How to treat severe lower back pain during menstruation?

Menstruation refers to the menstrual period. Lower back pain during menstruation is mostly caused by physiological factors such as hormonal changes, but it can also be related to pathological conditions such as pelvic inflammatory disease and endometritis. Treatment should be based on the specific cause. The details are as follows:

1. Physiological Causes

During menstruation, elevated levels of prostaglandins stimulate uterine smooth muscle contractions and cause pelvic congestion, leading to lower back discomfort or soreness. Specific medication is usually not required; symptoms can be relieved with local heat application and adequate rest.

2. Pathological Causes

1) Pelvic Inflammatory Disease (PID)

PID may result from poor personal habits or unhygienic sexual practices, causing pelvic congestion. During menstruation, pelvic congestion worsens, and inflammatory secretions may lead to adhesions between pelvic tissues and the posterior peritoneum, resulting in lower back pain. Under medical guidance, medications such as ibuprofen sustained-release capsules, Gynecological Qianjin tablets, and metronidazole tablets can be taken to relieve symptoms.

2) Endometritis

Inflammation causes significant congestion and edema in the uterus and pelvis. During menstruation, pelvic congestion intensifies, stimulating nerves in the lumbosacral region and causing lower back soreness and pain. Anti-inflammatory treatment under medical supervision may include taking Gynecological Qianjin tablets, metronidazole tablets, or amoxicillin capsules.

In addition to the above causes, conditions such as uterine fibroids, endometriosis, and lumbar disc herniation can also cause lower back pain. It is recommended to visit a hospital for comprehensive examinations such as pelvic ultrasound and lumbar CT scan to identify the underlying cause and receive appropriate treatment.