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Back pain exactly when MENSTUATION begins. Why is that?

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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

Category: OBGYN

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Category: Infertility Specialist
 18 Doctors Online

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.


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


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.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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