Will Fibroids Cause Back Pain? Here’s What You Should Know

Pevlic Health1 min read

If you have been diagnosed with uterine fibroids or suspect you might have them, you may wonder, “Could fibroids be the reason for my back pain?”

The short answer is yes, sometimes they can. Let’s break down why fibroids may cause back pain, when to be concerned, and what you can do to feel better.

What Are Uterine Fibroids?

Uterine fibroids are noncancerous growths that develop in or on the uterus. They can be small and harmless or large and uncomfortable. Some women have no symptoms at all, while others experience

  • Heavy or prolonged menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination

  • Bloating or abdominal fullness

And for some women, back pain can also be part of the picture.

How Can Fibroids Cause Back Pain?

Not all fibroids cause back pain, but when they do, it is usually because of size and location.

  • Large fibroids
    When fibroids grow big, they can press on nearby organs, tissues, and nerves, including those in the lower back.

  • Posterior-positioned fibroids
    Fibroids growing on the back wall of the uterus, called posterior fibroids, are closer to the spine. As they grow, they can put pressure on spinal nerves, causing lower back discomfort or even radiating leg pain.

  • Pelvic muscle strain
    Large or multiple fibroids can shift the position of pelvic muscles, creating muscle strain that leads to lower back or hip pain.

Women describe fibroid-related back pain in different ways, including

  • Dull ache in the lower back

  • Pressure or fullness in the lower back area

  • Pain that worsens during periods or after long periods of standing

  • Radiating pain into the hips or legs if nerves are involved

Keep in mind, back pain alone does not always mean fibroids are the cause. Other conditions, such as herniated discs or muscle strain, can also lead to similar symptoms.

When Should You See a Doctor?

It is important to talk to your doctor if you have back pain combined with symptoms like

  • Heavy or irregular menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination or difficulty emptying the bladder

  • Bloating or abdominal enlargement

A healthcare provider can perform a thorough evaluation, including ultrasound or other imaging, to determine if fibroids are the source of your back pain.

How Is Fibroid-Related Back Pain Treated?

Treatment depends on the size, number, and location of the fibroids, as well as your symptoms and health goals. Options may include

  • Monitoring if symptoms are mild

  • Medications to shrink fibroids or control symptoms

  • Minimally invasive procedures such as uterine artery embolization

  • Surgical treatments like myomectomy or hysterectomy in more severe cases

Final Thoughts

While not all fibroids cause back pain, large or posterior fibroids can certainly contribute to lower back or hip discomfort. The good news is, you do not have to live with the pain or keep guessing about what is causing it.

Talking with a knowledgeable healthcare provider can help you get the answers you need and explore treatment options that are right for you. With the right care, many women find relief and regain their comfort, confidence, and quality of life.

Blog Disclaimer

This blog is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or a qualified healthcare provider if you have any questions or concerns about a medical condition.

When to See a Specialist

Make an appointment if your symptoms are persistent, affect your sleep, work, exercise or relationships, or have not improved with simple measures. Seek prompt care for heavy or unexplained bleeding, fever, severe pelvic pain or difficulty urinating. For a medical emergency, call 911.

Learn more about uterine fibroid treatment at our Katy office.

Dr. Solafa Elshatanoufy

About the physician

Dr. Solafa Elshatanoufy, MD, PharmD

Board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery (urogynecology), with more than 21 years in medicine. Residency and fellowship at Wayne State University.

Meet Dr. Elshatanoufy

This article is for general education and is not a substitute for personal medical advice. Please talk with your physician about your own health.

What Our Patients Say

Patients share their experience of care at our Katy office. Individual results vary.

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Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.

The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!

Monica CapellaGoogle review

I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.

Saba AkhterGoogle review

Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.

The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!

Mary O.Google review

My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!

Aimee NortonGoogle review

This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.

Patricia PerryGoogle review

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Have Questions About Your Symptoms?

Schedule a consultation with Dr. Solafa Elshatanoufy at Katy Women’s Pelvic Health for clear answers and a plan made for you.

410 W Grand Pkwy S, Suite 320, Katy, TX 77494