The loin hurts at monthly: the reasons and what to do?


Three out of five women have lower back pain during menstruation. Every month they feel that pain receptors give their answer to the contraction of the abdominal muscles. The aching pains in the lower abdomen and lower back appear even before the beginning of menstruation, and sometimes continue after them. Menstrual pain in the lower back and lower abdomen are the medical name "dysmenorrhea." Why this condition appears during menstruation, and how to alleviate the symptoms, will be known after a detailed diagnosis.

The main reasons may be the following:

  • Permanent muscle spasm of the pelvis and girdle,
  • Inflammation and swelling of the internal female organs,
  • Unnatural changes in hormonal levels.

Primary and secondary dysmenorrhea

Most often, the answer to the question of why the loin begins to hurt during the menses is in the peculiarities of the uterus position. If the uterus is located closer to the spine, then its changes during menstruation can affect the nerves in this area. There is pain in the lower back during menstruation. For the same reason, the stomach may hurt. Infectious diseases and related inflammatory processes of the female reproductive system can also be a source of back pain during menstruation.

Secondary congenital dysmenorrhea is a phenomenon in which a woman experiences menstrual pain due to the fact that the uterus is initially incorrectly formed. The organ is bent from birth or has rudimentary processes.

This also includes the pathology of the double uterus. Acquired secondary dysmenorrhea occurs due to chronic inflammation of the appendages, endometriosis, cancer processes and myomas, and serious hormonal problems. These situations are more specific and require a more thorough medical approach.

Hormonal background

The level of female hormones during menstruation greatly exceeds its normal level. The result is chronic contraction of the uterine muscles, which remotely resembles childbirth. If a woman suffers from increased sensitivity to nerves, the pain during such contractions can be very severe.

If the thyroid gland begins to show excessive activity, the general hormonal level suffers heavily, which becomes a source of insomnia and pulling back pain.

With age, the level of estrogen in a woman's body becomes higher. Middle-aged women often have more pain in the lower back on critical days.

Similar symptoms cause another hormone, progesterone. This hormone is normally responsible for the development of pregnancy processes, but if in another period its concentration increases abnormally, it also causes spasms of the uterine muscles, and as a result, the loin hurts during menstruation. Intrauterine contraceptives can be a source of pain that pulls in the lumbosacral region. A foreign body in the uterus causes irritation of the nerves and activates progesterone synthesis.

Disruption of water exchange

A broken water level in the female body can make the lower back ache during menstruation. If the moisture does not leave the tissue on time and in proper volume, puffiness appears, which also exert pressure on the nerves and cause pain during menstruation.

In some cases, the result may be a sharp overweight. If moisture builds up very quickly, the spine experiences a dramatically increased load, its supporting muscles begin to strain more and cause pain. To edema does not appear, use diuretic drugs, but do not forget to consult a gynecologist.

To understand why during the cycle there is pain in the lower back during menstruation, you need to visit a gynecologist, and then, if necessary, a urologist, a traumatologist and other doctors.

Sometimes it turns out that menstrual back pains are generally not associated with women's health and are the result of neurological pathology. In addition, the problem may lie in pleurisy or kidney disease. Hormonal disorders may not be observed. Such diagnostic difficulties arise because the woman’s body is activated during menstruation, and all problems come out.

If pains occur after critical days, immediately visit a doctor and demand a full diagnosis, as similar symptoms often indicate serious problems, such as:

  • Ovarian inflammation,
  • Tumor or cyst
  • Ovarian hemorrhage.

Treatment of primary dysmenorrhea

If the diagnosis revealed inflammations of gynecological organs, focus only on expert advice, forget about self-treatment. The side effects of some anti-inflammatory drugs will only cause more harm. When it hurts a lot during critical days, you should not, like many women, drink large amounts of analgin or no-silo. They will mask your problem only for a few hours. There are also more powerful drugs.

Nonsteroidal anti-inflammatory drugs

Drugs such as nimesil, ibuprofen and diclofenac not only help to cope with the symptoms, but also have a therapeutic effect. The NPS temporarily reduce the reproduction of those hormones that create excessive tension on the uterine muscles. It is desirable to use them either the first three days of menstruation, or a couple of days before they occur. It is permissible to use anesthetics based on paracetamol. Do not forget about the side effects of nonsteroidal anti-inflammatory drugs - gastric and intestinal ulcers, cardiac problems, drug hepatitis.

Combined oral contraceptives

These drugs affect the hormones of women, reducing the level leading to muscle spasms of progesterone. It also becomes thinner uterine endometrium, the excess thickness of which is often just the source of heavy and painful menstruation.

Do not abuse oral contraceptives, because their illiterate and frequent use can cause infertility or breast cancer.


What to do if the side effects of these medicines cause concern, and back pain during menstruation does not go away? It will be useful to perform a relaxing gymnastics: lying face up, bend your knees, and put your palms under the lower back. Bend your knees in different directions for a couple of minutes. Then place your palms under the buttocks and take a deep breath.

Impact active points. They are located below the navel - one at a distance of two, the other at a distance of four fingers. You can understand that it is they who are most sensitive. Apply pressure to each of them for a couple of minutes, without forgetting about deep breathing.

Painful ovulation

Ovulation is an important part of the monthly cycle, during which some girls also experience discomfort and pain in the lumbosacral or abdominal region. This phenomenon is called ovulatory syndrome.

Discomfort may be as follows:

  • Persistent abdominal pain,
  • Sensations like menstrual cramps
  • Pain localized on the right abdomen
  • Emerging blood clots.

If these symptoms do not give rest, it is possible that their source is in the breaking of the wall of the follicle and the ingress of a small amount of blood into the abdominal cavity. The blood irritates the tissue and the girl feels the pain. However, if ovulatory syndrome does not repeat time after time and does not cause a sharp pain, there is nothing to worry about. It is simply a signal that the best time for conception has come. What should be remembered for young couples who dream of becoming parents.

Visit to the doctor

If you have been trying for a long time to understand why your back hurts during menstruation, it is best to contact the gynecology department as soon as possible. After all, the roots of lumbar pain can be very different, up to infertility and tumors, and it is better to stop these diseases at an early stage.

Running to the doctor as much as possible is worth it, if not only your back hurts during your period, but also the body temperature rises sharply. Heat may be a symptom of local inflammation..

Do not rush to arrest pain syndrome with medication. They will not help get rid of the essence of your problem, but will only hide it for a while. If the need arises, your doctor will prescribe a suitable pain medication and dosage.

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Why does the lower back ache during critical days?

Despite the fact that back pain is considered normal these days, it is not always safe. Low back pain occurs a few days before the beginning of the cycle and persists throughout the entire period, and sometimes after it. The main cause of such pain during menstruation is a violation of the hormonal balance of a woman.

In girls during menstruation, the muscle tissues that are in the small pelvis and uterus begin to contract actively. Naturally, it provokes irritation of nerve endings there, which cause lower back pain. But not always pain in the lumbar spine is associated with physiology. Pain can also occur for other reasons, and can also be a consequence of:

  1. High levels of female hormones. Estrogen is often increased in women who are over thirty years old. At this time, every change in hormonal balance causes pain in the lower back, as well as in the abdomen or legs.
  2. Abnormal location of the organ - the uterus. The result is a backache during menstruation. For example, the uterus may be closer to the back, during the period of menstruation, it increases, affecting the nerve receptors. This causes pain in the lower back and abdominal area.
  3. Infectious disease. If a woman has an infectious disease or an inflammatory process develops in her body, then the critical days will be quite painful.
  4. Incorrect installation of the intrauterine device. Not all women and this method of contraception. If the helix creates discomfort or pain in the lower back on critical days, then it is necessary to talk about this with the gynecologist, and choose a different way to prevent pregnancy.
  5. Lifting heavy objects. Doctors say if a woman is forced to constantly lift weights or carry them over long distances, then this will eventually affect her well-being. Prolonged exercise causes downward movement of the uterus and back pain during the menstrual cycle.
  6. Changes in water exchange. During menstruation in the female reproductive system, the fluid stops, swelling is formed, which causes the appearance of pain in the lower back.
  7. Ectopic pregnancy. Severe anomaly, in which the fetus does not develop in the uterus, but in the fallopian tubes. At the same time, a woman is disturbed by bleeding, which is often confused with menstruation, accompanied by pain in the lumbar region.

