Back pain again and again – and nothing helps? Then the symptoms could have a gynecological cause. The visit to the gynecologist brings clarity.

Back pain again and again – for weeks Vera Müller from Wiesbaden toiled around with it. What she does not know – the cause of her complaints is a gynecological disease. “In particular, pain that surrounds the groin, the sacrum, and the anterior abdominal wall like a belt is evidence of a gynecological cause,” Dr. Klaus König from the professional association of gynecologists (BVF) in Munich. “Back pain can also occur during pregnancy, during and after the hormone change during menopause. These include changes in the position of the uterus, gynecological tumors, chronic inflammation and diseases in the area of the small pelvis, “says the expert.

ask-your-gynecologist

Back pain again and again – fibroids can be to blame

Women should be aware if they have recurrent back pain that is cyclical and increases on the days before menstruation. Possible cause may be fibroids – benign tissue growths in or on the uterus. In most cases, the gynecologist suggests a hormone treatment with tablets in such cases. Gentle is a new therapy in which fibroids are starved: In the method known as myoma embolization are injected under local anesthesia sand beads sized plastic beads into the blood vessels. There they block the pathway for nutrient delivery, and the fibroid shrinks. The therapy is performed inpatient and paid by health insurance.

Again and again back pain? Endometriosis can also be a trigger

Gynecological back pain triggers include endometriosis. Here, parts of the uterus settle, for example, on the ovaries or in the abdomen. They always lead to back pain during and before menstruation. Depending on the location of the Endometrioseherde the growths of the endometrium can be surgically removed by the gynecologist or treated with hormones. In case of mild endometriosis, it is often helpful to take a birth control pill with a high proportion of progestogen

Gentle help against the pain

What helps if women always suffer back pain? Relief in acute cases promises a combination with the painkiller Paracetamol or a warm hay flower sack, which is placed on the stomach. Relaxation exercises such as QiGong or Tai Chi also help to relieve the pain and harmonize the body.