Why do back pains occur during menstruation?


A big problem for very young girls and mature women are painful periods (dysmenorrhea ). Dull aching pain in the lower abdomen, extending to the back, can torment anyone. How girls complain: in this period, even climb the wall. Discomfort and nagging pains in the abdomen, pelvis and back begin to disturb women even before the onset of menstruation, may be present during them and even persist after. Why is this happening, and what can be advised women to relieve this menstrual syndrome?

Back pains during menstruation are caused by primary and secondary causes.

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Why during menstruation often back aches

Premenstrual syndrome (PMS) is a very frequent occurrence among women, especially those who have not given birth.. It is expressed not only in the painful sensations in the abdomen and back, but it can also manifest itself with such symptoms:

  • Headache and dizziness
  • Cardiac arrhythmia and angina pectoris
  • Weakness, nausea, poor appetite
  • Fainting
  • Insomnia and increased irritability

Back pain in primary dysmenorrhea

If dysmenorrhea occurs in girls, after one to three years after the first menstrual period, then it is usually associated with the onset of egg maturation (ovulation) that occurs in the middle of the menstrual cycle (full cycle — 21–35 days). This dysmenorrhea is calledprimary. It is based not on any pathology in the genitals, but on completely different reasons. .

Why in this case there is pain in the back before menstruation?

It used to be believed that the basis of such a syndrome is psychological and physiological factors that are not yet fully mature girls and women with mental problems. But at present there is a scientific theory, according to which hormone disorders are the basis of primary dysmenorrhea, namely:

  1. Different concentrations of the hormone prostaglandin in the uterus.
    • increased content prostaglandin E2 (PGE 2) leads to dilation of blood vessels and decrease in platelets in the blood
    • increasing concentration prostaglandin E2-alpha (PGE 2-alpha) - to uterine smooth muscle contractions and pain
  2. Increased estrogen levels that promote the release of prostaglandin PGE 2-alpha and increased uterine activity

Pain in the lower abdomen and lower back with the same on the eve of before menstruation or on the very first day and lasts one to two days. The nature of the pain:

  • Aching, cramping, tearing, pulling
  • Giving in the back and pelvic organs:
    rectum, bladder, appendages

How to treat primary dysmenorrhea

Be careful!

Before I read on, I want to warn you. Most funds "treating" back, which advertise on TV and sell in pharmacies - this is a solid divorce. At first it may seem that the cream and ointment help, but in reality they only remove the symptoms of the disease.

In simple words, you buy the usual anesthetic, and the disease continues to develop into a more difficult stage.

Common joint pain may be a symptom of more serious illnesses:

  • Difficulty walking
  • Osteomyelitis - bone inflammation,
  • Seps - blood poisoning,
  • Violation of the pelvic organs,
  • In severe cases, paralysis of the arms and legs.

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Many women try to treat dysmenorrhea with analgin or no-shpy, however, these tools are ineffective and last only a few hours, and then the attack returns. Are there any other ways to treat the pain that occurs before menstruation and during them? Yes, there are.

  1. And these are, first of all, NSAIDs already known to us (nonsteroidal anti-inflammatory drugs), which we used to treat acute pain in the back. arising through the fault of the spine:
    • Nimesil, diclofenac, ibuprofen, indomethacin, ketonal other

But in this case, these remedies are not used as symptomatic, that is, eliminating just pain, but as curative. Why?

The fact is that NSAIDs are considered inhibitors prostaglandins. causes of primary dysmenorrhea. Simply put, they interfere with their formation and eliminate spasms of the uterine muscles.

Apply them in two ways:

  • first three days during your period
  • before menstruation for one to three days (preventive scheme)
  • The second method is the use of combined oral contraceptives (COCs).
    And why do these seemingly non-painkillers help with pain? Very simple - their double impact occurs on an exclusively hormonal level..
    • Influence at endometrium uterus (reduction of its thickness), because of what the number of prostaglandins falls.
      This property allows the use of contraceptives for the treatment of serious female disease - endometriosis. the cause of frequent and painful periods
    • Lock ovulation through obstructing ripening and tearing follicle.
      The use of COC, which is carried out on a complex multi-day scheme from three to six months, leads to anovulatory cycle and painless monthly

    Abdominal and back pains with primary dysmenorrhea are treated with NSAIDs and complex oral contraceptives (OCCs).

    Treat pain or endure?

    However, both of these tools — both NSAIDs and COCs — are a “double-edged sword”, and it is not known here which is better: to suffer pain for a couple of days or to cause those complications that may occur later after their use.

    1. NSAIDs have a lot of contraindications. and after their admission such side effects may occur.
      • Gastric and intestinal ulcer
      • Cardiac pathology
      • Medicinal hepatitis, pancreatitis and nephritis
      • The defeat of the mucous membranes of a malignant nature, and many others
    2. After prolonged use of contraceptives:
      • Infertility may occur.
      • The risk of breast cancer increases (BC)

    Other ways to treat pain during menstruation

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    Who wants to live a long and vigorous life without pain in the back and joints, take 5 minutes and read this article.

    What to do if you do not want undesirable consequences, and there is no strength to endure pain?

    1. Take an anesthetic drug containing paracetomol. eg, sedalgin-neo
    2. Do relaxing exercises:
      • Lie on your back, bend your knees, and put your hands under the sacrum. Bend your knees from side to side for a minute or two. Then move your hands under the buttocks, take deep breaths, trying to breathe in the stomach
      • Roll over on your stomach and lie on your fists, leaning your forehead on the floor. With your feet together, lift your legs while inhaling. Take half a minute in this position, take deep breaths, then slowly lower your legs and relax
    3. Massaging active points:
      • Find two points below the navel at a distance of two and four fingers. Press them for two minutes while breathing deeply

    Causes and treatment of secondary dysmenorrhea

    We are talking about secondary dysmenorrhea:

    1. If its cause is the peculiarities of the anatomical structure of a woman.
      • Uterus bend
      • Presence of uterine horn rudiment
      • Double uterus

    In this case they talk about congenital secondary dysmenorrhea. The pain before menstruation and during them occurs in such women throughout their life, and may subside after giving birth.

