Hernias in Men Over 40: Why They’re So Common and What to Know
Many people may recall hearing this warning from a parent while growing up: “Don’t lift more than you can handle or you’ll give yourself a hernia.” It’s the kind of advice that sticks — but plenty of people aren’t exactly sure what a hernia is or why lifting something heavy could cause one.
Hernias are one of the most common conditions treated with surgery in the United States, particularly among men as they get older. Jared Godwin, PA-C, from Overlake's surgical specialties team, explains what hernias are, why they happen and when surgery may be necessary.
What Is a Hernia?
A hernia occurs when an organ or other tissue pushes through a weakness in the abdominal wall. A soft bulge shows up under the skin where the hernia is. A hernia in the groin area is called an inguinal hernia. Men are about 10 times more likely than women to develop this type.
What Causes a Hernia?
Many hernias are linked to increased pressure inside the abdomen. Common causes of increased abdominal pressure include:
- Heavy lifting (such as weight-lifting), pushing or pulling.
- Persistent coughing or sneezing.
- Straining during bowel movements.
- Obesity.
- Pregnancy.
Over time, these forces can cause tissue to bulge through the abdominal wall.
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What Are the Signs of a Hernia?
Symptoms can vary, but many people notice:
- A visible lump or bulge under the skin.
- Discomfort or pain, especially when lifting or straining.
- A feeling of pressure or weakness in the abdomen or groin.
Some hernias cause very mild symptoms at first and may even be discovered during a routine physical exam.
Can a Hernia Heal Without Surgery?
Unfortunately, hernias don’t usually heal on their own. “The connective tissue in the abdominal wall tends to stretch over time,” Godwin explains. “Once that weakness develops, it doesn’t repair itself.” Without treatment, a hernia may gradually grow larger.
Does Every Hernia Need Surgery?
Not necessarily. Treatment depends on your symptoms, the size of the hernia and your overall health. Some people may choose “watchful waiting” if the hernia isn’t causing significant symptoms. Non-surgical options may include:
- Monitoring symptoms with your health care provider.
- Wearing a supportive device called a truss.
- Physical therapy.
However, surgery may be recommended if the hernia becomes painful, increases in size or interferes with daily activities.
What Types of Hernia Surgery Are Available?
Several surgical techniques can repair a hernia. Your surgeon will recommend the best option based on your condition.
- Open surgery: The traditional approach, often with a larger incision.
- Laparoscopic surgery: A minimally invasive technique using several small incisions and quicker recovery.
- Robotic-assisted surgery: A minimally invasive approach using robotic technology to help the surgeon perform precise movements.
Under Pressure? Don’t Ignore Hernia Symptoms
Hernias are common and treatable, but they typically don’t go away on their own. If you notice a new lump, pressure or discomfort in your abdomen or groin, it’s a good idea to talk with a health care provider.
Getting evaluated early can help you understand your treatment options and prevent complications.
