Endometriosis Back Pain: Insights and Treatment Options

21 Mar 2024, by

Dr. Anna Nersisyan

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Endometriosis, a condition where tissue similar to the lining inside the uterus grows outside of it, can lead to significant back pain. According to the National Institutes of Health (NIH), This ailment affects 10–15% of women of reproductive age, with a notable 35–50% of those suffering from pelvic pain and/or infertility experiencing symptoms. Endometriosis back pain is a challenging condition where tissue similar to the lining inside the uterus grows outside of it, often leading to significant lower back pain. 

This condition not only affects a woman's physical health but also her quality of life, causing symptoms that range from chronic pain to infertility. Understanding the causes, recognizing the risk factors, and exploring treatment options are crucial steps in addressing this form of back pain. This article delves into the complexities of endometriosis-related back pain, offering insights into managing symptoms and improving life quality.

endometriosis back pain

Causes of Endometriosis-Related Back Pain

Hormonal Changes

The main driver behind endometriosis is hormonal fluctuations, particularly in estrogen levels. This hormone plays a significant role in the menstrual cycle and can exacerbate the growth of endometrial-like tissue outside the uterus. When these tissues grow in areas affecting the lower back, they can cause significant pain, especially during menstrual periods. The cyclic nature of these hormonal changes means that symptoms can fluctuate in intensity, leading to periods of severe discomfort.


Another key factor is inflammation. Endometrial-like tissue outside the uterus can cause a significant inflammatory response. This inflammation not only contributes to the development of scar tissue and adhesions but can also irritate nearby nerves. For those with tissue growths in the pelvic area, this can result in endometriosis lower back pain as the inflammation affects the nerves that supply this area.

Location of Endometrial-Like Tissue

The specific location of endometrial-like tissue growths plays a crucial role in the type and severity of pain experienced. When these growths occur on or near the nerves leading to the back, or within spaces that affect the alignment and movement of the pelvic and lower back region, endometriosis can cause back pain. This can lead to a chronic, aching sensation, and in some cases, sharp, stabbing pains during certain movements or activities.

Types of Endometriosis-Related Back Pain

Endometriosis-related back pain can vary depending on the location and extent of endometrial-like tissue growth. However, this condition does not have "types" in the traditional sense. Instead, the pain is often described based on its characteristics:

  • Cyclical Lower Back Pain: This type of pain aligns with the menstrual cycle, worsening during periods due to hormonal fluctuations and inflammation.
  • Chronic Aching Pain: A constant, dull ache in the lower back that may not necessarily tie directly to menstrual cycles.
  • Sharp, Stabbing Pain: Occasional sharp pains that may occur with certain movements or activities, indicating that the endometrial-like tissue is affecting nerves or muscle areas.

Risk Factors for Endometriosis

Understanding the risk factors for endometriosis can help identify those most likely to develop this condition, including its symptom of back pain. Key risk factors include:

  • Family History: A close relative with endometriosis increases your risk, suggesting a genetic component to the disease.
  • Menstrual Cycle Characteristics: Those with longer periods (more than seven days) or shorter cycles (less than 27 days) may have a higher risk.
  • Uterine Abnormalities: Conditions or structural abnormalities in the uterus can affect menstrual flow and potentially increase the risk of developing endometriosis.
  • Medical History: A history of pelvic infection, uterine abnormalities, or surgeries that involve the uterus or pelvis can elevate risk levels.


Recognizing these risk factors is crucial for early detection and management of endometriosis and its symptoms, including lower back pain. If you're experiencing symptoms consistent with endometriosis, such as chronic lower back pain, it's important to consult a healthcare professional.

For an initial assessment, consider using Docus Symptom Checker for Women. This tool can help you understand your symptoms better, but remember, it's not a substitute for professional medical advice.

