A baby can get an indirect inguinal hernia if the lining of their abdomen doesn't fully close while they're developing. What's left is an opening at the upper part of the inguinal canal. That's where a hernia can take shape. Older adults usually get a direct inguinal hernia because the muscles of their abdominal wall can weaken. Women rarely have this type of hernia. The broad ligament of the uterus is right behind the abdominal wall, which supports it and shields the inguinal canal. Men don't have that barrier, so stress and gradual weakening of their abdominal muscles over time make it more likely something can push through to the inguinal canal. It happens in 2% to 3% of male babies, but less than 1% of baby girls. About 1 in 4 males will have an inguinal hernia at some time in their life. It's most common in men over the age of 40. Abdominal surgery can make you more likely to develop a direct inguinal hernia. A family history of this condition raises your odds, too. Smokers may have a higher chance of having inguinal hernias, along with other health problems.
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