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Chronic Lower Left Quadrant Pain
Hernias in women can be painful with minimal bulging or other exam findings. The pain is usually just above the groin crease. It can radiate around to the back, down the front of the leg, into the labia or vagina, and sometimes up toward the belly button. The pain is typically activity-related, such as with bending, straining, prolonged standing, coughing/laughing, prolonged sitting. It may be worse during your menses.
A truly negative MRI is usually a good bet you don’t have a hernia. The MRI must be of your pelvis and with addition bear-down (valsalva) views.
If it’s debilitating, I agree with Dr Earle that it may be worth it to have a surgical exploration or get a second consult from a hernia specialist especially one interested in hernias among women. Where do you live? We can help you find one.
If not life-altering, then carry on with your life, including exercise, and time will demonstrate if this is a hernia.