Low back pain and bleeding from below, rather than menstruation, are most commonly caused by inflammation of the pelvic cavity. A gynecological examination will often reveal dark red blood coming out of the cervical opening, tenderness in the sacral ligament, lifting pain in the cervix, and varying degrees of pressure pain in the uterus and adnexa, and active anti-inflammatory treatment will be sufficient. In addition, endometriosis can lead to irregular bleeding, and also cause lower abdominal pain and back pain. In addition, tumors in the pelvis can also cause bleeding below the back pain. In case of a history of menopause, it is first recommended to rule out the possibility of pregnancy. So for the presence of the above mentioned symptoms, a detailed examination should be done.