There are many gynecological diseases that cause back pain, the common ones are chronic pelvic inflammation, pelvic effusion, tubal inflammation, uterine fibroids, etc. It is recommended to go to the hospital in time for ultrasound, routine leucorrhea and other examinations to clarify the cause and treat the cause. Common causes and treatments 1, chronic pelvic inflammatory disease: the main symptoms are lower abdominal swelling, pain and lumbosacral pain, often intensified after exertion, sexual intercourse and before and after menstruation. Apply antibacterial drugs as prescribed by the doctor, such as cefixime, levofloxacin, etc. 2. pelvic effusion: clinical manifestations are mainly abdominal cramping, pain in the lower abdomen and lumbosacral area, decreased resistance, menstrual disorders and infertility. Physiological pelvic effusion does not require special treatment, and a small amount of pelvic effusion can be absorbed on its own. If the fluid is caused by pelvic inflammatory disease or tumor, the volume of fluid will be more than 100mL. If the fluid is caused by inflammatory disease, it should be actively treated with anti-infection, and can be treated with levofloxacin, metronidazole and other drugs under the guidance of a doctor, and if it is caused by tumor, the tumor needs to be actively treated to improve the prognosis; 3. It can be accompanied by back and sacral pain and a feeling of falling. The patient can apply cephalosporins, such as cefotaxime, as prescribed by the doctor, and if necessary, surgery; 4, uterine fibroids: typical symptoms are increased menstrual flow, lower abdominal mass, increased leucorrhea, etc. Some patients with fibroids may have symptoms such as lower abdominal cramps and back pain. Smaller fibroids can be observed on follow-up, and can also be treated with mifepristone, GnRH and other drugs under the guidance of a doctor, and can be treated with transabdominal myomectomy, hysteroscopic surgery, transvaginal hysterectomy and myomectomy if necessary; 5. It is recommended that women go to the hospital for clear diagnosis and treatment. If a woman has back pain due to gynecological disease, she should pay attention to keeping her vulva clean and hygienic, wash it with warm water every day, change her underwear in time, and expose it to the sun or disinfect it. At the same time, you should pay attention to keep warm and avoid getting cold, so as not to aggravate the pain.