What causes lower back pain in females?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Lower back pain in females is often linked to pelvic floor dysfunction, hormonal fluctuations, and menstruation-related disorders such as endometriosis, PMS, or fibroids. Pregnancy, menopause, and conditions like ovarian cysts can also contribute. Because the causes vary widely, identifying the right one is key to finding relief.

Since lower back pain in women can stem from so many overlapping factors, guessing at the cause often leads to delayed treatment and unnecessary worry. A free, instant, online symptom check can help you quickly narrow down likely causes based on your specific symptoms, medical history, and risk factors—giving you a clearer picture of what may be going on and confident next steps to discuss with your doctor.

Reviewed for medical accuracy: 07/20/2026

Important Next Steps

Learn what’s causing lower back pain Discover if your back pain needs care See if lower back pain is serious Find OTC relief for lower back pain Find a doctor for back pain Understand home remedies for lower back pain Find likely causes of your back pain

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Explanation

Lower back pain in females can have various causes. One important factor is the pelvic floor, which can contribute to non-specific low back pain. Problems with the pelvic floor muscles can lead to discomfort in the lower back area.

Additionally, research shows that lower back pain is more common in females than males. This could be due to hormonal differences and other biological factors that affect women more.

Menstrual disorders also play a role in causing lower back pain. During menstruation, some women experience pain in the lower back, which is linked to the body's changes during this time. If you're experiencing lower back pain and want to understand what might be causing it, take our free AI symptom checker to get personalized insights about your symptoms and potential next steps for relief.

(References)

Ugur Tosun B, & Yilmaz Gokmen G. (2023). Cause of non-specific low back pain in women: pelvic floor .... International urogynecology journal, 37466692.
Wáng YX, Wáng JQ, & Káplár Z. (2016). Increased low back pain prevalence in females than .... Quantitative imaging in medicine and surgery, 27190772.
Smith DR, Mihashi M, Adachi Y, Shouyama Y, Mouri F, Ishibashi N, & Ishitake T. (2009). Menstrual Disorders and Their Influence on Low Back Pain .... Industrial health, 19531916.

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