Lower back pain and abdominal pain without menstruation
Aug 01, 2022
Source: Cainiu Health
Dr. Chen Zhe
Introduction
If lower back pain or stomach pain occurs without menstruation, the timing of symptom onset should first be clarified. If the lower back or stomach pain began only 3–5 days ago, it may be considered a premenstrual symptom. However, if lower back pain, stomach pain, and amenorrhea persist, conditions such as pregnancy, gynecological inflammation, ectopic pregnancy, or other disorders may be present; targeted treatment should therefore be administered based on the underlying cause.
Every girl experiences a menstrual cycle each month; however, sometimes this cycle is highly irregular. She may suffer from prolonged abdominal pain without the onset of menstruation. So, what could cause lower back pain and abdominal pain without menstruation?
Lower Back Pain and Abdominal Pain Without Menstruation
If a woman experiences lower back or abdominal pain but no menstruation, the first step is to determine when these symptoms began. If the pain started only 3–5 days prior, it may represent premenstrual symptoms signaling the imminent arrival of menstruation. However, if lower back pain, abdominal pain, and amenorrhea persist, underlying conditions such as pregnancy, gynecological inflammation, ectopic pregnancy, or other disorders may be present—and targeted treatment should be initiated based on the specific diagnosis. In cases of primary dysmenorrhea, premenstrual stress or increased prostaglandin secretion by the endometrium can trigger uterine contractions and vascular spasm, resulting in lower back and abdominal pain. Patients may alleviate discomfort through relaxation techniques and drinking warm brown sugar water.
Urinary system disorders—including kidney or ureteral stones and pyelonephritis—as well as muscle spasms induced by cold exposure to the lower back and abdomen, or muscular strain in these regions, can also cause concurrent lower back and abdominal pain. Such conditions may coexist with menstrual irregularities—i.e., lower back pain and abdominal pain occurring alongside amenorrhea. In these instances, applying a warm, damp towel to the lower back and abdomen may help relieve pain, while treating the underlying disease remains essential. When pregnancy status is uncertain, patients must avoid self-medicating. In daily life, maintaining warmth and increasing fluid intake are recommended to prevent symptom exacerbation.
Upon noticing any disease-related symptoms, patients should seek timely medical evaluation and actively cooperate with their healthcare provider’s treatment plan. We hope this information proves helpful to you.