Complications of Endometriosis Back Pain

Endometriosis can lead to several complications, particularly when it's associated with back pain. These complications can range from physical to emotional impacts, significantly affecting a woman's quality of life. Here are some notable complications:

  • Chronic Pain: Persistent endometriosis can cause ongoing lower back pain, which can interfere with daily activities and diminish life quality.
  • Infertility: Endometriosis is one of the leading causes of infertility in women, making it challenging for some to conceive.
  • Ovarian Cysts: Endometriosis can lead to the formation of cysts on the ovaries, known as endometriomas, which can cause pain and other complications.
  • Bowel and Urinary Disorders: Endometrial tissue can grow on the bladder and bowel, leading to painful urination, blood in urine, or pain during bowel movements.
  • Emotional and Psychological Impact: Chronic pain and fertility issues can contribute to mental health challenges, including depression and anxiety.

Treatment of Endometriosis Back Pain

Treating endometriosis, particularly when it causes back pain, requires a comprehensive approach. Here are some of the most common treatment options:

Pain Management

Managing the pain associated with endometriosis is crucial. This can include:

  • Over-the-counter pain relievers for mild symptoms.
  • Prescription medications for more severe pain.
  • Heat therapy, such as warm baths or heating pads, can help relieve muscle tension and pain in the lower back.

Hormonal Therapies

Hormonal treatments aim to reduce or eliminate menstruation, thereby reducing the growth of endometrial tissue, which can lessen pain:

  • Birth control pills, patches, and vaginal rings can help control the hormones responsible for the buildup of endometrial tissue.
  • Gonadotropin-releasing hormone (GnRH) agonists and antagonists can cause a temporary menopause-like state, reducing the size of endometriosis implants and alleviating pain.

Surgical Options

In severe cases, surgery may be necessary to remove as much endometriosis tissue as possible:

  • Laparoscopy, a minimally invasive surgery, can be used to remove or destroy endometrial growths.
  • In extreme cases, a hysterectomy (removal of the uterus) may be considered, especially if the pain is severe and other treatments haven't worked.

Prevention of Endometriosis Back Pain

While there's no sure way to prevent endometriosis, certain lifestyle changes and medical interventions can reduce the risk or severity of symptoms:

  • Regular exercise and maintaining a healthy weight can help manage symptoms.
  • Hormonal birth control methods may reduce the risk of developing new endometriosis tissue.
  • Early diagnosis and treatment can prevent the progression of the disease.


For those experiencing symptoms like endometriosis lower back pain, Symptom Checker for Women offers a personalized way to assess your symptoms. Remember, online tools are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult a healthcare professional before taking any action.

Incorporating these treatment and prevention strategies can help manage endometriosis and its associated back pain, improving the quality of life for those affected.

Key Takeaways

  • Endometriosis can cause significant lower back pain, impacting daily activities and overall quality of life.
  • The condition leads to various complications, including chronic pain, infertility, ovarian cysts, bowel and urinary disorders, and emotional distress.
  • Treatment options vary from pain management and hormonal therapies to surgical interventions, tailored to each individual's condition and severity.
  • Lifestyle changes and early treatment can play a crucial role in preventing the progression of endometriosis and managing symptoms.
  • Utilizing resources like the Symptom Checker for Women can aid in early detection and encourage seeking professional medical advice.


Learn more types of back pain in the following articles Lower Back Pain When Walking, Navigating Back Pain When Breathing, and How to Manage Lower Back Pain.

Frequently Asked Questions

What is endometriosis back pain?

Endometriosis back pain is a type of chronic pain experienced in the lower back area as a result of endometrial tissue growing outside the uterus. This condition can lead to inflammation, scarring, and pain, especially during menstrual periods.

Can endometriosis cause back pain?

Yes, endometriosis can cause back pain. When endometrial-like tissue grows on the areas surrounding the pelvic organs, it can affect nearby nerves and the lower back, leading to significant pain.

How is lower back pain from endometriosis different from other back pains?

Lower back pain caused by endometriosis typically follows a pattern that aligns with menstrual cycles, often intensifying during periods. This cyclical nature, coupled with associated symptoms like pelvic discomfort, irregular periods, and challenges with fertility, sets it apart from more common forms of back pain.

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