What could be causing lower back and pelvic pain in females?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Lower back and pelvic pain in females is often caused by pelvic floor muscle dysfunction or chronic pelvic conditions such as endometriosis, uterine fibroids, pelvic inflammatory disease (PID), or interstitial cystitis. These conditions can create overlapping pain that radiates through the lower back, hips, and pelvis, making it difficult to pinpoint the exact source without a proper evaluation.

Because the causes vary widely—from muscular tension to reproductive or urinary tract conditions—identifying the right next step matters. A free, instant, online symptom check can help you understand what may be behind your pain and guide you toward the appropriate care, saving you time, worry, and unnecessary guesswork.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Lower back and pelvic pain in women can be linked to problems with the pelvic floor muscles, which are a group of muscles that support the pelvic organs. These muscles can become tight or weak, leading to pain in the lower back and pelvic area.

Causes of Pain:

Pelvic Floor Dysfunction: When the pelvic floor muscles do not work properly, it can cause pain and discomfort.
Chronic Pelvic Conditions: Some women may have ongoing pelvic pain due to conditions like endometriosis or fibroids.

Understanding the Pain:

Pelvic floor issues can sometimes be hard to diagnose because the pain may feel like it's coming from the lower back or other areas. If you're experiencing these symptoms, you can check your symptoms with a free AI-powered assessment to help identify potential causes before speaking with a healthcare provider.

What to Do:

Talk to a Doctor: If you have these symptoms, it's a good idea to see a healthcare professional.
Exercises and Therapy: Sometimes, exercises or physical therapy can help with strengthening or relaxing the pelvic floor muscles.

(References)

Dufour S, Vandyken B, Forget MJ, & Vandyken C. (2018). Association between lumbopelvic pain and pelvic floor .... Musculoskeletal science & practice, 29268147.
Ugur Tosun B, & Yilmaz Gokmen G. (2023). Cause of non-specific low back pain in women: pelvic floor .... International urogynecology journal, 37466692.
Gin GT, Rosenblum E, Wilkinson LD, & Brady PH. (2022). Female Pelvic Conditions: Chronic Pelvic Pain. FP essentials, 35420402.

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