  • If the pain before menstruation occurs in women rather mature, in which the cycle proceeded normally before, then there is secondary acquired dysmenorrhea .
    Why can it occur? There are many reasons for this. It:
    • Chronic inflammatory processes of appendages :
      Adnexitis, vulvitis, vaginitis, salpingitis
    • Uterus Endometriosis
    • Tumors and cysts of the ovaries
    • Uterine tumors (basically, fibroids )
    • Endocrine disorders.
      • thyroid function failure (hypothyroidism )
      • lack of corpus luteum of the ovary (progesterone deficiency )

    Progesterone deficiency leads to partial detachment of the uterine membrane after ovulation and can cause ovulatory syndrome:
    pain in the abdomen, ileum and hypogastric region, which can give to the lower back

    • Painful sensations appear 10–14 days before the beginning of menstruation.
    • About past ovulation can be guessed by spotting bleeding, observed after two or three days after the rupture of the follicle

    In all these cases, pain before and during menstruation is treated in the direction of eliminating its main source. Only a gynecologist can decide what the treatment plan will be.

    Back pain during menstruation with secondary dysmenorrhea is mainly caused by chronic inflammatory processes.

    Back pain after menstruation

    But pain in the abdomen, spreading to the back can occur in a woman and immediately after menstruation. This is a dangerous sign that can talk about chronic pathological processes and even about an extreme situation.. The reasons may be:

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    • Adnexitis
    • Oophoritis (inflammation of the ovaries, most often due to hypothermia or stress)
    • Tumor or cyst
    • Peritonitis
    • Ovary hemorrhage (apoplexy)
    • Ovarian hyperstimulation (often occurs in the treatment of infertility)
    • Psychogenic factors

    Chronic Pelvic Pain Syndrome

    On the basis of persistent pain in the pelvis and lower back during menstruation, chronic pelvic pain syndrome may occur in a woman. The reason for it is vegetative nervous system. causing spasm of the pelvic floor muscles

    Chronic pelvic pain during menstruation caused by muscle spasm.

    Treat the syndrome with homeopathic medicines, muscle relaxants and suppositories. :

    Health to you, women, and less suffering!

    Video: Why are painful periods

    Causes and ways to relieve back pain during menstruation

    A common symptom for many women with menstruation is pain in the lumbar region. They appear due to the contraction of the uterus and other processes occurring in the body during this period. If the pain disappears, then you should not attach much importance to them. A simple painkiller will help the woman. Constant pain during menstruation in the lower back, increasing with time, deserve serious attention. This may already be a sign of diseases of various internal organs. In this case, the cause can be determined only with the help of a doctor. Most likely, you will have to do an ultrasound, to pass the tests.

    Pain during menstruation caused by physiological changes in the body

    1. During menstruation, prostaglandin production is enhanced in the woman’s body. These biologically active substances are involved in the regulation of various physiological processes. During uterine contractions, which occur during menstruation, due to the action of prostaglandins on the nerve endings of the cells, the signal is transmitted to the brain. There is a pain sensation. Pain extends from the uterus to the lower back and other areas of the body. They are called radiating pains.
    2. Soreness may occur due to the location of the uterus. If it is displaced to the back, it begins to squeeze the nerve fibers. In this case, the woman feels pain in the lower abdomen, in the lumbar region and in the sacrum.
    3. Estrogen (female sex hormone) is produced in the ovaries. In the reproductive period, its level is maximum. This hormone increases the sensitivity of receptors, increases muscle tone. Muscle tension in the pelvic region is also the reason that the lower back hurts during menstruation.

    Characteristic symptoms

    If the pain during menstruation appears in the abdomen, and then go to the lower back, the cause is a contraction of the uterus. They periodically recur and disappear with the cessation of menstruation. These pains are associated with impaired outflow of blood from the uterus during menstruation and the effect of prostaglandins on nerve cells.

    Increased pain during menstruation, occurring against the backdrop of dramatic weight loss, sleep disturbances, indicate hormonal disorders in the body. The cause of such disorders may be a disease of the thyroid gland. It is necessary to be examined by an endocrinologist, to be tested for hormones in order to prescribe treatment.

    The occurrence of "lumbago" in the lower back during menstruation or pulling pain, passing into the chest or leg, may indicate neurological diseases (osteochondrosis), aggravated during menstruation, or hernia.

    Pain during menstruation may increase with insufficient removal of fluid from the body due to a violation of the kidneys, there are swelling in the tissues, which increase pain.

    Dull pain in the kidney area (sometimes on the one hand) may be a consequence of urolithiasis. Sometimes the back in this area starts to hurt during menstruation due to pleurisy. Usually such feelings during menstruation only increase. It is possible to distinguish these diseases by increasing the temperature.

    Severe pain in the lower back and abdomen during menstruation can be symptoms of inflammatory diseases in the uterus and ovaries. At the same time, painful sensations also exist in the period between menstruations, accompanied by discharge of a different nature.

    Note: It is not recommended to use any drugs for self-treatment. So you can miss the beginning of a serious illness. The survey will help determine the cause of back pain during menstruation and determine how to alleviate the condition of the woman.

    One of the symptoms of endometriosis (diseases of the uterus, which is characterized by strong pain in the abdomen and lower back during menstruation) is iron deficiency anemia. Its presence can be judged by such symptoms as pallor, shortness of breath, weakness, drowsiness, dizziness.

