“From this month’s vacation, the beginning of back pain until now can not be good. Menstrual stomach pain can endure, the 25th after the holidays, May 1 night stomach pain to unbearable, drink 3 kinds of painkillers have no effect, 2 am really can not stand to go to the hospital emergency room, a variety of tests… Now the stomach does not hurt, back pain at night, how to sleep uncomfortable, I do not know is the lumbar spine or uterine problems? Is there any one like me?” Adenomyosis, generally common symptoms are dysmenorrhea, heavy menstrual flow, some accompanied by anemia, lower extremity referred pain, anal swelling discomfort… For the above netizen’s question, in fact, in the clinic we have come into contact with many such patients. For example, we have seen a patient from Henan province, the patient is very young, only 32 years old. Her main symptom is mainly dysmenorrhea, that is, her uterus is not particularly large, but dysmenorrhea is particularly obvious, there is also a typical characteristic of its pain is: to the bottom of the waist and the right side of the leg scattered pain. She had also gone to see a herniated lumbar disc for this condition, but nothing was wrong with the lumbar disc when she was examined. Later, we found that in addition to adenomyosis, there were thickened purple-blue nodules on the surface of the ligaments of the ovaries and the sacral ligaments during the uterine preservation surgery. In the uterine preservation surgery, we take the lesions of her endometriosis. The endometriosis foci in related areas were also explored, found and removed to relieve her pain symptoms. There was another patient, Ms. Wang from Hunan, who had several twists and turns. Ms. Wang developed dysmenorrhea that lasted for one or two days after an ectopic pregnancy surgery five years ago. The amount of menstrual flow increased to 3-4 times of the original amount, so she went to the local hospital to check the ultrasound and found that she had adenomyosis. During the period of three months of intermittent oral Chinese medicine and then take “progesterone capsules” half a year, after stopping the drug menstruation, menstrual cramps, menstrual cramps aggravated, radiating pain in the left leg, and she also lumbar pain, and sometimes the pain can only lie down on the bed, which lasted for about half a month. Sometimes she could only lie in bed, and the pain lasted for about half a month. She had to use painkilling suppositories to relieve the pain during her period. What are the causes of back pain in patients with adenomyosis? Generally this kind of pain is clinically called tugging pain. It is not a problem with the back, but because of the distribution of the nerves, it becomes involved and causes back pain. This is often seen in patients with adenomyosis. There is also a condition where adenomyosis causes the uterus to enlarge, and this lesion is biased towards the lumbosacral area, which can also cause low back pain. However, for adenomyosis-induced back pain, it usually goes away after uterine preservation surgery. But for other diseases caused by back pain, you need to go to the hospital in time to find out the cause and treat the symptoms. Note: Women’s back pain may also be associated with myofasciitis of the lower back, lumbar muscle strain, lumbar disc herniation; ureteral stones, pelvic tumors, pelvic inflammatory disease, uterine fibroids, endometriosis! In addition, it is recommended that women do not overwork, or long-term sedentary, these will lead to the emergence of low back pain symptoms.