What's wrong with stomachache and backache after menstruation?

Stomach pain and back pain after menstruation may be caused by fluctuations in hormone levels, incomplete endometrial shedding, pelvic congestion, pelvic inflammatory disease, endometriosis, etc., which can be relieved by hot compresses, diet adjustments, medication, physical therapy, surgery, etc.

1. Fluctuations in hormone levels

After menstruation ends, the levels of estrogen and progesterone in the body have not yet completely returned to balance, which may cause abnormal uterine contractions or pelvic vasospasm, leading to dull pain in the lower abdomen and soreness in the waist. This type of pain usually lasts for 1-3 days and can be relieved by local hot compress or drinking ginger tea. No special treatment is required. If it is accompanied by headaches or mood swings, you may consider supplementing vitamin B6 tablets or oryzanol tablets to regulate autonomic nervous system function.

2. Endometrial shedding is not complete

In some women, the endometrium is not completely discharged during menstruation, and the remaining tissue may stimulate uterine contractions and cause persistent dull pain. The pain is mostly concentrated in the center of the lower abdomen and radiates to the lumbosacral region. It is recommended to drink motherwort granules to promote uterine contraction, or use Shaofu Zhuyu capsules to help drain blood stasis. When the pain is severe, you can take ibuprofen sustained-release capsules for short-term pain relief.

3. Pelvic congestion

Slow pelvic venous return in the late menstrual period may cause congestion, manifested as a sinking and distended feeling in the lower abdomen and heavy pain in the lumbosacral region, which worsens after sitting for a long time or being tired. You can improve blood circulation by lying on your knees and chest, or use Guizhi Fuling Pills to activate blood circulation and remove blood stasis. Daily hot water sitz baths for 15-20 minutes can also help relieve symptoms.

4. Pelvic inflammatory disease

Pelvic inflammation caused by ascending bacterial infection may occur acutely after menstruation, manifesting as lower abdominal tenderness, waist pain, increased vaginal secretions, and fever in severe cases. It is necessary to follow the doctor's advice to use ceftriaxone sodium for injection combined with metronidazole and sodium chloride injection to fight infection, or take Jingangteng capsules orally to eliminate inflammation. Patients with chronic pelvic inflammatory disease can cooperate with infrared physiotherapy.

5. Endometriosis

Ectopic endometrium continues to stimulate peripheral nerves after menstruation, which may cause progressively worsening waist and abdominal pain, often accompanied by painful sexual intercourse or painful defecation. After diagnosis, dienogest tablets can be used to inhibit intimal growth, or leuprolide acetate microspheres can be injected to cause drug-induced amenorrhea. Laparoscopic lesion resection should be considered when conservative treatment fails.

It is recommended to record the time of pain onset and accompanying symptoms, and avoid strenuous exercise and cold food during menstruation. If the pain lasts for more than 3 days or is accompanied by fever or abnormal bleeding, you need to see a gynecologist promptly. You can practice yoga cat-cow pose on a daily basis to relax your psoas muscles, and take appropriate calcium and magnesium tablets to relieve muscle spasms. Pay attention to perineal hygiene and choose breathable cotton underwear to reduce the risk of infection.