    Little about female anatomy

    The pathological structure of certain organs of the reproductive female system, most often the uterus, can cause discomfort during menstruation. If the main reproductive organ is deflected in the direction of the spine, then when the tissues swell shortly before and during menstruation, the uterus squeezes the nerve endings, causing back pain in the lower abdomen and lower back.

    Sometimes pulls the lower back due to underdevelopment of the uterus. Typically, this pathology is congenital, often causing miscarriage or infertility.

    The appearance of pain depends on the state of the pelvic floor muscles. Their fitness, the ability to stretch with increasing uterus affects the state during menstruation. The more elastic muscles, the easier the woman transfers not only the menstruation, but also pregnancy, childbirth.

    In general, non-intensive nagging pains are natural. Unpleasant sensations in the lower abdomen, lower back, rectum, and sacrum are due to the close interrelation of pain receptors. Against the background of an increased concentration of the hormone estrogen, substances that cause pain syndrome are released.

    Also, all women have a different pain threshold. It does not depend on whether the lower back can hurt during the menses, but the intensity of the unpleasant sensations varies. In some cases, a woman feels mild discomfort, while many of the fair sex cannot do without strong analgesics or antispasmodics and painkillers during this period.

    Hormonal disbalance

    One of the most common causes of back pain before menstruation is a change in the ratio and concentration of estrogen and progesterone hormones. At the onset of menstruation, this level increases significantly, causing contractions of the muscles of the uterus, comparable to weak contractions. With a low pain threshold, such feelings in the lower back during menstruation can be not just a cause of discomfort, but also an occasion for a visit to the doctor.

    Also, changes in hormonal levels inevitably occur in diseases of the thyroid gland. Low back pain during menstruation, insomnia and other characteristic symptoms that accompany a woman constantly.


    Severe or weak soreness may be caused by the development of primary or secondary dysmenorrhea. It is one of the symptoms of premenstrual syndrome.

    In primary dysmenorrhea, the pain is usually mild, as are the symptoms of PMS. The secondary one is most often caused by an abnormal formation of the uterus during the prenatal period - it is equipped with rudimentary processes or is bent relative to other internal organs. This structure causes lumbar pain of high intensity, as well as other disorders - heavy bleeding, psycho-emotional disorders.

    For more information about the causes and symptoms of dysmenorrhea, you can read a separate article on our website.

    Inflammatory diseases, puffiness

    Puffiness occurs against the background of various infectious and inflammatory pathologies, also with impaired exchange of water in the body. Increasing the volume of tissue squeeze the nerve endings, causing a sharp pain in the lower abdomen and lower back.

    Pain syndrome can also be associated with the presence of acute or chronic pathologies:

    • fibroids, fibroids, cysts,
    • endocrine system diseases
    • inflammation of the ovaries, adrenal glands, cystitis, pyelonephritis.

    Any failure of the menstrual cycle can also cause sudden discomfort in the lower back.

    Norm and pathology

    Mild pain, localized in the lower back and lower abdomen, during menstruation is considered normal, if the following symptoms are absent:

    • severe bleeding that does not return to normal by the 4th – 7th day of menstruation or continues for more than a week,
    • darkening of the secreted blood, the appearance of clots, lumps, changes in the structure (coffee grounds, gruel, cheesy inclusions) - may accompany some diseases and ectopic pregnancy,
    • chronic pelvic pain syndrome - accompanies not only gynecological, but also proctological, urological diseases; it is found in case of kidney diseases,
    • a sharp rise in temperature above subfebrile values ​​indicates the development of inflammation,
    • pallor, loss of consciousness, dizziness, lethargy, apathy - can be caused by bleeding,
    • inflammation of the uterus mucosa - accompanied by nagging pain, violation of the cycle, the appearance of hemorrhages during the period between menstruations.

    Also during menstruation, the lower back hurts along with other PMS symptoms. This syndrome is characterized not only by pains in the pelvic region, abdomen, lower back, but also by increased irritability, tearfulness, anxiety.

    Sometimes the loin hurts during menstruation after increased physical exertion, weight lifting, prolonged standing, sleeping in an uncomfortable position. In this case, back pain during menstruation quickly passes and does not return.

    If this condition is repeated every month, increasing with each menstruation, other dangerous symptoms appear, you should seek medical help and undergo a full examination to detect hidden infectious and inflammatory pathologies.

    Pain syndrome often occurs in women in the norm, if not accompanied by increased pain, bleeding, deterioration of health and passes quickly. At the same time, the reasons often remain unexplained, even with detailed examination.


    For the relief of pain, analgesics, antispasmodics and painkillers are used. The most common are:

    • Nimesil,
    • Ibuprofen
    • Diclofenac,
    • Indomethacin,
    • Drotaverinum (No-shpa),
    • Analgin,
    • Pentalgin and analogues.

    If the causes of discomfort are viral or bacterial infections of the urogenital system, kidney problems, tumors, drugs will bring only temporary relief.

    Pain during menstruation is familiar to many girls, so we recommend reading in more detail about how to relieve pain during menstruation.

    Folk treatment

    If the stomach or back hurts badly, you can use non-drug treatments:

    1. Special gymnastics. Carry it in the position of lying on its side, hands under the sacrum, legs as much as possible to the abdomen, several times slowly aligned.
    2. Massage of biologically active points. If during this period pain accompanies you constantly, before critical days and during menstruation, you can press on points that are 2 and 4 fingers above the navel for at least 2 minutes, taking in deep air.
    3. Warm bath. To warm the stomach during menstruation can, if a woman is confident in the absence of diseases of the ovaries, uterus and inflammatory processes.
    4. Infusions of horsetail, celery roots, valerian, elecampane, chamomile and peppermint.

