Can't sleep at night due to lower back pain during menstrual period

May 26, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Lower back pain at night during menstruation that interferes with sleep may be caused by poor blood circulation, dysmenorrhea, pelvic inflammatory disease, adnexitis, or uterine fibroids, and treatment should be based on the specific cause. During menstruation, pelvic congestion can lead to impaired local blood circulation, resulting in the aforementioned discomfort. This is generally a normal physiological phenomenon and usually resolves spontaneously after menstruation ends.

Lower back pain during the menstrual period that interferes with sleep at night may be caused by poor blood circulation, dysmenorrhea, pelvic inflammatory disease, adnexitis, uterine fibroids, or other reasons. Treatment should be based on the specific cause. The details are as follows:

1. Poor Blood Circulation

During menstruation, pelvic congestion can lead to local circulatory disturbances, resulting in the aforementioned discomfort. This is generally considered a normal physiological phenomenon and usually resolves on its own after the menstrual period ends.

2. Dysmenorrhea

Dysmenorrhea is a common occurrence during menstruation, typically caused by contractions of the uterine muscles. The pain may be felt in the lower back and abdomen, especially on the first day or several days of menstruation. This pain can be quite severe and may interfere with sleep. Medications such as Tianqi Tongjing Capsules or Tongjing Bao Granules may be used under medical guidance to relieve symptoms.

3. Pelvic Inflammatory Disease (PID)

If hygiene is not properly maintained during menstruation, inflammation may develop due to infection. Prolonged stimulation by inflammatory factors can lead to this condition. Treatment may include medications such as Cefaclor Dispersible Tablets or Metronidazole Tablets, taken under a doctor's supervision.

4. Adnexitis

Women who have undergone multiple induced abortions may develop adnexitis. Inflammatory stimulation may affect nerves in the lumbar and sacral regions, leading to such symptoms. Medications such as Ibuprofen Sustained-Release Capsules or Roxithromycin Dispersible Tablets may be prescribed under medical guidance for treatment.

5. Uterine Fibroids

Uterine fibroids are benign tumors of the uterus that can cause lower back pain and discomfort during menstruation. Timely medical consultation is necessary, and surgical removal may be required.

Patients are advised to seek prompt medical attention at a hospital to avoid delaying optimal treatment.