Pain can be triggered by other factors that are not associated with menstruation: neurological diseases, diseases of the kidneys and the genitourinary system, diseases of the spine.

Manifestation of pain

Pain syndrome is only a consequence, a definite signal for anxiety, with the help of which the body says that all is not well with it.

The pain can be different: protracted, aching, acute, it can give in the extremities and be accompanied by other relevant signs:

  • Pain in the sternum.
  • May slightly dizzy.
  • Diarrhea
  • Pain in the genitals.
  • Low body temperature.
  • Weakness and fast fatigue.
  • The aggravation of chronic disease.
  • High irritability.
  • In some cases - nausea and gag reflex.

Some diseases of the female reproductive system, caused by the inflammatory process, are very similar to the symptoms, because of this you need to be able to distinguish the norm from the anomaly.

Diseases for which your back can hurt during menstruation

Quite often, the cause of pain comes as a result of diagnosing not changes in hormonal balance, but rather very serious diseases, such as:

  1. Sexually transmitted diseases. They are expressed not only by pains in the back and lower abdomen, but also by abnormal secretions with an unpleasant odor.
  2. Endometriosis. It is expressed in the pathological spread of uterine mucous cells to organs that are nearby, significant pain during critical days, and strong secretions.
  3. Any adhesions in the uterus. They appear due to previously uterine diseases.
  4. Inflammatory process in the ovaries. It can be, as medical practice shows, one or two-sided, causing pain in the abdomen and in the lower back in critical days.
  5. Cyst on the ovaries. Its formation in the abdominal cavity provokes squeezing of the nerve receptors, an increase in pressure in the lower abdomen.
  6. The inflammatory process in the fallopian tubes. Pain localized in the lower back or lower abdomen.
  7. Vaginitis Inflammation of the vagina, particularly in the posterior wall. It provokes back pain on critical days, which are expressed by itching, burning, and strong pathological secretions.

How to cope with pain

Any woman experiencing back pain in the period of menstruation, is looking for effective methods to eliminate it. During this period, you can come to the rescue.

Pain Relievers
Such drugs eliminate pain in the back and abdomen, but the causes that caused it remain. Quite often in this situation, analgesics and nonsteroidal anti-inflammatory drugs are used with a slight or moderately pronounced analgesic effect. In most cases, these medicines do not cause much harm and can be used by many women to localize pain.

Alternative medicine
In addition to drug therapy, there are other methods of eliminating pain in the lumbar region during menstruation, which are also called folk. More often for pain relief they use infusions and tinctures from various medicinal herbs and plants:

  1. Swatch from the plantain. 20 grams of dry plantain pour a glass of hot water and insist in a closed container for three hours. Then the broth is filtered and taken in a spoon 3 times a day. Best for 30 minutes before meals.
  2. Swatch from strawberry leaves. Half a cup of raw material is poured with a liter of water and put on a slow fire. Cook for one and a half hours, then cover up the container in a warm blanket and insist 3 hours. Clean the composition and diluted with cold water to obtain 2 liters. Accept a brew a glass 2 times a day until the pain subsides.
  3. Tincture from hop cones. 2 spoons of finely chopped cones pour ½ liter of hot water. Insist for three hours in a closed container. Then the infusion is filtered and taken in the evening ½ cup throughout the week.

Other techniques for relieving pain

  1. Independent massage of active points. Conducting such a massage every day will lead to normal hormonal balance, relieve excess muscle tension in the lower back, help improve the functioning of the endocrine system. Only regular massage will give the desired result.
  2. It is necessary to avoid high physical exertion on the abdominal muscles and back. On critical days it is better not to burden the spine, to try to be at rest, to avoid stressful situations.
  3. Do not eat lemonade. These drinks can cause fermentation in the gastrointestinal tract, which in turn increase spasms and back pain.
  4. Do not overwork, avoid great physical activity.
  5. Learn to relax. Doctors advise to study meditation and yoga, which are effective in the fight against pain.
  6. Wear comfortable clothes. During menstruation, it is better not to wear tight clothes and underwear. They can provoke a change in blood circulation, increase pain.
  7. Proper nutrition. Reduce the consumption of fatty and smoked food, do not eat sweets. It is better to focus on vegetables, fruits, vitamins and other products that contain various beneficial substances.
  8. Two weeks before the onset of critical days, you can begin to perform a certain set of exercises. This will not take much time, and the result will be noticeable in the coming days, the pain during menstruation will significantly decrease.

Most often, all of these techniques allow a woman to reduce pain in a short time or get rid of it altogether.

Important! If the pain syndrome is clearly expressed and does not pass even with the use of painkillers, it is necessary to visit the antenatal clinic, undergo an examination and a full course of therapy.

If pain syndrome is not a physiological feature of the organism, then the specialist will prescribe a complex treatment to the woman to eliminate the cause of the pain.

Why hurts in the lower back during menstruation

Despite the fact that the soreness of the lower back during menstruation is considered to be the norm, such unpleasant sensations are not always harmless. In some situations, they may indicate the presence of certain diseases and pathologies of the urogenital system of a woman.

Soreness in the lumbar region may appear a few days before the onset of menstruation, persist throughout the menstruation and some time after it.The main and most common cause of back pain in critical days is a change in the hormonal background of a woman.

Nature has provided that in "these very days" the muscles located in the lower abdomen, as well as the body of the uterus itself, are actively reduced. This, in turn, leads to irritation of nearby nerve endings, the appearance of painful sensations in the lower back and abdomen.

Not always pain in the lower back is caused by physiological reasons. Sometimes pain occurs due to:

  • Estrogen Rises. The female sex hormone most often increases in women who have stepped over the age mark of thirty years. During this period, any changes in the hormonal background become the primary cause of the appearance of painful sensations in the lower parts of the abdominal cavity, back and legs.
  • Atypical location of the uterus. Sometimes the uterus has the wrong position. As a result, a woman may suffer back pain during critical days. So, for example, the frequent occurrence is a deviation of the uterus back to the back. During menstruation, its size increases, affecting the nerve endings. This causes pain in the back and abdomen.
  • Infectious diseases. If a woman suffers from any infectious and inflammatory diseases that are in the acute stage, then menstruation is likely to be very painful.
  • Installation of intrauterine contraceptives (intrauterine device). Not all women are suitable for intrauterine contraception. If its use causes severe discomfort and soreness in the back during menstruation, you should consult with your doctor and choose other methods to prevent unwanted pregnancy.

  • When lifting weights. If a woman regularly has to carry heavy objects or carry them over long distances, then this circumstance will sooner or later affect health. Long loads contribute to the prolapse of the uterus, more pronounced pain during menstruation.
  • Water exchange disorders. On critical days, there is stagnation of fluid in the female genital and excretory organs, swelling is formed, which causes the appearance of nagging and aching pains in the lower back area.

  • Ectopic pregnancy. Serious pathology in which the fertilized egg is fixed and develops in the fallopian tubes. In this state, a woman can be bothered by bleeding, which is easily confused with menstruation, occurring against the background of back pain.

  • Sometimes the pain can be caused by other reasons not related to critical days: neurological pathologies, diseases of the kidneys and urinary system, the musculoskeletal system.


