This is nearly always seen in women rather than men. In its mildest form it is experienced universally at some time or other associated with periods, ovulation or sexual intercourse. In its severest form it is the commonest reason for urgent laparoscopic examination in the UK.
Pelvic pain is defined as chronic if it has been present for three cycles or more. The difference between this and ‘normal’ period pain is one of intensity and duration. It is one of the commonest reasons for referral to a gynaecology clinic and for a woman to attend the practice in the first place.
Most causes of lumps in the groin are non-urgent. Many patients do not realise this, however the development of a groin swelling often heralds an urgent appointment, either because the patient fears sinister pathology, or because the patient knows the diagnosis but erroneously perceives it as an emergency. Diagnosis and disposal are usually straightforward.