    The success of treatment depends on what to do if your back hurts. Before taking any drugs or using traditional medicine recipes, it is necessary to establish the cause of the pain. It may be gynecologic in nature, or it may accompany diseases of the kidneys and joints that are dangerous to health and even life, indicating the development of a tumor in the body. Therefore, it is not recommended to postpone a visit to the gynecologist.

    In which cases should consult a doctor for pain during menstruation

    A doctor should be consulted in the following cases:

    • pain is so strong that it does not give to do ordinary things, last more than 2 days,
    • except for pain in the lower back, nausea, vomiting, intestinal upset, headache,
    • there is heavy bleeding, the formation of blood clots,
    • painful sensations have the character of spasms, contractions (especially in women after 30 years).

    The appearance of severe pain in a girl during the first menstruation may indicate pathologies in the development of internal genital organs, therefore it is impossible to leave such symptoms unattended.

    Ways to relieve pain in the lower back during menstruation

    You can reduce pain with light exercise. Lying on your back, put a book on your stomach and try to raise and lower it with a little muscle tension. When the stomach is tense, count to 5. Breathe through the nose in time with the movement of the abdomen. Repeat several times, rest for 2 minutes, then repeat the exercise. Yoga is also useful.

    Causes of pain during the cycle

    1. Increased hormone estrogen.

    The sensitivity of the woman and the activity of the uterus during this period depends on the hormonal levels, or rather on the amount of certain hormones. If the level of the hormone estrogen is increased, which is most often observed in women older than thirty-seven, menstruation is painful.

    1. Increasing the level of all hormones.

    In this situation, a woman may experience symptoms of such painful conditions as algodysmenorrhea and premenstrual syndrome. If you have monthly pain in your lower back and you feel pain of a cramping character in the lower abdomen, then it is likely that these are symptoms of algomenorrhea. In this case, women experience intense pain attacks, which are accompanied by weakness, nausea, dizziness.

    Treatment of this condition will include a set of the following measures:

    • use of analgesics and antispasmodics,
    • taking prostaglandin synthesis inhibitors,
    • non-drug treatment,
    • use of combined hormonal drugs,
    • taking sedative drugs, a course of vitamins,
    • observance of a rational daily regimen.

    1. Increased prostaglandin levels.

    The violation of the natural harmony in the female body between prostaglandins and sex hormones also provokes the appearance of pain in the lower abdomen, as well as in the back during menstruation. In cases of the prevalence of prostaglandins - specific chemicals produced by the tissue of the uterus, it begins to shrink more and more intensively, thereby causing painful sensations.

    Other associated symptoms include chills, nausea, headache, vomiting, sweating, and tachycardia.

    1. Excessive activity of the thyroid gland.

    As a result of the excessive activity of this organ, which is the regulator of the production of all our hormones, the period of menstruation is difficult for women and insomnia appears.

    1. Negative processes occurring in the uterus (its underdevelopment, incorrect position or infectious diseases).

    Often, pain during menstruation in various areas of the body arise due to various pathologies in the uterus, for example, due to infertility.

    In some cases, the painful manifestations of ovulation are caused by intrauterine contraception. The appearance of unpleasant sensations is associated not only with the presence of a foreign object in the uterus, but also with the activation of prostaglandin synthesis.

    If you have an intrauterine device, if you have a stomach and back pain during menstruation, then the body signal may indicate that you should use alternative methods of contraception.

    Be sure to consult your doctor if:

    • during menstruation, the stomach and the back ache for a long time,
    • pains during menstruation suddenly intensify and do not pass,
    • There are symptoms that indicate a possible infection: discomfort in the genital tract, urination problems, odor, unusual discharge, itching,
    • you observe more pronounced bleeding than usual
    • There are symptoms that indicate a possible inflammatory process: chills, fever, muscle and joint pain, sweating.

    How does ovulation affect a woman's well-being

    The process of ovulation involves the release of a fertilizable, mature egg from the ovarian follicle into the abdominal cavity.

    It is a specific stage of the menstrual cycle. In women of childbearing age, this process occurs cyclically, approximately every 21-38 days. As in the case of menstruation, at this stage of the cycle, women tend to experience some discomfort, and in some situations even back pain and abdominal pain during ovulation.

    Such unpleasant and sometimes very painful symptoms are considered to be the ovulatory syndrome - a complex of signs indicating the release of an egg from the follicle.

    1. recurring, aching pain in the lower abdomen,
    2. feeling as if pulling the lower back in the middle of a cycle
    3. pain in the right abdomen,
    4. bloody spotting character.

    If you have low back pain during ovulation, then most likely these painful manifestations are triggered by a rupture of the wall of the follicle and blood clots in the abdominal cavity. Since blood is a strong irritant, a woman during this period of time may experience unbearable pain.

    If you have lower back pain in the middle of the cycle, then these painful manifestations can also be taken as a signal of the onset of ovulation. In some cases, such signals of the female body must be felt, because ovulation is the most favorable moment for pregnancy. For those couples who dream of becoming parents, this information will be very useful.

    Image of the process of ovulation. The release of the egg from the ovary.

    Do I need to consult a doctor

    If you regularly wonder why back and stomach aches during menstruation, then you can recommend to consult a gynecologist. Many different pathologies and diseases can provoke the appearance of irradiating pain at any time during a cycle in different areas of the body: oncological tumors, negative processes in the uterus, and much more.

    One should not strive to get rid of pain with the help of pain-relieving medicines, as their task is not to eliminate the cause of pain, but only to hide it. Therefore, be sure to visit the consultation of a medical specialist, tell him in detail about the painful sensations that are troubling you. After you pass certain tests and undergo an examination, he will be able to detect the factor causing poor health and will assign you an individual treatment regimen.