    Low back pain during menstruation is only a consequence, a certain alarm signal, with the help of which the body can declare that something is wrong.

    Pain can be different: pulling, aching, shooting, giving in the legs, accompanied by a different, associated symptoms:

    • chest pains
    • slight dizziness
    • diarrhea,
    • soreness of the genitals,
    • a slight increase in body temperature (not higher than 37.5 degrees),
    • lethargy and fatigue
    • exacerbation of chronic diseases
    • increased irritability
    • sometimes nausea and vomiting.

    Inflammatory diseases of the female reproductive organs may have similar symptoms, so it is extremely important to be able to distinguish the norm from pathology.

    Diagnosis of pain in the loins during menstruation

    Very often, the "culprits" of pain may not be banal hormonal changes, but serious illnesses:

    • Venereal diseases. Declare themselves not only painful sensations in the lumbar region and lower abdomen, as well as pathological secretions with an unpleasant odor.
    • Endometriosis. It manifests itself as an abnormal proliferation of uterine mucous membrane cells on nearby organs and with a strong pain syndrome during menstruation, with excessively abundant secretions.
    • Adhesions in the uterus. Adhesions in the uterine cavity occur against the background of previously transferred diseases of this organ.
    • Oophoritis. Inflammation of the ovaries, which can be single or bilateral, provoke pain in the lower part of the abdominal cavity and back in any phase of the menstrual cycle.
    • Polycystic ovary. The formation of a cyst in the abdominal cavity leads to compression of the nerve endings, increased pressure in the abdominal cavity.
    • Inflammation of the fallopian tubes. The pains are concentrated in the lower back and abdomen.
    • Vaginitis. The inflammatory process in the vagina, especially in the back wall, can lead to back pain during menstruation, which appear on the background of itching, burning, and abundant abnormal discharge.

    When you need to urgently ask for medical care

    Unpleasant sensations in the lower back on critical days may have a different character. The main task of any woman is to suspect and recognize the existence of a problem in a timely manner and to seek help from your gynecologist. Alarms in this situation can be:

    • Long-lasting pain in the lower back, which continues after the end of menstruation.
    • Increased body temperature above 37.5, severe chills, increasing general malaise, weakness.
    • Soreness of joints.
    • The pain in the lumbar region, in the lower abdomen and legs is not reduced even after taking potent drugs belonging to the category of analgesics.
    • Discharges from the organs of the reproductive system have an unpleasant, fetid odor.
    • The urge to use the toilet “in a small way” has become too frequent and painful.
    • Menstrual bleeding has become too heavy or too scarce.
    • Pain accompanied by severe burning, itching in the perineum and genitals.
    • There were severe pains in other parts of the spine or abdomen.

    All the above symptoms in most cases indicate a serious malfunction, deviations in the work of organs and their systems, various diseases, require immediate diagnosis and adequate treatment.

    How to deal with pain

    Almost all women suffering from back pain during menstruation, are looking for effective ways to eliminate pain. In such cases come to the rescue:

    Painkillers. Allow for some time to remove the pain in the lumbar region and lower abdomen. In this case, the causes of pain are not eliminated. Most often in such situations analgesics and nonsteroidal anti-inflammatory drugs are used with weak or moderate analgesic action: “No-Shpa”, “Spazmalgon”, “Paracetamol”, “Aspirin”, “Ibuprofen”, “Papaverin”, “Analgin”.

    Most of the above drugs do not cause significant harm to health and can be used by most women to relieve pain.

    ethnoscience. In addition to drug treatment, there are other ways and methods of getting rid of pain in the lower back in the critical days, called folk. Most often, in such situations, broths and infusions of various herbs and plants come to the rescue.

    Plantain decoction. 20 g of dry grass leaves pour 250 ml of boiling water and let it brew under a lid or in a thermos for 2-3 hours. As soon as the composition has cooled, it should be drained. Drinking magic medicine is recommended for a tablespoon three times a day. Ideally, half an hour before meals.

    Strawberry decoction. Put 0.5 cups of strawberry leaves in a small saucepan, pour a liter of water and boil. Boil over low heat under the lid closed for 1-1.5 hours. Remove from the heat and wrap with a veil, let it brew for 2-3 hours. Strain and top up with warm water to a volume of two liters. Drink 200 ml twice a day to reduce pain.

    Infusion of hop cones. Two tablespoons of crushed hop cones brew 0.5 liters of boiling water. Let stand for 2-3 hours under tightly closed lid. After - cool and strain. Drink half a cup for 5-7 days before bedtime.

    Other means of eliminating pain:

    • Self-massage of active points. Daily carrying out such simple manipulations will help to balance the hormonal background, relieve excessive tension in the lower back, improve the functioning of the endocrine system. An important feature: to obtain a visible effect of self-massage, it should be carried out every day. Only in this case, the analgesic effect will be noticeable.
    • Avoiding increased stress on the abdominal muscles and abdomen on critical days. Also these days it is necessary to unload the spine, try to stay in the most calm, not nervous state.
    • Refusal of sweet soda. Such drinks cause fermentation processes in the stomach and intestines. This, in turn, may aggravate cramps and pain in the problem area.
    • Minimization of stress, increased fatigue, excessive physical activity.
    • Relaxation. Experts recommend learning the techniques of meditation and yoga, which effectively help in the fight against pain.
    • Wearing comfortable clothes. On critical days, it is not recommended to wear squeezing outfits and underwear, which can cause impaired blood circulation, to increase pain syndrome.
    • Balanced diet. Minimum fatty, smoked sweet. Maximum of fresh vegetables, fruits, vitamins, other products containing beneficial micro and macro elements.
    • 10-12 days before the expected date of the onset of menstrual bleeding should begin to perform a set of special exercises. It will take quite a bit of time and effort to complete them, and the result will not take long to wait - already during the next menstrual period, the pain will be significantly reduced.

    In most cases, all the above methods allow a woman to quickly reduce pain or get rid of them completely.

    If the pain is too pronounced and does not go away even after taking analgesics, you should consult a gynecologist as soon as possible, pass the necessary tests and undergo a full course of treatment.

    If the pain is caused by non-physiological reasons, the woman is prescribed complex therapy by the attending physician in accordance with the basic diagnosis, against which the pain appeared.

    Set of exercises

    Feasible gymnastics will benefit the whole body, help to cope with back pain, improve muscle tone.

    №1. We lay down on the stomach. Palms clench into fists and enclose under him, resting his forehead against the surface of the floor. The legs are collapsed and held in a compressed position. Take a deep breath and hold your breath for a couple of seconds. At this time, raise from the surface of the floor legs together. Try to stay in this position for 15-20 seconds. During the exercise you need to control your breathing, try not to hold it. Return the legs to the floor. Repeat the exercise 8-10 times.

    №2. Lie down on your back, bending both legs at the knee joints. The palm lay under the lumbar region. Raise your legs and swing alternately left and right. Control your breathing. It should be calm and regular. Hands translate under the buttocks and continue to breathe in the same way. Finish swinging your knees and alternately pull them to your head. At the end of the exercise, the body should be returned to its original position, and the arms should be folded along the body. Relax for a couple of minutes and repeat the exercise 4-5 times.

    №3. Lying on the floor, legs bent at the knees, arms along the body. Raise the pelvic area and stay in this position for 5 seconds. Drop to the starting position. Repeat the exercise 10 times, maintaining calm, even breathing.

    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.

    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.

