Left-sided lower back pain in women is a common complaint that can stem from various conditions, ranging from mild issues to more serious health problems. Many women experience this discomfort before their period due to PMS, but the pain may also be linked to reproductive health conditions such as endometriosis, uterine fibroids, or ovarian cysts.
Understanding the possible causes of left-sided lower back pain is essential so you can determine when it’s time to see a doctor. By recognizing the symptoms that require attention, treatment can be given faster and more accurately, helping prevent complications.
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Causes of Left-Sided Lower Back Pain in Women
Below are several important causes of left-sided lower back pain in women:
1. Premenstrual Syndrome (PMS)
Lower back pain during the luteal phase (around two weeks before menstruation) is a common PMS symptom. The severity may vary each month. PMS occurs due to hormonal fluctuations throughout the menstrual cycle, which may also trigger mood changes and breast tenderness.
2. Premenstrual Dysphoric Disorder (PMDD)
PMDD is similar to PMS but with more severe symptoms that significantly affect mental health. It can cause deep sadness, loss of motivation, anxiety, and uncontrolled eating patterns. Left-sided lower back pain due to PMDD is usually more intense and may interfere with daily activities. Symptoms typically appear during the late luteal phase before menstruation.
3. Dysmenorrhea
Dysmenorrhea or menstrual cramps are also a common cause of left-sided lower back pain in women. Around 40–50% of women experience this during the first days of menstruation due to uterine contractions. Pain may appear only in the lower abdomen or radiate to the inner thighs and lower back.
4. Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. In addition to heavier menstruation, a hallmark symptom is severe pain in the lower back or pelvic area during menstruation. This pain is often mistaken for muscle or bone issues, so consulting a doctor experienced in treating endometriosis is important.
5. Pelvic Inflammatory Disease (PID)
PID is a serious infection of the female reproductive organs, usually caused by untreated sexually transmitted infections such as gonorrhea or chlamydia. Symptoms may include:
- Lower abdominal or lower back pain
- Abnormal vaginal discharge
- Fever
- Spotting between periods
- Pain during intercourse
6. Uterine Fibroids
Uterine fibroids are benign tumors in the uterus that vary in size. Some do not cause symptoms, while others lead to pelvic or back pain, especially in certain positions. Fibroids may also cause heavy menstrual bleeding, spotting between cycles, and abdominal discomfort.
7. Ovarian Cysts
Most ovarian cysts cause no symptoms, but some may result in pain or pressure in the lower abdomen, especially during certain activities.
8. Adenomyosis
Adenomyosis occurs when uterine lining tissue grows into the muscular wall of the uterus. Unlike endometriosis, the tissue remains within the uterus. This condition causes very heavy menstruation and severe cramps that may radiate to the lower back.
9. Pregnancy
Back pain is a common complaint during pregnancy, especially in the later trimesters. As the uterus enlarges, body posture changes and creates more strain on the back.
Get Checked for Left-Sided Lower Back Pain at Mandaya Royal Hospital Puri
If you are experiencing left-sided lower back pain related to PMS, endometriosis, ovarian cysts, or other reproductive health concerns, it’s important to get an accurate evaluation as early as possible. Mandaya Royal Hospital Puri provides a team of experienced Obstetrics & Gynecology Specialists who ensure every patient receives a precise diagnosis and personalized treatment based on their condition.
At Mandaya Royal Hospital Puri, you can also consult with psychiatrists for severe PMS or PMDD symptoms, and undergo supporting examinations using modern medical technology to help identify the cause of your pain quickly and effectively.
Don’t let symptoms persist — visit Mandaya Royal Hospital Puri for comprehensive, safe, and expert care from specialists in their fields.
For an easier visit to Mandaya Royal Hospital Puri, use the WhatsApp Chat feature, Book Appointment, or the Care Dokter mobile app—available on Google Play and the App Store—to check queue numbers and access complete information.