    Video: Yoga to relieve back pain during menstruation

    Recommendation: During menstruation, hypothermia and colds should be avoided. It is necessary to wear warm underwear, waterproof warm shoes. Otherwise, you can earn inflammatory diseases of the appendages, the bladder.

    The loins with monthly pains are stronger if the body lacks calcium. Therefore, during menstruation you need to eat more dairy products. Perhaps chocolate can help ease the pain, increasing the production of the “pleasure hormone” in the brain.

    As an anesthetic, you can drink Ibuprofen, Ketanov. Relief of antispasmodics, such as No-shpa, Spazgan, helps to reduce pain. A doctor may prescribe Duphaston, a hormonal drug. It is able to normalize the production of prostaglandins, due to which the pain is eliminated. Often, the pain during menstruation disappears in a woman after giving birth.

    To relieve pain during menstruation, physiotherapeutic methods of treatment are used, such as electrophoresis with novocaine on the solar plexus area, acupuncture, acupressure.

    If a woman does not have an allergy to plants, then infusions of divasil root, horsetail, celery root, or valerian root, peppermint and chamomile extracts can be used to alleviate pain during menstruation.

    Lower back pain in menses: causes and methods of elimination

    February 17, 2016

    Lower back pain in menstruation, we are accustomed to consider normal, because there are almost no lucky women who are completely spared from the monthly torment. Someone takes these days easier, others just have to lie down for several days. It became interesting to us to find out whether we really need to endure the pain in silence and refer to the woman’s share or it’s time to see a doctor. According to doctors, only the fact of regular onset of menstruation can be considered normal, because it indicates the sexual maturity of the female body and the ability to conceive. But back pain in menstruation is the reason for a serious examination.

    Difficulties with diagnosis

    The thing is that it is very difficult to unequivocally determine the cause of such a phenomenon. Lower back pain in menstruation is only a symptom, and it indicates the possibility of dozens of different diseases and abnormalities. Therefore, do not self-medicate, but contact a competent therapist. Such symptoms may indicate kidney disease, and problems with the musculoskeletal system, so only a specialist during the inspection can identify the true cause of what is happening and prescribe treatment. Today we want to consider the most common causes that can lead to such consequences.

    Borders of the norm and pathology

    They are quite blurry, but every woman should know her body and track her condition. Mild pain on the first day of the onset of menstruation is a normal process, epidermis detachment occurs in the uterus, because the embryo for which it was prepared has not been implanted and the pregnancy has not taken place. But if the pain in the lower back in the monthly puts you in bed and is heavily delayed, then you need to look for reasons. It should especially be alerted if the discharge has already ended, and the pain continues.

    The main causes are inflammatory processes.

    Of course, they will immediately cause back pain in menstruation, and it’s not a fact that with the end of critical days unpleasant symptoms will subside. But to make the correct diagnosis, the doctor will have to conduct a series of examinations. The fact is that under this general name hides a number of diseases. This may be adnexitis, that is, inflammation of the ovaries and fallopian tubes. A characteristic feature is not only lower back pain, but also pulling sensations in the lower abdomen. Treatment should begin as early as possible, as a delay can lead to the most serious consequences. In this case, the first bell may be back pain during menstruation. Причины этому понятны, болезнетворные организмы во время критических дней могут развиваться гораздо более активно. Отличить воспаление яичников от обычной менструации несложно, боль не пройдет после ее окончания и будет только нарастать.

    The solution to this problem can only be a serious course of treatment with antibiotics and antimicrobials. Do not forget that it is impossible to prescribe yourself such strong drugs yourself, otherwise you can greatly harm the body.

    Cervicitis, vulvitis and other inflammatory diseases

    Adnexitis is not the only option for the occurrence of inflammatory processes in the pelvic organs. Cervicitis is quite common. This disease is caused by a virus or infection that affects the cervical mucosa. Damage during abortion or childbirth can be a provocation. However, it is very easy to distinguish it from other diseases. In this case, there are always pus and mucous secretions, and the lower abdomen is painful during menstruation. No less pronounced pain in the lower back, sometimes you might think that you have an attack of chondrosis. Vulvitis is an inflammatory process of the outer lining of the external genital organs. Most often caused by yeast-like fungi. At the same time, there is not only pain in the lower abdomen, but also burning, swelling and other changes.

    Hormonal imbalance

    Low back pain during menstruation can be a signal that there are problems in the hormonal sphere. It disrupts the natural balance between progesterone and prostaglandin. The predominance of the latter causes pain, usually aggravated by the end of menstruation. It is easy to explain; hormones are chemicals that stimulate uterine contractions. The higher the level of this hormone, the stronger the reduction. A surplus of prostaglandin causes nausea and headache, chills and weakness. With the increase in hormonal imbalance, severe back pain occurs during menstruation.

    The endocrinologist and the gynecologist should deal with this problem together. In this case, the appointment of KOC is not always the ideal way out of the situation. You need to carefully study the tests for hormones and understand what is happening in the body before you prescribe any drug. It is possible that among the variety of KOK there will not be one that would meet the needs of your body at a given time.

    Physiological abnormalities

    Indeed, it happens that pain in the stomach and lower back during menstruation has been haunting a woman for many years, and no one can figure out what the reason is. In this case, it is recommended to make an ultrasound to assess the condition of the uterus. It can be strongly deviated from the normal position set by nature. This can cause soreness during menstruation. There is also another physiological feature - the proximity of the uterus to the nerve endings. Together with the high excitability of the nervous system, this leads to private pain. The solution here may be the use of mild sedatives, as well as painkillers. These are “No-shpa”, “Spazgan”, “Sedalgin-Neo” and a number of others.


