Back pain exactly when MENSTUATION begins. Why is that?

Resolved question:
Hi I noticed about two months ago exactly as my menstruation was beginning I got lower back pain
I felt it only when I bended down
It hurt quite a lot
It then disappeared after cycle began well a few days in
And then right as my next cycle came it was back but worse
It lasted from a week before me cycle began until 2 days in
Again only when I bend
I still kind of feel it now two weeks later but very mild
But present
What can this be

Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com

Some kind of back pain is common as a part of the menses, for most women.
If it is very severe, you can try painkillers and a hot water bottle.
For refractory cases, 3 cycles of oral contraceptive pills help sometimes, as the hormones causing the back pain are regulated by the pills.
A possibility is that you might be having endometriosis, in which case also, cyclical hormonal pills will help.
If this does not work you should have a pelvic and lower back region MRI to delineate the cause.
Take adequate calcium and vitamin D supplements also.
Avoid unnatural postures and exercise, lifting heavy weights or putting too much strain on your back.
Invest in an excellent mattress and do yoga / stretching for the back.
Gentle massage by a physiotherapist will also help.
All the best
Please feel free to discuss further,
Regards.

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Patient replied :

is it normal and consistent with your diagnosis that the backpain only hurts when i bend over.. because it is more strong before menstruation but still present in mild form mid cycle etc..can it be anything more nefarious


Expert:  Dr. Aarti Vazirani replied 3 Days.

Nothing nefarious, but the peculiarity of being aggravated by bending over makes it more likely to be postural, something to do with strain on your back muscles.
I would recommend a pelvic MRI and imaging, that would pick up any lesion that exists.
Regards.

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