How Common is Inguinal Hernia in Women?

An inguinal hernia occurs when an intra-abdominal organ (usually the intestine) protrudes through a gap in the abdominal muscles in the groin area. While hernias are more common in men, they can also occur in women, often with different symptoms. According to Dr. Fotis Archontovasilis, MD, PhD, FEHS, General Surgeon, and Director of the 3rd Surgical Clinic at Metropolitan General Hospital, ‘Inguinal hernias are significantly less common in women compared to men. Men are estimated to be 9 to 12 times more likely to develop an inguinal hernia than women. This difference is mainly due to anatomical differences. In men, the spermatic cord passes through a congenitally weaker area, the inguinal canal, which makes them more prone to hernias. In women, there is no spermatic cord, the inguinal canal is narrower, and it contains the round ligament of the uterus, offering more structural support.’ Despite this, certain factors like chronic increased intra-abdominal pressure from lifting weights, chronic cough, obesity, severe constipation, pregnancy, or previous surgeries can lead to hernias in women. Symptoms may include pain or discomfort in the groin area, swelling or protrusion, a feeling of heaviness, intense pain with nausea or vomiting if the hernia becomes strangulated, and pain during menstruation or sexual intercourse. Diagnosis can be more challenging in women and may require imaging tests such as ultrasound or CT scans. Treatment involves surgical repair, either open surgery, laparoscopic, endoscopic, or robotic techniques, depending on the patient’s needs. Recovery times vary, but minimally invasive techniques generally offer faster recovery and fewer complications.