    We have already said that the most alarming signals can be considered pain in the lower abdomen (lower back) after menstruation. This is definitely not associated with active uterine contractions that occur in the first days. So the reason is more serious. If the pain does not subside or increases, and at the same time strongly pulls the lower abdomen, then endometriosis can be suspected. Removal of the endometrium from the body is a normal physiological process, which, however, may fail. In this case, endometrial cells can enter the abdominal cavity and settle on the nearest organs. Growing, they are filled with blood, from which they can not get rid of. Because of this, the stomach hurts badly during and after menstruation. There are two methods of treatment: surgical (classical surgery or laser burning) and hormonal.

    Ovarian hyperstimulation syndrome

    Quite rarely found on its own. Usually, its development is preceded by a long-term use of hormonal drugs that are aimed at combating infertility. The consequences are enlarged ovaries, follicular cysts, and other signs. As a result, there are pains in the lower back, chest aches, periods come with strong, extremely unpleasant symptoms. The severe course of this disorder manifests itself in the form of strong, encircling spasms. Treatment of this disorder is systemic, usually correction of hormone therapy is recommended.

    Thyroid dysfunction

    This is a very important element that regulates the work of almost all body systems. Violation of its functions, changes in the level of hormonal levels - it is always fraught with a change in the state of health of the woman. Often the most noticeable symptoms are sleep disturbance and lack of appetite, as well as a very pronounced premenstrual syndrome. There are nagging pain in the lower back during menstruation, and often they do not end even after they end.

    Tumors and cysts

    With these diseases, squeezing sensations appear, which increase many times during menstruation. It seems that a heavy lead ball was placed in the abdominal cavity, which crushes all other organs. At the same time, the feeling of something superfluous and unnecessary is gradually intensified, since the neoplasm tends to grow and grow in size. It is sure to feel the nerve endings and neighboring organs. One fine day, the result of a growth of a neoplasm will be a disturbed blood supply to the pelvic organs. As a result, the lower abdomen and the loins will be very sore, both during menstruation and after them.

    As you can see, there are a lot of options for why the lower abdomen can hurt during menstruation, so you should not self-medicate, consult a doctor. However, before visiting the hospital, you can help yourself by wearing a woolen scarf on your lower back and taking painkillers. A good option would be "No-shpa." This drug is not too strong, well relieves spasms and reduces the intensity of pain. The second option is "Ketarol." However, if the pills relieve pain only for a short time or they do not help at all, it means that it is necessary to go to the hospital urgently.

    Finally, I would like to note that any discomfort is a signal that there is a serious malfunction in the body. You should not mask it with painkillers, you can miss the time when the disease can be cured easily and without consequences.

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    Draw conclusions

    We conducted an investigation, examined a bunch of materials, and most importantly, checked most of the remedies for treating the back. The verdict is:

    All drugs gave only a temporary result, as soon as the treatment was stopped - the pain immediately returned.

    Remember! There is NOT ANY MEANS that will help you to cure your back if you do not apply a complex treatment: diet, regimen, exercise, etc.

    New-fashioned remedies for back and joint pains, which the whole Internet is replete with, also did not produce results. As it turned out - all this is a deception of marketers who earn huge money on the fact that you are led by their advertising.

    The only drug that gave significant
    the result is chondrexyl

    You ask, why does everyone who suffers from back pain in a moment did not get rid of it?

    The answer is simple, Hondreksil is not sold in pharmacies and is not advertised on the Internet. And if they advertise - then this is a FAKE.

    There is good news, we went to the manufacturers and share with you a link to the official site Hondreksil. By the way, manufacturers do not try to profit in public with a sore back or joints; for a promotion, each resident of the Russian Federation and the CIS can receive one package of the drug IS FREE!

    Primary and secondary dysmenorrhea

    Primary (idiopathic) dysmenorrhea is a process accompanied by pain during menstruation, usually begins in adolescence and after 2-4 years passes on its own.

    As a rule, it is characterized by short pains of a whine character. The nature of primary dysmenorrhea is not fully defined, some scientists attribute its development to psychological, and others - to physiological factors (including the characteristics of the location of the uterus).

    The appearance of secondary dysmenorrhea is associated with various organic diseases, for example, inflammation of the appendages, uterine myoma. Pain arises due to impaired blood supply to the uterus or stretching of its walls (depending on the nature of the disease). In most cases, secondary dysmenorrhea develops in girls after 30 years. It is more specific and needs a thorough medical approach.

    Hormonal background

    During menstruation, hormones jump in women, as a result of which muscle contractions can begin in the uterus, which is a bit like labor contractions. Provided that the girl has a strong sensitivity of the nerves, the pain during this period can be significant.

    There are situations when, against the background of an increased level of hormones, the thyroid gland is active, this is accompanied by sleep disorders and pain in the lumbar region. Similar symptoms have a pregnancy hormone - progesterone. Its increase leads to muscle spasms in the uterus, which also manifests severe pain.

    Disruption of water exchange

    One of the common causes of painful menstruation is a violation of the water level. In a situation where the moisture does not leave the tissue in a modern way and in the right amount, edemas form that put pressure on the nerves, which leads to painful sensations in the back during menstruation.

    Sometimes the occurrence of pain provokes overweight (obesity). With the rapid accumulation of moisture in the body, the spinal column is a heavy load, as a result of which the lumbar region experiences pain.

    How to deal with them

    Gynecologists recommend before starting treatment to identify the main cause of pain, because it can be a symptom of a serious disease (for example, an ovarian tumor). If there is no serious pathology, then you can resort to medication, special gymnastics and traditional medicine.

