
|---|---|
| Groin Area | Where the abdomen meets the thigh |
| Muscles | Five muscles working together to move the leg |
| Groin Strain | A type of muscle strain that affects the muscles in the groin |
| Groin Pain Causes | Injury, UTI, kidney stones, hernia, cysts, enlarged lymph nodes, inflammation of the joints in the pelvis, damage to muscles/ligaments/tendons |
| Treatment | Rest, icing, over-the-counter medication, physical therapy, surgery (in severe cases) |
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What You'll Learn

Causes of female groin pain
The groin muscles in females are located on the inside of the thigh, connecting the lower abdomen to the thighs. Pain in the female groin area can be caused by a variety of factors, ranging from mild injuries to underlying medical conditions.
Muscle Strain or Injury
A common cause of groin pain in females is a muscle strain or injury, particularly among active women. The adductor muscles in the thigh are prone to strain or injury during running, lifting, or high-intensity workouts. Groin pain from a muscle strain may develop gradually and worsen with movement. Bruising or swelling may also be present. Most people can walk with a groin strain, but running, working out, or intense exercise should be avoided during recovery.
Hernias
Hernias occur when tissues in the abdomen, such as the small intestines, slip through weak areas or openings in the groin muscles. Inguinal hernias, for example, can cause one-sided groin pain. Sports hernias, also known as athletic pubalgia, refer to any strain or sprain of a ligament, muscle, or tendon in the lower abdomen or groin region.
Kidney Stones
Kidney stones are hard deposits of minerals and salts that form in the kidneys. They can cause intense pain radiating to the groin as they move through the urinary tract. Symptoms may include severe pain in the lower abdomen, nausea, and difficulty urinating.
Ovarian Cysts
Ovarian cysts are fluid-filled sacs that form on the ovaries during ovulation. While most are harmless and resolve on their own, some can cause groin pain, bloating, and changes in menstruation.
Urinary Tract Infections (UTIs)
UTIs are a common cause of groin pain in women. Bacteria entering the urinary tract can cause discomfort in the lower abdomen and groin, along with symptoms such as frequent and painful urination. If left untreated, UTIs can lead to more severe complications, such as kidney infections.
It is important to consult a healthcare provider for an accurate diagnosis and appropriate treatment if you are experiencing groin pain.
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Treatment for female groin pain
The groin muscles in females are the lower abdominal muscles, iliopsoas muscles, and adductor muscles. The most common causes of female groin pain are pulling, straining, or tearing any of these muscle groups or tendons in the groin. This is especially common in physically active individuals.
If you are experiencing mild groin pain, you can try taking over-the-counter painkillers, gently massaging the affected area, applying ice packs several times a day for up to 20 minutes, and performing daily stretches and exercises prescribed by your doctor or physiotherapist.
For moderate to severe groin pain, you may need further treatment. If the pain is caused by persistently inflamed or permanently damaged tissues due to a health condition or old injury, physiotherapy may help. Your doctor may also prescribe stronger anti-inflammatory medications. In some cases, surgery may be necessary, such as for a broken bone in the groin or an inguinal hernia.
It is important to seek medical attention if you are experiencing severe or persistent groin pain, especially if it is affecting your daily life or is the result of an accident or injury. A healthcare provider will be able to diagnose the cause of your pain and recommend appropriate treatments. They may suggest rest, ice, physical therapy, pain medications, nerve blocks, or steroid injections.
To prevent groin pain, it is important to warm up before exercising and cool down afterward, as this can reduce the risk of injuries that lead to groin pain.
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Anatomy of the female groin
The groin region in females, as in males, consists of ligaments, tendons, muscles, and fascia that attach to the pubic bone. The adductor muscles are a group of fan-like muscles that run from the inner pelvis to the inner thigh bone (femur). They are responsible for stabilising the hip joint and pulling the leg inward during contraction. The groin muscles, in general, connect the lower abdomen to the thighs.
