This article describes back pain related to reproductive issues in women and those assigned female at birth.
Studies have shown that more than 45% of people who menstruate and more than 70% of those in perimenopause experience lower back pain likely related to the female reproductive system and possible reproductive system issues. <Author's Note: As a female who experiences back pain, as well as a Massage Therapist in practice for 19 years, I rather suspect female pelvic issues may account for even more back pain than we realize.> Unfortunately, while medical science has made significant progress in understanding the female reproductive system, there are still many aspects that remain mysterious.
Along with menstrual & ovulatory cramping, there are many other pelvic issues that can cause back pain and make typical back pain treatments ineffective. Here are some:
1. Endometriosis :
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus. It can cause chronic pelvic pain, which often radiates to the lower back.
The inflammation and scarring associated with endometriosis can irritate nearby nerves, leading to discomfort in the back, hips, and thighs.
2. Adenomyosis :
Adenomyosis occurs when cells from the inner lining of the uterus infiltrate into the muscular uterine wall. As the uterus enlarges (up to three times its original size), it exerts pressure on nearby organs or nerves, leading to radiating pain in the back and legs.
It is a lesser-known reproductive health issue which can cause back pain, particularly in the lower back. The pain often coincides with a woman’s menstrual cycle.
3. Uterine Fibroids:
Uterine fibroids are noncancerous growths in the uterus. They can cause heavy menstrual bleeding, pelvic pressure, and pain.
Depending on their location, fibroids may contribute to lower back pain.
4. Pelvic Inflammatory Disease (PID):
PID is an infection of the female reproductive organs, usually caused by sexually transmitted bacteria.
In addition to pelvic pain, PID can cause lower back pain due to inflammation and involvement of nearby structures.
5. Pregnancy-Related Back Pain (this one seems obvious, but even in very early pregnancy, the changes can cause back pain):
During pregnancy, hormonal changes and the growing uterus can strain the lower back.
6. Ovarian Cysts:
Ovarian cysts are fluid-filled sacs that can form on the ovaries. Large cysts may cause pain, including lower back discomfort.
When to Seek Medical Attention
If you experience persistent or severe back pain, and suspect it is possibly cyclical (it is always helpful to track your cycle), consult a healthcare provider. Don't be afraid to discuss the possibility of your back pain being related to a female pelvic issue and asking for imaging or testing. Understanding the specific cause of your pain is crucial for effective management.
Written by: Laura J. Podruzny, RMT, CPT, Holistic Nutrition
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