    Special set of exercises on critical days

    An available set of exercises will be useful for the whole body, it will reduce back pain and increase muscle tone:

    1. You need to lie on your stomach. Hand palms in fists and put under the stomach, with the forehead to rest against the floor. Legs should be kept and kept in a compressed position. We take a strong breath and hold our breath for two seconds, while simultaneously raising our legs from the floor. You need to try to stay in this position for 15-20 seconds. When performing the exercise, it is necessary to monitor your breathing, not to delay it. We return the legs to the initial state. Exercise repeat 10 times.
    2. To lie down at first just right on your back, then slowly bend your knees. Ladoshki remove under the lower back. Raise the legs and swing them alternately from side to side. Watch your breath, it should be smooth. We put our hands under the buttocks and breathe evenly and regularly. We finish swinging the knees, and alternately pull them to the head. At the end of the exercise, we return the body to its original position, stretch our arms along the body. We relax for a few minutes, and repeat the exercise 5 more times.
    3. We lie down on the floor, legs bend at the knees, hands are along the body. Lift the pelvis and keep it in this state for 5 seconds. Return to the original position. Perform the exercise 10 times, while breathing should be smooth and calm.

    In conclusion, I would like to say that any painful sensations are a signal that a negative process takes place in a woman’s body. You should not remove pain syndrome with analgesics, you can miss the time when the disease can be cured simply and without negative consequences. Timely identified cause and correct therapy will relieve a woman in the future from pain during the menstrual cycle.

    Physiological changes during menstruation

    During the menstrual cycle, the woman is weaker than usual. Ей следует избегать нежелательных физических нагрузок.The slightest overload entails exhaustion and exhaustion of the last forces.

    When menstruation takes place, physiological processes occur in the woman’s uterus and ovaries due to hormonal changes.

    Under the influence of the release of hormones, the number of which is regulated by the nervous system, a woman feels a deterioration in health.

    The loin hurts at monthly

    Usually, lumbar pain during menstruation is due to contraction of the muscles of the uterus, which affects the sensitivity of nerve impulses.

    The uterus rejects the unfertilized egg together with the endometrium, which come out in the form of bleeding. If a woman is prone to increased sensitivity of nerve endings, then she will experience severe pain.

    Hormonal imbalance

    For the hormones responsible endocrine system. When a woman has a hormonal imbalance, then she should immediately contact an endocrinologist.

    The highest amount of estrogen produced by the ovaries is released into the body during menstruation. If the thyroid gland is also activated and produces an excessive amount of hormones, hormonal imbalance occurs. The patient is experiencing not only pulling back pain, but also insomnia due to a stressful condition.

    An increased amount of estrogen can harm. With age, it becomes much larger, which is a consequence of pain in the lumbar region during menstruation.

    With an excess amount of another hormone, progesterone, muscle spasm is formed, due to which the pain of the lumbosacral region is felt.

    Intrauterine contraceptives (spiral) can provoke the production of progesterone. A foreign body introduced into the uterus causes inflammation and irritation of nerve impulses. Progesterone is produced.

    In the video about the causes of pain during menstruation

    It happens that the result of lower back pain can be serious pathology, such as:

    • diseases of the reproductive system
    • rejection of the uterus back
    • endometriosis,
    • tumor pathologies,
    • inflammatory processes
    • ectopic pregnancy,
    • effects of the introduction of the navy
    • kidney disease
    • adhesive process.

    The difficulty of recognizing the pain of the lumbar spine during critical days is due to the fact that all processes are activated in the patient's body, and the existing pathologies or infectious diseases come out in the form of pain syndrome.

    Infectious diseases can also be the result of painful postponement of menstruation.

    The main ones are:

    • venereal diseases,
    • fungal infections,
    • cystitis.

    In order to avoid infectious diseases, it is recommended not to chill the genitals, not to have sex during menstruation, to be protected during sexual intercourse.

    Symptoms of sexually transmitted diseases

    What to do?

    If the lumbar region hurts during menstruation, you must pass a series of tests to determine the cause.

    Would need:

    • blood test,
    • Bakpos,
    • Analysis of urine,
    • smear on flora.

    The following types of diagnostic procedures should be performed: ultrasound, laparoscopy, hysteroscopy.

    Based on the results of tests and examinations, the obstetrician-gynecologist will be able to make the correct diagnosis. The recommendations of the specialist will help reduce the discomfort in the stomach and lower back that occurs during critical days.

    Traditional medicine

    The following popular medicines are recognized as popular medicines:

    • Root devyasila. In 300 ml. boiling water to steam up 1 teaspoon of chopped root. Let it stand for 1 hour. Drink one 1 tbsp. l three times a day.
    • Horsetail. 200 ml. boiling water is 1 tsp. dry plant. Let it brew for 60 minutes. Drink every hour for one article. l
    • Root fragrant celery. Two Art. l pour 250 gr. cool water. Infuse for 2 hours. Strain the prepared mass. Drink 1/3 cup three times a day.

    Broth eleyasila with pain during menstruation

    Recommendations gynecologists

    Women try to relieve an unbearable pain on their own with pills, tinctures, massage, cold or heat. However, if the back hurts badly and it lasts for 3 months or more, what cannot be done is self-treatment.

    Turning to the gynecologist, the patient will receive accurate recommendations based on an individual examination. She will clearly know why the loin hurts during menstruation and what to do to relieve inflammation and pain.

    Causes of pain during menstruation

    Often, women on the first day of menstrual bleeding has lower abdomen and aching loins. Back can hurt a few days before the onset of menstruation and for a certain period after the cessation of blood discharge. In most situations, this phenomenon is associated with natural causes that do not carry a direct threat to women's health.

    However, in some cases, these signs may indicate the presence in the woman's body of the pathological process. If ignored, severe complications can develop. The table provides information on the factors that trigger back pain and lower back pain before, during, and after critical days.

    Pain in the lower back and lower abdomen, and no monthly

    There are situations when the waist and lower abdomen hurts, and menstruation does not begin. Why is this happening? This phenomenon has non-pathological and pathological causes. Sore lumbar region may be due to pregnancy. In this case, the pain is mild and resembles nagging painful sensations in front of critical days.

    If the lower abdomen and back ache, but there are no monthly periods, it is necessary to do a pregnancy test. In case of a negative result, we can talk about the presence of one of the following diseases:

    • Inflammatory process in the ovaries. Most often it is associated with disruption of hormones, which entails a delay in menstruation. The loin can be sore for 7 days before the onset of bleeding. In this case, the pain often appears in the side - where the source of inflammation is located.
    • Cystic lesions in the gonads. The syndrome is accompanied by delayed menstruation. As a result of the pressure of the cysts forming on the ovaries on the nerve endings of the sacrum, pain appears in this area.
    • Endometritis.
    • Adhesions in the fallopian tubes.
    • Inflammation of the mucous membrane of the vagina. In addition to the painful sensations, the inflammatory process in the lumbar spine is accompanied by various secretions and itching.
    • Benign neoplasm in the uterine muscle layer. Pathology is characterized by a violation of the menstrual cycle, an increase in the uterus and abdomen, difficulty urinating, severe pain during menstruation.
    • The inflammatory process in the vaginal segment of the cervix. In addition to the pain in the lower back and lower abdomen, burning and itching in the vagina and pain during urination are characteristic of the disease.

    How to distinguish the norm from pathology?

    To distinguish a normal state from a pathological one in this case is rather difficult due to the blurring of symptoms. In order to prevent the development of dangerous diseases, every woman should sensitively listen to her body and in case of deterioration, before, during and after the menstruation period, take measures to clarify the reasons for such changes.

    Slight pulling pain in the lower abdomen and lumbar region on the first day of menstruation is a sign of the norm. The pain syndrome in this case is due to the detachment of the epidermis, which occurs as a result of the fact that the embryo for which it was intended did not implant in the uterine mucosa and fertilization did not take place.

