Hip muscle pain during menopause may be caused by osteoporosis, lumbar disc herniation and pear-shaped muscle syndrome. 1. Osteoporosis: During menopause, the decrease of estrogen level in the body leads to the loss of calcium salts in the bones, which can cause osteoporosis, manifested as sore bones and muscle pain. 2. Lumbar disc herniation: During menopause, if combined with lumbar disc herniation, it can lead to lumbar pain, radiating pain in the lower limbs, numbness in the lower limbs and other discomforts, and it can also lead to soreness in the buttock muscles. 3. Piriformis syndrome: during menopause, if combined with piriformis syndrome at the same time, it can cause pain in the buttocks and radiating pain in the lower limbs, and in serious cases, it is accompanied by difficulty in walking or inability to walk, which can also cause soreness in the buttock muscles. There are many other causes of gluteal muscle pain, which should be taken seriously, and timely consultation should be made to identify the cause of the disease and further treatment or therapy as prescribed by the doctor.