Can taking contraceptive pills cause lower back pain?

Nov 11, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Taking contraceptive pills may cause lower back pain, but it may not. Some people experience no discomfort after taking them, while others may have mild lower back pain, which is often related to hormonal changes and pelvic stimulation caused by the medication. Symptoms are usually mild. If the lower back pain is severe or accompanied by fever or abnormal bleeding, medical attention should be sought promptly. The estrogen and progestin in contraceptive pills can affect the body's hormonal balance.

Taking contraceptive pills may cause lower back pain, but it may not. Some people experience no discomfort after taking them, while others may have mild backaches, mostly related to hormonal changes and pelvic stimulation caused by the medication. These symptoms are usually mild. If the back pain is severe and accompanied by fever or abnormal bleeding, medical attention should be sought promptly.

The estrogen and progestin in contraceptive pills can affect the body's hormonal balance, potentially causing slight congestion and edema in pelvic tissues, which may stimulate surrounding nerves and lead to aching or mild pain in the lower back. This is more common during the initial period of use, and symptoms typically diminish as the body adjusts.

Individual tolerance to the medication varies. Some people experience no noticeable discomfort, while a few may develop more pronounced back pain due to significant hormonal fluctuations. Additionally, individuals with pre-existing conditions such as lumbar spine problems or pelvic inflammatory disease may find their symptoms worsened after taking contraceptive pills, leading to more noticeable back pain.

If mild back pain occurs during contraceptive use, applying heat to the lower back may help relieve discomfort. Avoid prolonged sitting or standing, perform gentle腰部 stretches appropriately, maintain comfortable sitting and standing postures to reduce strain on the lower back, monitor any changes in symptoms, and maintain regular sleep patterns.

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