    You must immediately seek medical help if:

    • for a long time there is no menstrual bleeding,
    • severely hurt the lower back and lower abdomen, especially after the end of critical days,
    • vaginal discharge appeared with a specific color (brown, greenish, black) and a sharp unpleasant odor,
    • developed hyperthermic syndrome
    • constantly headache
    • tormenting debilitating nausea and great weakness
    • aching joints and bones,
    • there is discomfort in the process of emptying the bladder,
    • there is itching and burning in the genitals.

    What to do and how to get rid of pain?

    Before embarking on treatment, you need to find out why your back hurts in this situation. In the case of the presence of the underlying disease, it is possible to get rid of pain in the lumbar spine only after elimination of the symptoms of the disease. Medical tactics are developed by the doctor taking into account the diagnosis, the patient's body characteristics and chronic pathologies.

    Drug therapy

    To eliminate painful sensations in the lumbar spine, analgesics, antispasmodic and anesthetic drugs are used. Reception of any of the medications must be coordinated with the doctor. Violation of the dosage and duration of treatment can aggravate the situation and cause undesirable effects. The table contains information about the most effective and safe drugs that will help solve this problem.

    Lumbar pain during menstruation as a variant of the norm

    Minor discomfort in the early days of bleeding is considered normal. With the help of monthly uterus gets rid of the endometrium, which is not needed due to lack of pregnancy.

    The physiological process may be accompanied by slight pain in the lumbar region. As a rule, back pain during menstruation occurs due to increased production of prostaglandins, which activate the contractile function of the uterus. Painful sensation extends from the reproductive organ to different parts of the body.

    In normal pain in the lower back with menstrual causes, there may be such as features of the structure and location of the uterus. The body displaced to the back compresses the nerve endings and provokes pain syndrome in several places at once:

    The third answer to the question of why the stomach and lower back ache during menstruation, if you do not consider pathological factors, will be the effect of estrogen. Sex hormone increases receptor sensitivity and keeps muscles in shape. The tension of the pelvic muscles, depending on its intensity, provokes mild or severe pain during critical days.

    The fourth factor is lifting heavy objects and carrying them over long distances. If, due to household or work responsibilities, the girls are constantly in contact with the weights, the load will cause the uterus to move downwards, and the loin will ache during menstrual bleeding.

    If the back is unbearably painful during menstruation in a woman who uses an intrauterine device, this may indicate improper installation of the product. If discomfort accompanies all menstruation since the introduction of the IUD, the situation should be discussed with the gynecologist and choose a different method of contraception.

    The nature of lumbar pain

    A survey of patients shows that back pain during menstruation is different in sensations:

    1. Spicy
    2. Aching.
    3. Pulling
    4. Irradiating in the limbs.
    5. Temporary or permanent.

    In addition to pain, women note other symptoms - nausea, weakness, diarrhea, dizziness, rapid fatigue, chest pain, and increased irritability. In some girls, the gag reflex is triggered, the body temperature rises, and chronic diseases become more acute.

    Examination of the thyroid gland will help to find out why the back hurts in the days of menstruation. If pathologies of the endocrine system are the cause of the disorder, an improperly functioning thyroid changes the correct ratio of hormones. As a result, critical days are painful and serious deviations develop.

    If you have a lot of pain in your back and body temperature rises to 37.5 ° C during menstruation, this may indicate infection of the pelvic organs and the development of the inflammatory process. Linger in this situation is not worth it - here you need the help of a doctor.

    But, unfortunately, women ignore the bad state of health during critical days, reckoning this or that phenomenon as signs of ICP. Normally, menstruation should not impair the quality of life. Therefore, if the aching lower back causes a lot of suffering, you should contact your gynecologist and get adequate treatment.

    In order to diagnose low back pain, when monthly patients undergo blood tests - general, for hormones, biochemical. Under laboratory conditions, a vaginal smear is examined, hystero-and laparoscopy is performed, an ultrasound of the internal genitalia and abdominal organs is done. According to the results of a comprehensive examination, a specialist establishes a diagnosis and explains why the loin has become sore during menstruation.

    It is impossible to take painkillers as self-treatment, since it is first necessary to figure out where the backache and pulling radiating pains from the menstrual period come from.

    Pathological causes of lower back pain during menstruation

    Since the menstrual process is associated with the reproductive system, the causes of lumbar pain should first be sought in it.

    When the back aches during critical days, the following diseases can be detected in gynecology:

    Diseases affect the frequency of the cycle and increase discomfort at the time of bleeding. As for the back itself, it can react to menstrual pain for its own reasons. It is sciatica, herniated disc, osteochondrosis, spondylarthrosis. Pathologies limit the mobility of the lumbar spine, entail numbness of the legs and tension of the spinal muscles. From the spine, pain may radiate to the buttocks.

    The urinary system also plays a role. If the kidneys and other organs are unhealthy, during menstruation the process is exacerbated and there is discomfort in the lumbar region. The reasons for which in the days of menstruation breaks your back will be as follows:

    1. Urolithiasis - solid elements in the kidneys.
    2. Cystitis - inflammation of the bladder.
    3. Pyelonephritis is an infectious process.
    4. Glomerulonephritis is an inflammation of the immune-allergic etiology.
    5. Cystic ureteral reflux is an abnormal urine outflow.

    If the lower back draws during menstruation due to spinal diseases, the patient is referred for CT, MRI and lumbar x-rays. Urological diseases are diagnosed using urinalysis, cystoscopy, ultrasound of the kidneys and other studies.

    What to do if the loin hurts during menstruation, the doctor will tell. The treatment method depends on the cause that caused the syndrome. Diseases of the urinary system and inflammatory processes in the small pelvis suppress anti-inflammatory and antibacterial agents. The effect of fix immunomodulators. Endometriosis is treated with combined contraceptives.

    Spinal diseases require specific therapy. The treatment is carried out in a complex with the use of drugs of different groups:

    • Hormones - in the form of injections.
    • Analgesics - for blockades.
    • Non-steroidal - to relieve inflammation.
    • Muscle relaxants are blockers of neuromuscular impulses.
    • Hondoprotectors - to restore the function of intervertebral discs.

    If there is a lack of calcium in the body, the loin during menstruation hurts more. When deciding how to relieve pain, this factor is necessarily taken into account and saturate the diet with fermented milk products. From painkillers and antispasmodics can be taken Ketanov, Ibuprofen, No-silo, Spazgan. In the absence of an allergy to plants, infusions of the roots of elecampane, horsetail, herbal peppermint, chamomile, and valerian root extracts will help ease the condition.

    From physiotherapeutic methods relief will bring acupuncture, acupressure, electrophoresis with novocaine in the region of the solar plexus.

    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.

    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. Chocolate may 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 is not allergic 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.

    Causes of low back pain during menstruation

    PMS syndrome occurs in virtually 70% of women who have not given birth. Поэтому при вопросе может ли болеть поясница при месячных ответ положительный. Почти у половины из них болит поясница при месячных.After childbirth, 50% of severe abdominal pains disappear, but complaints about the back remain. In the body of a woman everything is interconnected. The uterus is located in the pelvic cavity, ligaments attached to the iliac bones, sacrum and frontal symphysis. During the menstrual cycle, changes constantly occur in the body under the influence of hormones.

    Estrogen, which is produced by the ovaries, liver and adipose tissue under the influence of follicle-stimulating hormone pituitary, affects the uterus:

    • stimulates the growth of the inner lining of the uterus after a previous menstruation,
    • produces receptors for progesterone,
    • affects the synthesis of luteinizing hormone (LH), which causes ovulation.

    The peak of estrogen coincides with ovulation, during which after the release of the egg a yellow body forms - a temporary endocrine gland.

    In the second phase of the cycle, the hormone progesterone prepares the uterus for conception:

    • increases the number of glands and mucous cells on the endometrium,
    • inhibits the sensitivity of the uterine muscle layer to prostaglandins and oxytocin - substances cause contractions during menstruation and childbirth.

