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What causes lower back fatigue before menstruation, and what should be done about it?

Aug 13, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Cervicitis is usually caused by pathogen infection, and frequent sexual activity before menstruation may increase the risk of infection, leading to a feeling of腰困 (lumbar discomfort) during the menstrual period. It is often accompanied by symptoms such as waist and abdominal pain, fatigue, etc. It is recommended to use medications such as Baofukang suppositories, Cefixime dispersible tablets, and Zhidai Xiaomi suppositories under the guidance of a physician for treatment.

Generally, waist fatigue—characterized by tiredness and weakness in the lower back—before menstruation may be caused by hormonal fluctuations, pelvic congestion, cervicitis, endometritis, or endometriosis. If discomfort occurs, it is advisable to seek medical attention promptly. Below is a detailed analysis:

1. Hormonal Changes

Prior to menstruation, levels of estrogen and progesterone fluctuate in women. These hormonal changes can lead to muscle tension and discomfort in the lower back, commonly manifesting as fatigue and weakness. Applying heat packs or massage may help improve blood circulation and alleviate these symptoms.

2. Pelvic Congestion

In the premenstrual phase, blood vessels in the pelvis dilate, potentially causing pelvic congestion, which may result in lower back fatigue and weakness. It is recommended to maintain proper lumbar support when sitting or lying down, and to avoid prolonged standing or sitting.

3. Cervicitis

Cervicitis is usually caused by pathogenic infections. Frequent sexual activity before menstruation may increase the risk of infection, leading to lower back fatigue and weakness prior to the menstrual period. This condition is often accompanied by lower abdominal pain, fever, and other symptoms. Treatment under medical guidance may include medications such as Baofukang suppositories, cefixime dispersible tablets, or Zhidai Xiaomisu suppositories.

4. Endometritis

Endometritis is often caused by intrauterine lesions or ascending bacterial infections. Hormonal changes before menstruation may reduce immune resistance, increasing susceptibility to infection. Symptoms may include lower back fatigue and weakness, along with fever and dysmenorrhea. Treatment should follow medical advice and may involve medications such as cefuroxime sodium for injection, azithromycin dispersible tablets, or tinidazole injection.

5. Endometriosis

Endometriosis occurs when endometrial tissue grows abnormally outside the uterus. Prior to menstruation, this ectopic tissue may become inflamed due to irritation or infection. Persistent inflammation can cause symptoms such as lower back fatigue and weakness. Patients may also experience dysmenorrhea and painful intercourse. Medications such as indomethacin tablets, diclofenac sodium tablets, or celecoxib capsules may be used under a doctor’s supervision.

In daily life, appropriate physical exercise can help enhance physical strength and boost immune function.

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