Table of ContentsView AllTable of ContentsCauses in FemalesOther Common CausesFinding Back Pain ReliefWhen to See a Provider
Table of ContentsView All
View All
Table of Contents
Causes in Females
Other Common Causes
Finding Back Pain Relief
When to See a Provider
Female lower back paincan be chronic or cyclical. It may feel sharp, dull, intense, or burn, and can impact surrounding areas like the hips, pelvis, groin, and abdomen.Pain might occur on one or both sides of the body.
Causes of low-back pain range from common premenstrual syndrome (PMS) symptoms to serious conditions like endometriosis.
This article highlights all possible common causes of low back pain in females. As well as symptoms, treatment options, and prevention strategies for lower back pain.
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A Note on Gender and Sex TerminologyVerywell Health acknowledges thatsex and genderare related concepts, but they are not the same. To reflect our sources accurately, this article uses terms like “female,” “male,” “woman,” and “man” as the sources use them.
A Note on Gender and Sex Terminology
Verywell Health acknowledges thatsex and genderare related concepts, but they are not the same. To reflect our sources accurately, this article uses terms like “female,” “male,” “woman,” and “man” as the sources use them.
Causes of Lower Back Pain in Females
Many potential conditions, both common and severe, can cause low-back pain in specifically in females. The pain is grouped into two main categories: musculoskeletal (like arthritis) and organ systems (like the reproductive organs). The key to identifying the root of lower back pain is tracking intensity and monitoring additional symptoms.
Premenstrual Syndrome (PMS)
Lower back pain during the luteal phase(two weeks before the start of a menstrual period) is a common PMS symptom.It can change from month to month in severity and length.
Premenstrual Dysmorphic Disorder (PMDD)
PMDDis a period-related condition that also includes symptoms like lower back pain but differs from PMS because it often has a bigger impact on mental health. In fact, PMDD is classified as a mood disorder and can cause depressed moods, lack of motivation, binge eating, and anxiety.
Lower back pain with PMDD would be intense or severe, potentially impacting your work, school, and social life. Typically, this pain arises during the late-luteal phase of the menstrual cycle.
Dysmenorrhea
Dysmenorrhea, orperiod cramps, can also cause lower back pain. Studies show that more than 40% to 50% of people who menstruate experience lower back pain in the first few days of their period, likely due to uterine contractions or cramps.Cramping is either localized in the lower abdomen or radiates to the inner thighs and lower back.
Endometriosis
Endometriosis(endo) is a chronic disease classified as the growth of uterine-like tissue outside the uterus. Besides heavy periods, a hallmark symptom of endo is intense lower back or pelvic pain around menstruation.
This combination, called lumbopelvic pain, is commonly mistaken for a musculoskeletal disorder, so seeking care from a healthcare provider familiar with endometriosis is essential.
Pelvic Inflammatory Disease (PID)
Fibroids
Fibroids on or in the uterusare common and benign (noncancerous) growths that range in size. Some are asymptomatic, but others can cause pelvic or lumbar pain, especially in certain positions like lying down or bending over.They can be but are rarely associated with a lumbar nerve condition called sciatica.
Other symptoms of fibroids are:
Ovarian Cysts
Ovarian cystsoften have no symptoms. However, they can cause pain or pressure in the lower abdomen and pain with certain activities.
Adenomyosis
A bit lesser known than other conditions,adenomyosisoccurs when endometrial tissue grows into the muscle of the uterus wall. (Different from endometriosis, in which the tissue grows and sheds outside the uterus).Adenomyosis causes heavy periods and dysmenorrhea, which can lead to lower back pain.
Pregnancy
Back pain is a commonproblem in pregnancy, especially in the later months of pregnancy.As the uterus expands, it changes your posture and strains your back.
Left- or Right-Side PainIt’s common to feel more pain on one side of your lower back than the other. Causes include spinal misalignment and muscle, ligament, or bone injury. Pain in the lower right side of the back may also point to more serious conditions like kidney stones or spinal stenosis.
Left- or Right-Side Pain
It’s common to feel more pain on one side of your lower back than the other. Causes include spinal misalignment and muscle, ligament, or bone injury. Pain in the lower right side of the back may also point to more serious conditions like kidney stones or spinal stenosis.
What Else Commonly Causes Lower Back Pain?
Identifying the cause of lower back pain can depend on a number of factors. Sometimes, it’s a combination of a few underlying imbalances, such as:
How to Find Relief for Lower Back Pain
Lots can be done at home to relieve lower back pain, especially once you’ve identified the root cause. Find a combination of gentle treatments that work for you, including the following.
Lifestyle adjustments:
Topical:
Professional care:
When to Contact a Healthcare Provider
While at-home care can be a great place to find remedies for manageable low-back pain that improve your quality of life, always consult a healthcare provider if your symptoms worsen or persist despite self-care measures.
Summary
Lower back pain in women is common, especially for those in their reproductive years. From PMS to pregnancy, hormones play a big role in lower back, hip, and pelvic pain. Other causes of low-back pain occur in people of any sex, including injury or stress.
Even though low back pain is somewhat common, work with a healthcare provider to diagnose or eliminate the risk of more serious underlying conditions, such as endometriosis or pelvic inflammatory disease, especially if you are experiencing additional concerning symptoms.
You can manage low-back pain with lifestyle adjustments and self-care. A healthcare provider can also prescribe treatments to help you manage underlying causes and treat severe pain.
21 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
American Association of Neurological Surgeons.Low back pain.
Osayande AS, Mehulic S.Diagnosis and initial management of dysmenorrhea.Am Fam Physician. 2014;89(5):341-346.
International Association for Premenstrual Disorders.Evidence-based management of premenstrual disorders (PMDs).
Palit S, Bartley EJ, Kuhn BL, et al.Endogenous inhibition of pain and spinal nociception in women with premenstrual dysphoric disorder.JPR. 2016;9:57-66. doi:10.2147/JPR.S97109
Shakeri H, Fathollahi Z, Karimi N, Arab AM.Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.Journal of Chiropractic Medicine. 2013;12(3):160-167. doi:10.1016/j.jcm.2013.08.005 Allowing this although from 2013.
NHS.Period pain.
World Health Organization.Endometriosis.
Center for Young Women’s Health.Pelvic inflammatory disease.
Khan AT, Shehmar M, Gupta JK.Uterine fibroids: current perspectives.Int J Womens Health. 2014;6:95–114. doi:10.2147/IJWH.S51083
Thanasa A, Thanasa E, Xydias EM, et al.Large extracervical posterior pedunculated leiomyoma of the uterus with the only symptom of chronic low back pain from radiculopathy: a case report.Cureus. 2023;15(11):e48324. doi:10.7759/cureus.48324
American College of Obstetricians and Gynecologists.Ovarian cysts.
Protopapas A, Grimbizis G, Athanasiou S, Loutradis D.Adenomyosis: disease, uterine aging process leading to symptoms, or both?Facts Views Vis Obgyn. 2020;12(2):91-104.
American College of Obstetricians and Gynecologists.Back pain during pregnancy.
National Institute of Arthritis and Musculoskeletal and Skin Diseases.Spinal stenosis.
Johns Hopkins Medicine.Appendicitis.
Johns Hopkins Medicine.7 ways to treat chronic back pain without surgery.
National Institute of Neurological Disorders and Stroke.Pain.
NIH MedlinePlus Magazine.How to manage low back pain before it get worse.
National Institute of Arthritis and Musculoskeletal and Skin Diseases.Back pain: diagnosis, treatment, and steps to take.
Johns Hopkins Medicine.Lower back pain: what could it be?
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