What causes waist fatigue or lower back pain during menstruation?

Here, "menstrual period" refers to menstruation, and lower back pain may indicate discomfort in the waist area. Experiencing waist discomfort or pain during menstruation could be caused by non-disease factors, but it may also be related to certain medical conditions such as premenstrual syndrome (PMS) or endometriosis. It is recommended to identify the underlying cause and receive appropriate treatment. The specific analysis is as follows:

1. Non-disease factors

Hormone levels fluctuate during menstruation, leading to cyclical shedding of the uterine lining. Uterine contractions help expel menstrual blood effectively. These contractions compress the uterine cavity, which may cause lower back discomfort or aching. This type of pain is physiological and generally does not require special treatment.

2. Disease-related factors

2.1 Premenstrual syndrome (PMS)
This condition may be associated with imbalances in estrogen and progesterone ratios, vitamin B6 deficiency, and psychological factors. Some women may experience general discomfort during their menstrual period, including nausea, vomiting, bloating, and lower back pain. It is recommended to ensure adequate rest and sleep, engage in moderate exercise, and supplement with vitamin B6 tablets and calcium supplements. If necessary, spironolactone tablets may be used under medical guidance to alleviate symptoms caused by water and sodium retention.

2.2 Endometriosis
When ectopic endometrial lesions occur in areas such as the pelvic cavity or abdominal cavity, they undergo cyclical bleeding in response to ovarian hormonal changes. This can irritate nerves in the lumbosacral region, resulting in lower back discomfort or pain. It is advised to rest adequately and avoid strenuous physical activity. Under a doctor's supervision, medications such as enteric-coated aspirin tablets, celecoxib capsules, or gestrinone capsules may be taken orally to help relieve symptoms.

In addition, other conditions such as lumbar muscle strain, chronic pelvic inflammatory disease, or lumbar disc herniation may also contribute to lower back discomfort or pain during menstruation. Appropriate massage and heat application are recommended. If symptoms persist, it is advisable to visit a gynecology department at a hospital for evaluation. Once the cause is identified, treatment should be carried out under medical supervision.