Could You Have A Hernia?

Women And Hernias

You think only guys get hernias? Well, it may time to rethink this assumption. Even though hernias (the protrusion of an organ through the cavity that surrounds it) aren’t as common as they are in men, they’re still a frequent source of chronic pelvic pain in women.  

The key is the kind of hernia. One type, known as occult inguinal hernias, i.e. a groin hernia, is more common in women.

Medical experts acknowledge that because several organ systems are involved in occult inguinal hernias, the diagnosis can be confusing. The primary symptom, groin pain, is commonly referred to by patients as ovarian pain. Because of an increase in abdominal pain caused by the hernia, other symptoms, such as pain with bowel movements, full bladder, or discomfort during intercourse, may increase. 

Inguinal hernias could be caused by excessive lower abdominal pressure triggered by obesity, chronic coughing spells, chronic constipation or extreme physical exertion.

Diagnosis of this kind of hernia in women relies almost exclusively on a manual examination by your doctor. Thanks to the small size of these hernias and because of the natural body fat around it, ultrasound, computed tomography and magnetic resonance imaging aren’t good diagnostic tools.

If your doctor suspects a hernia, he or she may examine your abdomen either while you’re lying down or in a standing position. Sometimes a telltale subtle bulge will reveal a hernia. However, the best predictor of an occult hernia requires a vaginal examination. Often the pelvic floor muscles are tense and tender. Likewise, the something called the ischial spine may be tender. Most telling is pain during palpation in the internal inguinal area. This technique guarantees nearly 100 percent accuracy. Nerve pain and anti-inflammatory medications may be prescribed for the condition. Your doctor might also recommend myofascial (tissue) release therapy performed by a physical therapist trained in internal manual methods. This kind of therapy is designed to alleviate muscle spasms.  Laparoscopic surgery is considered only when a patient has tried these medical treatments and still has a level of pain that interferes with her quality of life.  Robin Westen is ThirdAge’s medical reporter. Check for her daily updates. See what others have to say about this story or leave a comment of your own.  
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