    If pregnancy does not occur, then the levels of both hormones are falling at the same time. As a result of the predominance of estrogen over progesterone or initially low levels of progesterone, hormonal balance is disturbed. There are swelling, nausea, breast tenderness, dizziness, dyspepsia.

    Why does monthly loin pain?

    Most women experience 2-3 days before menstruation and the first two days the following symptoms:

    • back pain, hips and legs,
    • irritability,
    • bloating
    • nausea and diarrhea,
    • headaches,
    • fatigue and weakness.

    In medical articles, the causes of abdominal and lower back pain are associated with PMS and dysmenorrhea. In the ICD-10 international classification, they are classified as non-inflammatory diseases of the female genital organs: primary, secondary and unspecified dysmenorrhea (94.4, 94.5, 94.6).

    Can the loin be sick only with menstruation?

    During menstruation, the myometrium contracts to expel the overgrown mucosa. The uterus causes lower back pain. This is due to the nerve transmission of the sacral plexus signals to the muscles. The phenomenon is called "reflected pain" when discomfort is felt far away from the true source.

    Attention! The increased volume of the uterus during menstruation puts pressure on the arteries of the pelvic region. The shortage of blood is experienced by the gluteal muscles, on which the health of the lower back directly depends.

    Painful contractions of the uterus can be explained by the action of prostaglandins, which stimulate cells. With progesterone deficiency spasms will be stronger. Prostaglandins are produced by rejected endometrial cells.

    Hormones - the first cause of pain

    One of the causes of back pain is a hormonal imbalance, which a woman is accustomed to write off on the "features" of the cycle.

    The following signs indicate an excess of estrogen:

    • short cycle (21 days),
    • severe edema (weight gain up to 2-3 kg),
    • constipation and heaviness in the liver,
    • lower back pain.

    With an excess of estrogen, the basal temperature after ovulation (14 days or the middle of the cycle) begins to decrease, although normally it should increase. Evidence of big problems is the long cycle - more than 35 days, scanty and disappearing menstruation.

    Different pathologies affect the excess estrogen:

    1. Insufficient activity of the thyroid hormone slows down the process of cleansing the body of excess estrogen,
    2. Malfunctions in the liver interfere with hormone utilization. Taking antibiotics, painkillers, and hormonal contraception has a negative effect on the body,
    3. Stress increases the level of cortisol, which suppresses the function of the thyroid gland and leads to an excess of estrogen,
    4. Lack of fiber and dysbiosis prevent estrogen withdrawal4
    5. Improper nutrition with the use of semi-finished products, in which soy products are used, as well as meat grown with the addition of hormones, increases estrogen,
    6. Overweight due to aromatase enzymes contributes to the conversion of androgens into estrogens, supports dysfunction.

    Disruption of the hormonal background is based on the mutual influence of the thyroid gland and estrogen, which suppress each other. Hypofunction of the thyroid gland in some women is manifested by a decline in strength, crying for no reason, impaired memory and learning, low motivation. The state when hormones are produced enough, but TSH (thyroid-stimulating hormone) is increased - indicating an overload of the thyroid gland. If symptoms of diseases are combined with an increase in TSH at normal and low levels of T4 and T3, then the gland does not function normally. In this case, it is necessary to take manganese for the intracellular absorption of T4, and selenium for the conversion of T3.

    Structural abnormalities cause lower back pain

    Discomfort during menstruation occurs where there is already a problem. With the help of the peritoneum, the uterus is connected with the rectum, vagina, bladder and the inner wall of the abdomen. The wide ligament of the uterus fastens it to the wings of the pelvis, connects it with the tubes, the ovary, supplies blood through the uterine artery. The round ligament of the uterus stretches along the walls of the pelvis to the inguinal canal and pubic bone. Suspending ligament of the ovary goes to the lumbar fascia. When the egg comes out, the ovary is turned to the tube with the help of this ligament, therefore the loin is sore during ovulation.

    Between the pubic bone and the sacrum, the bladder, vagina, uterus and rectum are connected by aponeuroses. Uterosacral ligaments hold the body behind - at the cross. Below the position of the pelvic organs support the pelvic floor muscles - intertimacy.

    The contraction of the uterus affects neighboring organs and structures. The state of the body is affected by the position of the pelvis, which is determined by:

    • muscle tone
    • posture,
    • way of life
    • proper breathing.

    The uterus is located in the lower part of the abdominal cavity - a high pressure area. Above it are the stomach, intestines. On the border with the chest cavity is the tendon-muscle membrane - the diaphragm. During each breath, the diaphragm goes down along with all the organs, and on the exhale it rises. At the same time, the ribs should open to the sides so that the transverse colon does not sag and does not press on the pelvis. During stresses, pneumonia, stomach cramps and liver overload with drugs or alcohol, the diaphragm spasms, and the movement of the ribs stops.

    Attention! There is a misconception about female "chest breathing", in which the shoulders are raised, and the deflection in the lower back is intensified. This mechanism literally pushes the organs down and increases the pressure on the uterus, the ovaries, violates their innervation.

    The lumbar deflection increases, the sacrum becomes horizontal to move the pelvic cavity back. Ligaments of the uterus are tightened, which increases the pain in the lower back. Women complain of discomfort in the ovaries, constipation, diseases of the urinary organs. Stagnation puts more pressure on the uterus.

    There are other mechanisms for the development of imbalances:

    1. Prolonged sitting relaxes the gluteal muscles, the pelvic bones diverge to the sides. Two pear-shaped muscles trying to hold them, spasm. Their overload affects the sacrum, the pelvis, the ovaries,
    2. The uterus with the pressure of the organs from the top deviates into the space behind the rectum, inflammation of the mucous layer develops and adhesions appear. Mobility of the sacrum ligaments is disturbed, which causes back pain,
    3. Spikes after the operation, adjacent organs to themselves. Removal of the appendix stretches the wide ligament of the uterus to the right. Behind it stretch the ovary and sacro-uterine ligaments, the sacrum unfolds. It develops pinching of the sciatic nerve and pain,
    4. After childbirth, episiotomy, there is a weakness in the muscles of the pelvic floor, the support for the organs disappears, and they descend. Ligaments pull the pelvic bones, pain in the lower back.

    Any inflammatory process tightens fascia organs, which affects the process in the pelvis.

    In which cases should consult a doctor for pain during menstruation

    Pain is not always normal and typical. Gynecologists explain in which case you should immediately seek help:

    • pain lasts longer than usual
    • menstruation is excessively abundant,
    • the temperature rises, the body is shivering,
    • very dizzy.

    If, during menstruation, the loin is sore for the first time after a woman over 25 years old needs to be examined.

    Gynecologists first of all will carry out ultrasound diagnostics, make a pregnancy test. Sometimes laparoscopic intervention is required to eliminate and remove cysts and ovarian tumors.

    Pills for lower back pain during menstruation

    When the loin hurts during menstruation, women take non-steroidal anti-inflammatory drugs. The medicine helps, but does not eliminate the pathology. For severe pain, gynecologists prescribe hormonal contraceptives. Side effects of drugs disrupt the work of the reproductive system: they thicken the blood, suppress the function of the thyroid gland and the ovaries. The result may be obesity, endometriosis, back pain due to the temporary "turn off" of ovulation. The lumbar muscles receive innervation from the same nerves as the organs, therefore dysfunctions occur.