Groin strains are a common injury among athletes, especially in sports that involve jumping and running, such as soccer, football, lacrosse, and hockey. They can occur when muscles in the groin are stretched beyond their limit, resulting in tears. Groin strains can cause sharp, twinging pain and muscle spasms, and they may lead to long-term issues like muscle weakness or reduced range of motion if not properly treated.
To diagnose a groin strain, a healthcare provider will conduct a physical examination, including imaging tests such as ultrasounds, X-rays, or MRIs, to assess the extent of the injury. Treatment options depend on the severity of the strain, ranging from at-home care using the RICE (Rest, Ice, Compression, Elevation) method to surgery in severe cases.
It is important to note that groin pain in females can also be indicative of other conditions, such as ovarian cysts, urinary tract infections (UTIs), or issues affecting the reproductive organs. Therefore, it is recommended that anyone experiencing groin pain consult a healthcare provider to determine the underlying cause and receive appropriate treatment.
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Groin strain severity
A groin strain is a muscle strain that affects any of the muscles in the groin area. It is one of the most common injuries among athletes. The severity of a groin strain can vary from mild to severe, with severe strains requiring a longer recovery time and possibly surgery.
Mild groin strains (grade 1) or moderate groin strains (grade 2) typically take around one to two months to heal. These less severe strains can usually be treated at home with rest, icing, and over-the-counter medications. However, it is important to be cautious and not rush the recovery process. Returning to intense physical activity too soon increases the risk of re-injury.
Severe groin strains (grade 3) and chronic strains can take several months to heal. A grade 3 strain involves a tear that goes through most or all of the muscle or tendon, causing sudden and severe pain. There is usually significant swelling and bruising associated with a grade 3 strain. In some cases, surgery may be required to repair the torn muscle or reattach tendons or ligaments that have been pulled from the bones.
The recovery time for a strained groin muscle depends on the severity of the injury, the type of treatment required, and the individual's level of fitness before the injury. Tendon injuries typically require a longer recovery time, and there may be an increased risk of developing a persistent, painful condition if the injury is not allowed to heal properly.
To diagnose a groin strain, a doctor will ask about the circumstances of the injury, including the activity being performed and any symptoms experienced. A physical examination, X-ray, and MRI may also be conducted to confirm the diagnosis and rule out other potential injuries.
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Preventing a groin strain
Groin strains are common injuries among athletes, especially in sports like hockey and soccer. They occur when the muscles in the groin get stretched, injured, or torn. The good news is that with proper rest and treatment, most groin strains heal completely.
- Stretching and warming up are essential before exercising or playing sports. This helps to increase your overall flexibility, allowing your muscle fibres to stretch further before they tear.
- Strengthen your inner thigh muscles using weight machines and resistance bands. This is especially important if you're engaging in sports that involve sprinting, sudden bursts of speed, or rapid direction changes, such as track and field, basketball, soccer, and skiing.
- Improve your core and pelvic stability to provide a solid base for sport-specific movements and reduce the likelihood of adductor strains.
- Strengthen your lateral hip muscles, particularly the gluteal muscles, to enhance pelvic stability.
- Improve your proprioception, which is your sense of where each body part is in space. Proprioception is similar to balance and plays a crucial role in how we move, especially when our balance is compromised.
- Learn sport-specific drills to practice directional changes and cutting maneuvers that commonly trigger groin strains. This helps your muscles adapt and become stronger during such movements.
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Frequently asked questions
The groin area is where the abdomen meets the thigh. It contains five muscles that work together to move the leg.
A groin strain can cause dull or intense pain on either side of the groin. It can also cause reduced range of motion.
Groin pain in females can be caused by a variety of factors, including athletic and non-athletic injuries, internal anatomical factors, and underlying conditions. Some specific causes include hernia, cysts, enlarged lymph nodes, urinary tract infections, and inflammation of the joints in the pelvis.
Mild groin pain can often be treated at home with over-the-counter painkillers, gentle massage, ice packs, and prescribed exercises or stretches. For more severe or persistent pain, stronger anti-inflammatory medications or physical therapy may be recommended. In rare cases, surgery may be required.











































