How to relieve severe lower back pain during menstruation

Generally speaking, "big aunt" (a euphemism) refers to menstruation. Severe lower back pain during menstruation may be caused by uterine contractions, hormonal changes, ovarian cysts, endometriosis, lumbar disc herniation, or other reasons. Treatment under a doctor's guidance may include general management and medication. Specific analyses are as follows:

1. Uterine Contractions

During menstruation, the uterus undergoes rhythmic contractions to expel the shed endometrial tissue. These physiological contractions can cause lower back pain. Applying heat therapy in daily life may help relieve the pain.

2. Hormonal Changes

Fluctuations in estrogen and progesterone levels during the menstrual cycle—particularly decreased estrogen and increased progesterone—may lead to muscle tension and pain in the lower back, resulting in severe discomfort. Maintaining a balanced diet, regular exercise, and sufficient sleep can help manage symptoms.

3. Ovarian Cysts

Ovarian cysts may be associated with genetic factors, unhealthy lifestyle habits, or endocrine disorders. Hormonal fluctuations during the menstrual cycle may cause cysts to enlarge. When formed after ovulation, they may trigger discomfort during menstruation, leading to the aforementioned symptoms. This condition may be accompanied by lower abdominal discomfort and irregular menstruation. Patients should follow medical advice and use medications such as Xiaojie An Capsules, Hongjin Xiaojie Concentrated Pills, or Dydrogesterone Tablets for treatment.

4. Endometriosis

Endometriosis is usually caused by retrograde menstruation. This condition prevents menstrual blood from being discharged normally, triggering inflammatory responses and tissue adhesions, which result in pain in the lower back and pelvic region. It may also be accompanied by painful intercourse and lower abdominal pain. Treatment should follow medical guidance using medications such as Dienogest Tablets, Gestrinone Capsules, or Mifepristone Tablets.

5. Lumbar Disc Herniation

This condition may result from aging, poor sitting posture, or external trauma. A herniated disc in the lumbar spine may compress nerves in the lower back, causing pain that may worsen during menstruation, leading to severe back pain. Symptoms may include sciatica and numbness in the lower limbs. Under a doctor’s supervision, medications such as Ibuprofen Sustained-Release Capsules, Diclofenac Sodium Sustained-Release Tablets, or Mecobalamin Dispersible Tablets may be used for treatment.

In daily life, it is important to adjust lifestyle habits, maintain a regular sleep schedule, engage in moderate physical activity, and avoid prolonged sitting or standing to enhance immune function and reduce discomfort during menstruation and everyday life.