    Treatment and Prevention

    Modern treatment for lower back pain is associated with the elimination of the causes of dysmenorrhea. Ablation or resection of the endometrium is used, and in women who have given birth in fibromyomas, hysterectomy is used. Gynecologists recognize the effects of adhesions, but there is no official treatment against them. With the problem of dysbiosis, endocrine disorders in the body of women sent to specialized specialists. On the basis of MRI, neuropathologists find protrusions and hernias that provoke pain. In such situations, the treatment is all the same painkillers. Prescription drugs does not solve the problem. Most often, women need to wait for the disappearance of pain after childbirth. During pregnancy, when the abdominal muscles are stretched, the pelvis is turned forward, the position of the sacrum, ovaries and uterus changes - it receives priority in placement among other organs. Abdominal pains stop, but there are constipations, the waist, hips suffer.

    Alternative medicine specialists use leeches and acupuncture, which improve nerve trophism and relieve congestion in the pelvis. A good osteopath can help with lower back pain. Modern methods include nitroglycerin patches and transcutaneous electrical nervous stimulation.

    There are several exercises that can help women:

    1. Diaphragmatic breathing. Reduce pressure on the uterus from other organs. Lie on your back, bend your knees. Put your hands on the lower ribs. Inhale, pushing the ribs open to the sides. Repeat 5 minutes a day,
    2. Relaxation of the ligaments of the uterus and pelvis. Lying on your back, put a small soft ball under the sacrum. Raise both legs up, rotate your feet to the side,
    3. With elevated TSH, take vitamins B2 and B6 to stimulate the thyroid gland. At the normal level of T3 and T4 - manganese and selenium for the assimilation of hormones, and at low levels - iodine,
    4. To relax the ligaments of the liver: sit on a chair with the back, grab the lower edge of the ribs with your fingers. Breathe in, allowing your fingers to penetrate deeper, lean forward, swing to the sides,
    5. Get rid of "food debris": semi-finished products, chemical additives. Support the liver intake of vitamin B6, omega-3 supplements, magnesium,
    6. Feed the diet with fiber, drink a course of probiotics to cleanse the intestines,
    7. Self-massage of the pelvic area in the back where large gluteus muscles are attached. Strengthening them with exercise - lunges.

    Other means is self-stretching of scars after cesarean or appendectomy.

    Prevention of back pain during menstruation suggests a healthy lifestyle: weight control, exercise, quitting smoking and high heels, walking an hour a day.

    Pain during menstruation

    The causes of back pain during menstruation may be:

    • muscle tension lumbar,
    • inflammation and swelling of the pelvic organs,
    • hormonal disorders - an imbalance of estrogen or progesterone in the body provokes monthly pain, increasing the contraction of the muscles of the uterus.

    The lower back is also very painful during menstruation due to the abnormal position of the uterus. If the reproductive organ is rejected posteriorly, it affects the nerve endings of the sacrum and abdomen. This explains why women have too much lower back pain during menstruation. Similar symptoms occur with uterus infantilism.

    Pain after menstruation

    Back pain that appeared during menstruation does not always disappear after they end, chasing the woman for several more days.

    Such discomfort can be caused by the same reasons:

    • inflammatory and infectious diseases of the genitourinary tract,
    • imbalance of hormones, which increases the contractile activity of the uterus during and after the end of critical days, which is characterized by pain.

    Pain before menstruation

    Why the lumbar ache or before the menstrual period can be explained by several reasons:

    • inflammation in the pelvic organs,
    • Uterus bend,
    • myoma - prevents the normal outflow of blood and enhances the growth of the muscle layer of the uterus,
    • adhesions in the sexual sphere,
    • the presence of the Navy,
    • hormonal disorders,
    • genetic predisposition.

    Only a specialist on the basis of a comprehensive examination of the patient can find out why before, during or after menstruation the lower abdomen and lower back aches.

    When is this the norm?

    The boundaries of the norm in medicine are rather blurred, therefore every woman is required to pay attention to any changes in the body. If the loin hurts slightly on the first day of menstruation, then it is a normal condition. At this time, a natural endometrial rejection occurs in the uterus, since the expected implantation of the ovum has not happened this month. This process, despite its physiology, may well be accompanied by slight back pain.

    But if the loin is sore badly, so that you have to resort to the help of analgesics and antispasmodics, you need to look for the causes of this condition, as the norm in this case can not be. Especially should guard discomfort in the lower back after menstruation.

    Pathological pain

    Low back pain during menstruation can cause both natural and pathological factors.

    The list of the latter includes:

    • inflammatory and infectious diseases of the urogenital area, for example, endometriosis,
    • disorders of the musculoskeletal system,
    • neurological factors
    • kidney disease, etc.

    Sometimes the clinical manifestations of these diseases are absent between critical days. Their exacerbation often erupts during menstruation, while the pain in the lower back becomes pronounced.

    Discomfort in the lumbar region with pathological factors is usually accompanied by the following symptoms.:

    To find out why the lower back hurts during menstruation, it is recommended to visit an endocrinologist and examine the thyroid gland. Dysfunctional disorders in the endocrine system provoke a hormonal imbalance, resulting in not only painful critical days, but also more serious diseases.

    If severe back pain that occurs during or in front of menstruation, an increase in body temperature to 37.5 ° C is accompanied by the help of a doctor. These signs indicate the presence of an infectious-inflammatory process in the pelvic organs.

    Many women take the pain of menstrual bleeding for granted and do not seek medical attention. At the same time, experts strongly recommend to be examined if the loin is very sore during menstruation, and this condition brings a lot of suffering and violates the quality of life. Normally, this should not be. You should not resort to self-treatment, as this may worsen the clinical picture of the disease.

    Pain with delay

    Situations where the lower abdomen and lower back ache, and menstruation does not begin, often cause panic in women. With what it can be connected?

    The first reason is pregnancy. The pulling and weak pains in a waist, reminding feelings before a menses, can speak about possible conception. In this case, you need to confirm or deny it with a pregnancy test.

    If the test is negative, and the delay continues, it hurts in the back, as if before menstruation, you need to look for the cause in the following pathologies:

    • Inflammation of the ovary. It is usually associated with hormonal disorders that caused the delay. The loin can hurt for a week before menstruation, and pain usually appears in the side - where the inflammation is located.
    • Polycystic ovary. The condition is often accompanied by delays, also associated with hormonal disorders. Cysts that form on the ovary increase and put pressure on the nerve endings of the sacrum, causing lower back pain before menstruation.
    • Endometritis. Inflammation of the uterine lining can also cause a delay, with lower abdomen and lower back pain before and after menstruation.
    • Adhesions in the fallopian tubes. The defeat of one or both of the pipes with the inflammatory process explains why the loins before the menses are very painful.
    • Vaginitis Inflammation of the vaginal mucosa is accompanied not only by the described pain syndrome, but also by discharge and burning sensation.
    • Cervicitis. Inflammation of the cervical canal of the cervix. При этом заболевании возникают тянущие боли внизу живота и в пояснице, жжение во влагалище, боль при мочеиспускании и зуд половых органов.
    • Миома. A benign tumor of the muscle layer of the uterus - myometrium. With uterine myoma there is pain in the lower abdomen and in the lumbar region between menstruations, cycle disorders, painful periods, an increase in the uterus and abdomen, and difficulty urinating.

    Myoma, vaginitis, endometritis, and the other listed conditions answer the question of why the loin hurts before menstruation. If you deal with the treatment of these pathologies, the unpleasant symptoms will disappear.

    How to understand the reason?

    To find out the reason why during the menstruation or after them the stomach and lower back hurts, you need to consult a doctor. In order to diagnose, a woman should undergo a laboratory blood test for general, biochemical and hormonal status. Using the results of the analysis, the doctor will assess the condition of the female body, eliminate inflammatory processes, evaluate the synthesis of prostaglandin and other sexual substances.

    You will also need a vaginal smear test. Ultrasound, hystero-and laparoscopy, will help to find out why the lower back hurts during menstruation. Thanks to these examinations, it is possible to examine the pelvic organs, the intrauterine space and draw certain conclusions. After the end of the diagnosis, the doctor indicates in the results the name of the pathology, which explains why during the menstruation the stomach and lower back hurt. To eliminate the detected causes, conservative therapy, physiotherapy, and, less commonly, surgery, are prescribed.