    Nonsteroidal anti-inflammatory drugs

    Nonsteroidal anti-inflammatory drugs well relieve back pain during menstruation. These drugs include Ketorol, Ibuprofen and Nise.

    They not only relieve the characteristic symptoms, but also reduce the reproduction of hormones that trigger the tension of the vaginal muscles.

    In order for them to have maximum impact, it is recommended to take them 1-2 days before the month or immediately after their occurrence. Any pills have a number of contraindications, it is important to get acquainted with them in advance to reduce the risk of side effects.

    Combined oral contraceptives

    Sometimes, contraceptives are used to treat the lower back. They affect hormones, which significantly reduces the level of progesterone. When this medication affects the uterine endometrium, reducing its thickness. Oral contraceptive preparations should be selected by a doctor taking into account the age and characteristics of the girl's body.

    Taking inappropriate combined contraceptives can lead to a number of negative effects, such as infertility.

    Gymnastics Exercise

    Gymnastics for menstruation is good for the body, has a positive effect on muscle tone and allows you to cope with pain in the abdomen and back. Examples of exercises to improve muscle tone during menstruation are presented below:

    1. Starting position: lying on his stomach, resting his forehead on the floor. Legs together, fists planted under the body. Taking a deep breath, they take off the legs from the floor and stay in this position for 10-20 seconds, then return to the starting position. Repeat at least 5 times. During this and other exercises it is important to follow the breath, it should be smooth and calm.
    2. Starting position: supine, legs bent at the knee joints. From this position, raise the pelvis, as high as possible, fixing at the maximum point for a few seconds, then return back. Repeat the exercise 6-7 times.
    3. Starting position: lying on your back, bending your knees. Hands are under the waist. The legs raise to 15 o and begin to swing slightly in both directions for 30 seconds. They put their hands under the buttocks and tighten their knees in turn to the head. They return to their original position and relax for a few minutes, after which they will repeat the manipulation 2-3 times.


    In the event that pills are contraindicated, and the exercises do not have the desired effect, you can resort to self-massage. Its meaning is to influence particular points. They are located slightly below the navel: one point at a distance of 2, and the second at a distance of 4 fingers. You can find them by increased sensitivity. Gently press them simultaneously for 2-3 minutes while breathing deeply.

    Traditional medicine

    If the above methods do not help or there is no opportunity to carry them out, resort to the help of traditional medicine. Also, it can be used as an aid. Broths and infusions of various herbs and plants help to combat the pain during menstruation. Let us consider in more detail the most effective means:

    1. Broth based on parsley. For its preparation take parsley (pre-dried) and pour boiling water in a ratio of 1:10. Drink 100 ml before meals 2 times a day.
    2. Infusion of blackberry and burdock root. The listed ingredients are mixed together in equal quantities (2 tablespoons) and pour boiling water. Leave to infuse for several hours, then carefully filtered. The resulting product is consumed in 100 ml 2 times a day 30 minutes before meals.
    3. A decoction of forest strawberries. To prepare the broth, take 2 teaspoons of the plant and pour 250 ml of boiled water. Leave to infuse overnight or 8 hours and consume 100 ml per day.
    4. Precast infusion. A good effect has an infusion of useful plants: chamomile, mint and valerian root. They are taken in proportions of 2: 1: 1 and poured boiling water. The resulting tool is left to infuse for 30-60 minutes and use 1 tablespoon 2 times a day.

    Back pain before menstruation

    Venereal diseases

    In some cases, sexually transmitted diseases can cause a painful sensation in the lumbar region during menstruation. At the same time, pain and urination are noted. Most often, these symptoms give chlamydia and gonorrhea. Both diseases are sexually transmitted and may be accompanied by vaginal secretions (white or yellow).

    Adhesion process

    The adhesions process during menstruation may make itself felt for the first time, this is due to a weakening of the body and a decrease in immunity. Often, amid scar formation occurs intestinal upset. Adhesions can affect reproductive functions, interfere with the conception of a child, therefore it is important to cure the pathological process.

    Oophoritis is an infectious disease (inflammation of the ovaries). It may be accompanied by back pain, but in most cases, the pain gives to the lower abdomen (in the area of ​​the left ovary). The pain is usually severe, but periodic, quickly pass. Often there is a weakness and fatigue. With such symptoms, it is recommended to consult a doctor for advice.

    Polycystic ovary

    Polycystic ovarian disease is an endocrine disease, the progression of which often leads to infertility.

    The disease disrupts the work of the ovaries, which is reflected in the menses: a cycle is lost, a delay occurs. But when menstruation begins, they proceed very painfully with copious secretions of blood.

    Inflammation of the fallopian tubes

    When inflammation of the fallopian tubes occurs menstrual irregularities: menstruation or abundant or too scarce. In most cases, they proceed with maximum discomfort: pulling pain in the lower abdomen, acute back pain.

    Vaginitis is an inflammatory process localized in the vaginal mucosa. The causes of its occurrence are numerous, ranging from allergic reactions to venereal diseases. During menstruation, the inflammation increases, the pain strongly gives to the lumbar region. Vaginitis is not difficult to detect, because it is manifested by redness of the external genital organs.

    When you need to see a doctor immediately

    If back pain during menstruation is accompanied by fever, an urgent appeal to the doctor is necessary. This may indicate a local inflammatory process that must be eliminated as soon as possible.

    Excessive bleeding, prolonged pain and fever in women during their periods can be symptoms of the urinary system. Any disease is easier to cure at the initial stage, so you should not postpone the visit to the doctor.

