What causes lower back pain and pelvic pain during menstruation?

Jan 25, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, the term "lower body" refers to the vagina. Lower back pain and vaginal pain during menstruation may be caused by factors such as hormonal changes, uterine contractions, vaginitis, endometriosis, or adenomyosis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. In daily life, maintain healthy habits and avoid consuming spicy or irritating foods.

Generally, the term "lower body" refers to the vagina. Lower back pain and vaginal pain during menstruation may be caused by hormonal changes, uterine contractions, vaginitis, endometriosis, adenomyosis, or other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Hormonal Changes

During menstruation, fluctuations in hormone levels may lead to pelvic congestion, causing a sensation of heaviness in the lower abdomen, which can result in lower back pain and vaginal discomfort. This is considered a normal physiological phenomenon, and symptoms typically subside after menstruation ends.

2. Uterine Contractions

During menstruation, the uterus undergoes periodic contractions to help expel the endometrial lining. These contractions may cause pain in the lower back and vaginal area. Getting adequate rest can help alleviate these symptoms.

3. Vaginitis

Vaginitis may result from unhygienic sexual practices or poor personal hygiene. Inflammation can irritate the vaginal walls and mucosa, leading to vaginal pain. If the infection spreads, it may also stimulate sensory nerves around nearby muscles, triggering lower back pain. Treatment may include medications such as metronidazole vaginal suppositories, Baofukang suppositories, or clotrimazole vaginal tablets, used according to medical advice.

4. Endometriosis

Endometriosis may be associated with retrograde menstruation, genetic factors, or other causes, resulting in endometrial tissue growing outside the uterine cavity and muscular wall. Symptoms may include abdominal pain, dysmenorrhea (painful periods), and vaginal pain. Under medical supervision, medications such as danazol capsules, gestrinone capsules, or norethisterone tablets may be used to relieve symptoms.

5. Adenomyosis

Adenomyosis is a condition in which endometrial glands and stroma invade the uterine muscle layer, possibly related to inflammatory stimulation, induced abortion, or other factors. Symptoms may include menstrual cramps, irregular menstruation, and vaginal pain. Prompt medical consultation is advised. Under a doctor's guidance, treatments such as endometrial ablation may be performed to alleviate symptoms.

Maintaining healthy daily habits is important. Avoid spicy and irritating foods such as pepper, chili peppers, and garlic. Also, avoid strenuous physical activity to support recovery.


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