Bilateral inguinal lymph nodes should first be considered as a result of inflammation of the lower limbs, perineum, venereal disease, metastasis of malignant tumors, etc. It is recommended that the patient first find out the cause of the disease, and then target treatment. 1. Inflammation: bilateral inguinal lymph node enlargement is usually caused by local inflammation. For bacterial infections, you can take amoxicillin, cefixime, levofloxacin and other antibiotic drugs; for viral infections, you can take acyclovir, ribavirin and other drugs; for tuberculosis lymphadenitis, you need to take isoniazid, rifampicin and other medications; for fungal infections, you need to use topical ketoconazole ointment, miconazole nitrate ointment and other drugs. 2. Sexually transmitted diseases (STDs): most of them are caused by unclean sex, usually by special pathogens, such as gonococcus, syphilis spirochetes and so on. In addition to the need to follow the doctor’s instructions to the pathogen to treat, but also need to prevent infection. 3. Malignant tumor metastasis: If the patient is caused by lymphatic metastasis of malignant tumors, the patient can under the guidance of the doctor to carry out joint anti-tumor treatment. It is recommended that patients should go to the hospital for further examination and treatment according to their own situation.