    Painful ovulation

    Ovulation - an important stage of the monthly cycle, is the process of release of the egg into the fallopian tube. During this period, many women experience discomfort in the lower abdomen and lumbar spine. From a medical point of view, this is called ovulatory syndrome. The following symptoms are most common:

    1. Occurrence of periodic or constant pain in the abdomen to the bottom.
    2. Severe discomfort in the right abdomen.
    3. Small bleeding.
    4. A condition similar to the period of the menstrual cycle.

    With the above symptoms, it is important to consult a doctor.

    If such symptoms interfere strongly in everyday life and often arise, it is necessary to determine their nature.

    Chances are that the pain during ovulation causes the rupture of the wall of the follicle or blood clot in the abdominal region. The blood causes severe irritation of the surrounding tissues, which is accompanied by pain. Sometimes ovulatory syndrome is not associated with serious problems, it simply reminds of the most appropriate time to conceive a child.

    Basic pathologies

    Inflammatory processes in the tissues of the pelvic organs can cause pain. Inflammation of the appendages or endometriosis at the initial stage is not disturbed on other days, and the symptoms appear during menstruation or after menstruation. During menstruation, inflammation only increases, and for good reason.

    With the progression of the disease, pain becomes permanent, and other characteristic symptoms accompany them. Only this causes hormonal changes.

    It is a violation of the menstrual cycle, which doctors call dysmenorrhea, leads to constant pain in the lumbar region. There are two types:

    Primary dysmenorrhea cause psychological disorders, as well as physiological factors. But the main reasons are hormonal disorders.

    An increased concentration of prostaglandin in the blood dilates the blood vessels and lowers the level of platelets. The smooth muscles of the uterus are reduced with increased strength, and this causes pain, which gives to the lower back.

    Prostaglandins play a large role in the appearance of discomfort and pain during menstruation, since their level increases several days before the onset of menstruation and pain occurs earlier. The greater the concentration of these substances in the blood, the stronger the pain.

    Together with prostaglandins, estrogens increase, which are responsible for the first phase of the cycle. They increase when the level of progesterone decreases, which contributes to the growth of the endometrium, and prepares the female body to bear the child. The group of estrogen includes three types of hormones:

    They are present in the female body in different quantities and have different activities, but the latter plays the most important role. Fluctuations in its concentration provoke discomfort and pain.

    The nature of back pain during menstruation

    Back pain in every woman manifests itself in different ways, but has a greater similarity. Its manifestation is influenced by an individual sensitive threshold, causes, the presence of diseases of the urogenital system, the concentration of hormones in the blood and a number of external factors.

    When menstruation in the back arise aching, less cramping pain, which differ in different intensity. A few days before the onset of menstruation, it can only hurt slightly, but on the first and second day of menstruation it exceeds the permissible pain threshold and in most cases even painkillers are powerless. By the end of menstruation, the pain passes and does not bother the woman the whole month. Only treating the cause and normalizing hormone levels can suppress these sensations, and the loins will not be disturbed.

    Treatment of primary dysmenorrhea

    Disorders of the menstrual cycle require treatment. Treatment of primary dysmenorrhea involves the normalization of hormonal levels. Therapy is carried out medicamentous to reduce the level of hormones, and at lowering they are replenished with synthetic analogues.

    Such treatment is aimed at eliminating the causes of pain, but if there is no strength to endure it, in parallel, symptomatic therapy is carried out to suppress unpleasant sensations.

    Consider three areas of treatment of primary dysmenorrhea:

    • progestins,
    • hormonal contraceptives,
    • nonsteroidal anti-inflammatory drugs.

    Each of them has an effect on hormones, and the latter has a positive effect on the permeability of soft tissues and suppresses pain.

    The progestogens include a group of homons that relax muscles, relieve tension and contribute to the renewal of the mucous membrane of the uterus, as well as normalize the menstrual cycle. Most importantly, progestogens regulate the production of estrogen, thereby eliminating the cause of pain.

    Hormonal contraceptive drugs are only suitable for women who are not planning a pregnancy, but sometimes this measure is chosen for a short period, even for women who want to have a baby. The treatment can last for the entire child-bearing age or take 3-6 months, after which you can plan the pregnancy again.

    The action of drugs is aimed at suppressing ovulation, but they also reduce the concentration of prostaglandins. Intrauterine pressure is reduced, and the uterus is not reduced too actively. When taking contraceptives, the endometrium does not increase in the right quantity, and there is no need for high frequency cuts.

    With individual characteristics and a number of contraindications, gestagens and synthetic hormones are not used to treat dysmenorrhea. They are replaced by nonsteroidal anti-inflammatory drugs. They are taken only in the event of pain and treatment of the main problem, they are not. This is a kind of temporary measure for the suppression of pain.

    Prevention methods

    Self-medication and taking medication without consulting a doctor is dangerous. If the cause of disorders of the urogenital system or diseases of the endocrine system need a comprehensive treatment, which will appoint a doctor. He will also say what to do if these are physiological features. It is impossible to joke with inflammatory processes, as well as with hormonal disorders. If the cause of the pain in the individual characteristics and low pain threshold lower back pain can be prevented.

    Regular massage before the onset of menstruation activates pain receptors, relaxes the uterine muscle tissue, as well as ligaments of the abdominal cavity. Acupressure, performed by a professional, normalizes the endocrine system and adjusts the hormones.

    The massage procedure is pleasant, but takes more time than medication. But the result of the procedure is better and does not cause side effects as pills do. You can not do a massage when menstruation has already begun, so only you can trigger bleeding.


    Sports strengthen the body, and gymnastics is recommended to do every day. Unlike massage, exercises can be performed even during menstruation, only you need to reduce their intensity.

    With the help of physical activity can not only prevent pain, but also to remove swelling. In addition, regular exercise helps to suppress the unpleasant premenstrual syndrome.