What can be done about lower back pain after menstruation in cases of uterine adenomyosis?

Jul 17, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, lower back pain after menstruation in patients with adenomyosis may be caused by continuous lesion stimulation, unresolved pelvic congestion, pelvic adhesions, chronic pelvic inflammatory disease, lumbar disc herniation, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Daily activities should avoid excessive fatigue, maintain proper sitting and standing posture, and reduce strain on the lower back.

Generally, lower back pain after menstruation in patients with adenomyosis may be caused by continuous lesion stimulation, unresolved pelvic congestion, pelvic adhesions, chronic pelvic inflammatory disease, lumbar disc herniation, and other factors. It is recommended to seek timely medical advice to identify the exact cause and receive appropriate treatment under a physician's guidance. Detailed explanations are as follows:

1. Continuous lesion stimulation: The ectopic endometrial tissue within the uterine muscle layer remains congested after menstruation in patients with adenomyosis, stimulating surrounding nerves and causing lower back pain that often radiates to the lumbosacral region. Rest properly, avoid strenuous exercise, and apply local heat compresses to relieve pain. If pain is significant, take analgesics such as ibuprofen sustained-release capsules or diclofenac sodium enteric-coated tablets as directed by a physician.

2. Unresolved pelvic congestion: Pelvic congestion during menstruation worsens due to adenomyosis, and if congestion does not subside promptly after menstruation, it may compress the lumbosacral nerves, causing persistent lower back pain accompanied by a sensation of heaviness in the lower abdomen. Avoid prolonged sitting, engage in appropriate walking to promote pelvic blood circulation, and take medications such as Danhua Quyu capsules or Cinnamon Twig and Poria Capsules as directed by a physician to alleviate congestion when necessary.

3. Pelvic adhesions: Long-term recurrent adenomyosis can lead to adhesions between the uterus and surrounding tissues. After menstruation, these adhesions may stretch and stimulate surrounding tissues, causing lower back pain accompanied by mild abdominal pain. Patients may take medications such as Kangfuyan capsules or Fuyan Kangfu tablets as directed by a physician to reduce inflammation. For severe adhesions, pelvic adhesion lysis surgery may be required to separate the adhesions and relieve pain.

4. Chronic pelvic inflammatory disease: Adenomyosis combined with chronic pelvic inflammatory disease can result in persistent inflammation stimulating pelvic tissues, worsening lower back pain after menstruation, accompanied by increased vaginal discharge and odor. Patients should take anti-infective medications such as cefixime capsules, metronidazole tablets, or azithromycin dispersible tablets as directed by a physician, while maintaining good personal hygiene and avoiding unclean sexual practices.

5. Lumbar disc herniation: Long-term lower back pain may cause abnormal posture, leading to lumbar disc herniation, which compresses nerves and exacerbates lower back pain after menstruation, accompanied by numbness in the lower limbs. Patients may take medications such as celecoxib capsules, mecobalamin tablets, or eperisone hydrochloride tablets as directed by a physician to relieve symptoms, combined with traction and physical therapy to relieve lumbar pressure. In severe cases, lumbar discectomy may be required to relieve nerve compression.

In daily life, avoid excessive fatigue, maintain correct sitting and standing postures, and reduce strain on the lower back. Keep warm during menstruation and after periods to avoid cold exposure. Regularly follow up on adenomyosis progression and adjust treatment plans timely.

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What does it mean to have two menstrual periods in one month?

Having two menstrual periods usually refers to experiencing menstruation twice. In general, the main causes of having two menstrual cycles include emotional fluctuations, irregular lifestyle, luteal phase deficiency, endometrial polyps, adenomyosis, and others. If any discomfort occurs, it is recommended to promptly seek medical attention at a正规 hospital for proper diagnosis and treatment. In daily life, maintain a regular sleep schedule and avoid staying up late; also ensure a balanced diet.

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Why does my menstrual cycle occur once every half month?

In general, the main causes of having menstrual periods every half month include hormonal fluctuations during puberty, excessive stress, luteal phase deficiency, endometrial polyps, and adenomyosis. If this condition occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain a regular sleep schedule and avoid staying up late; keep emotional stability and reduce mental stress.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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How large is the size of uterine adenomyosis considered severe?

To determine the severity of adenomyosis, the size of the lesion should not be the sole criterion. A comprehensive assessment is required, taking into account the extent of the lesion, symptom presentation, growth rate, and impact on fertility. Generally, the condition is considered relatively mild when the lesion is localized, the uterine volume is not significantly increased, and symptoms are mild. However, the condition may be more severe if the lesion is extensive, the uterine volume is markedly increased, or symptoms significantly affect quality of life, even if individual lesions are not large.