    What should I do if my lower back hurts during or after menstruation, is it possible to prevent the development of causes of discomfort through preventive measures? If such a symptom is found, it is necessary to undergo examination and eliminate the cause of its occurrence. It is possible to prevent the appearance of pain, but on condition that it has a natural and not a pathological nature.

    To this end, it is recommended to follow the principles of healthy eating, avoiding the deficiency of trace elements in the body, especially vitamins B, E, magnesium and calcium. Periodic fasting days and moderate exercise are also helpful.

    It is desirable to avoid stress, as well as because of them before the menstruation the lower back can hurt. Full sleep and rest, a positive attitude, the exclusion of hypothermia, reliable contraception as the prevention of abortions and sexually transmitted infections - all this allows you to maintain women's health and save you from possible problems with menstruation.

    Whether the loin can hurt before menstruation and how many days before they begin this pain appears - it is difficult to answer this question, as well as to explain the cause of discomfort during and after menstruation without a comprehensive examination of the woman. Only a visit to the gynecologist and the fulfillment of his appointments will help to clarify the causes of these conditions. If the loin hurts after menstruation, the situation requires special control, as sometimes the problem lies in the inflammation of the pelvic organs, which is fraught with infertility.

    Author: Olga Rogozhkina, doctor,
    specifically for

    Why back pain before menstruation

    Common to all women are discomfort in the lower abdomen on the eve of menstruation. However, the features of the anatomy are such that pain can be localized here, but also in the lower back - the lower back and sacrum. Most often they are aching, pulling and similar to those that occur during exacerbation of osteochondrosis.

    This is due to the following. The body of the uterus is located deep in the pelvis and is adjacent to the front of the bladder, and behind - to the rectum. Special ligaments and the nerves and vessels passing through them keep the body of the uterus in a constant position. One portion of them is attached to the bladder, the other - in the area of ​​the rectum and attached to the sacrum (for example, the sacro-uterine ligaments).

    That is why the pain during menstruation can be both in front - lower abdomen, and behind - in the lower back. Especially often, complaints of premenstrual discomfort in the area of ​​the sacrum are presented by women with the location of the uterus body bend backwards - retroflexio. In addition to the anatomical features, back pain on the eve of critical days may be associated with the following processes:

    • Endometriosis. When the foci are located behind the uterus, in the tissue between it and the rectum, pain will be most pronounced on the sacro-uterine ligaments. However, other clinical manifestations may not be. Endometriosis is a foci of endometrioid tissue located outside the uterus. They undergo the same cyclical changes as the inner lining of the uterus. An increase in foci leads to edema and tissue irritation, pain.

    • Exacerbation of chronic adnexitis. On the eve of the monthly immunity of women is reduced. During this period, it is easier to get sick with any infectious diseases, and chronic illnesses are more often exacerbated. The presence of undertreated foci of infection in the pelvis can lead to subacute course and provoke pain.
    • Ovarian cyst. Pain in the lower back and sacrum can give both functional formations (often accompanied by delayed menstruation), and permanent not diagnosed or untreated cysts. The danger is and those and others. Acute pain should be the cause of seeking emergency medical care.
    • Pelvic tumors. Benign or malignant neoplasms in the pelvis (cervix, body, sigmoid and rectum, lymph nodes, and others) can also be accompanied by more pronounced pain on the eve of menstruation, but the discomfort and periodic exacerbations will constantly bother a woman regardless of the cycle phase.
    • The threat of pregnancy or ectopic. A woman may not yet know about her pregnancy before the delay. Low back pain and a positive test (or a blood test for hCG) will indicate the threat of termination at an early period or an ectopic pregnancy.
    • Intestinal colic. An increase in progesterone concentration in the blood during the second phase of the cycle leads to an increase in gas formation, constipation, or diarrhea. And then, in turn, may be accompanied by back pain.
    • IUD in uterine cavity. The intrauterine device increases the likelihood of pain on the eve of menstruation, especially in women with retroflexion of the uterus.
    • Venous congestion. Varicose veins of the small pelvis on the eve of critical days under the action of progesterone are even more filled with blood, increasing pressure on nearby tissues, irritating them. This leads to pain.

    And here more about the symptoms and treatment of acute endometritis.

    Back pain and sacrum during critical days

    Discomfort during menstruation in the lower abdomen and lower back is also familiar to many women. The causes of these conditions are similar to those that cause pain before menstruation.

    Contractions of the uterus, which are necessary for the evacuation of the menstrual contents, are the main cause of discomfort in women without organic causes. It is believed that part of the increased production of prostaglandins, which causes pain. In this case, conventional anti-inflammatory drugs are most effective in relieving symptoms.

    Diseases as causes of menstrual pain

    For severe back pain, you should consult a doctor. The main reasons may be hiding in the following:

    • endometriosis,
    • genital infections
    • tumors (fibroids) of the uterus and nearby structures,
    • Navy in the uterus.

    More pronounced menstrual pain in women with adhesions in the pelvis. This may be due to inflammatory processes or endometriosis.

    For the causes of painful menstruation, see this video:

    Do I need a survey and what

    Back pain should be a reason to go to the doctor. Especially if they are accompanied by the following conditions:

    • abundant and long periods,
    • the pain came suddenly
    • have a breakdown of stool or urination,
    • there are pains on other days.

    Diagnosis of osteochondrosis

    The minimum examination includes an examination on the gynecological chair, smear taking for the presence of an inflammatory process in the cervical canal and vagina, pelvic ultrasound. So you can exclude / suspect infections, genital neoplasms. The doctor can exclude gynecological diseases after examination and confirm osteochondrosis. You may need to consult a surgeon, a neurologist, a traumatologist, and even a vascular surgeon.

    How to get rid of pain

    For, to get rid of back pain on the eve or during menstruation, you should first identify the cause of violations. A further treatment regimen is assigned, which may include the following:

    • venotonics - when venous congestion is detected,
    • antispasmodics and painkillers - if the problem is in the excessive synthesis of prostaglandins,
    • oral contraceptives - with an established diagnosis of endometriosis,
    • antibacterial and anti-inflammatory treatment - in case of detection of genital infections or nonspecific inflammation.

    Additionally, physiotherapy can be prescribed (UHF-therapy, magnetic therapy, therapeutic electrophoresis). Hirudotherapy gives good results, especially in case of congestive and inflammatory processes, adhesions in the small pelvis.

    If the cause of the pain is swelling, the formation may need surgical treatment.

    And here more about the treatment of cystitis and urethritis in women.

    A healthy woman should not be bothered by pain in the lower abdomen or lower back at any time during the cycle. When discomfort or unbearable pain syndrome, when you have to call an ambulance or drink pills "handful", you must seek medical help to determine the cause and assign an effective treatment.

    Useful video

    For information on which medications will help with painful periods, see this video:

    Sometimes long periods become quite trivial and normal (after an abortion, with heredity). If they are more than 7 days, with severe pain and red clots, then this is a reason to go to a doctor. It is extremely undesirable to carry out treatment independently

    There is an increase in temperature in front of menstruation as a number of natural causes (conception, PMS and others), as well as due to the presence of certain diseases.

    If algodysmenorrhea is detected in girls, treatment should be started as soon as possible. It is primary and secondary, adolescents are often diagnosed with “NMC-type syndrome”, women are secondary. Symptoms - acute pain during menstruation, changes in emotional background. Help drugs, pills, exercise therapy.

    Due to weakened immunity, stress, and infections, acute salpingo-oophoritis occurs, which can also be subacute and chronic. Stage of progression depends on the neglect of the disease. How to treat a disease?