Does Luteal Rupture Cause Back Pain During Menstruation?

Can a ruptured corpus luteum cause lower back pain?

Hello doctor, my girlfriend said she is expecting her period on the 23rd.
We had sexual intercourse between the 20th and 22nd, but on the 21st and 22nd, she mentioned that she started feeling discomfort in her abdomen.
On the night of the 22nd and into the 23rd, she experienced severe abdominal pain, pale complexion, and nausea, among other symptoms.
Then on the night of the 24th, she said the pain gradually turned into a dull ache (she noticed some bleeding when going to the bathroom).
On the 25th, she experienced heavy bleeding, and aside from lower back pain and abdominal pain, there were no other symptoms.
Currently, she is mainly worried about the possibility of internal bleeding, but since her period has started, she is uncertain about the status of the corpus luteum.
I would like to ask if the lower back pain is likely related to her menstrual period rather than a ruptured corpus luteum.
Additionally, how would a ruptured corpus luteum affect the menstrual cycle?

Tang Chai, 20~29 year old female. Ask Date: 2022/10/26

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be premenstrual syndrome (PMS); menstruation is not caused by corpus luteum rupture.
Wishing you good health.

Reply Date: 2022/10/26

More Info

Luteal rupture, also known as corpus luteum rupture, can indeed cause significant discomfort and pain, particularly during menstruation. However, the symptoms and their severity can vary widely among individuals. In your girlfriend's case, the timeline and symptoms you described suggest that her discomfort is more likely related to the onset of her menstrual period rather than a luteal rupture.

During the luteal phase of the menstrual cycle, the corpus luteum forms from the follicle that released an egg. This structure produces hormones, primarily progesterone, which helps prepare the uterine lining for a potential pregnancy. If pregnancy does not occur, the corpus luteum degenerates, leading to a drop in hormone levels and the eventual onset of menstruation.
When a luteal rupture occurs, it can lead to acute pain, often localized to one side of the abdomen, and may be accompanied by other symptoms such as nausea or lightheadedness. In some cases, it can cause internal bleeding if the rupture is significant. However, this is relatively rare. The pain from a luteal rupture is typically sharp and sudden, contrasting with the cramping and discomfort associated with menstruation.

In your girlfriend's situation, the timeline of her symptoms aligns with the typical onset of menstrual cramps. The severe abdominal pain, pale complexion, and nausea she experienced could be attributed to the hormonal changes and physical discomfort associated with menstruation. The subsequent back pain and abdominal discomfort are common symptoms during this time, as the body undergoes various physiological changes.

Regarding your concern about internal bleeding, if she experienced a significant amount of bleeding (referred to as "blood loss"), it is essential to monitor her symptoms closely. If she feels faint, has severe pain that does not subside, or shows signs of shock (such as rapid heartbeat, confusion, or extreme weakness), it would be prudent to seek medical attention immediately.
As for the impact of luteal rupture on the menstrual cycle, if a rupture occurs, it may lead to irregularities in the cycle, but this is not always the case. Some women may experience a more painful period or changes in their cycle length, while others may not notice any significant changes.
In summary, while luteal rupture can cause pain, the symptoms your girlfriend is experiencing are more consistent with menstrual cramps rather than a rupture. However, if her symptoms worsen or if there are any concerning signs, it is always best to consult with a healthcare professional for a thorough evaluation and appropriate management. Regular gynecological check-ups can also help in monitoring any underlying issues that may affect her menstrual health.

Similar Q&A

Understanding Post-Abortion Symptoms: Managing Back Pain After Medication

My girlfriend experienced lower back pain during her menstrual periods after taking medication to conceive in 2006. Could this be a side effect? What methods can help alleviate this issue?

Dr. Lü Lizheng reply Obstetrics and Gynecology
Hello, there are many reasons that can lead to lower back pain during menstruation, such as chronic inflammation of the uterus, endometriosis, and uterine fibroids. It can be difficult to determine whether it is a consequence of a miscarriage. Please consult a gynecologist for fu...

Understanding Back Pain Before Ovulation: Causes and Solutions

I experience significant pain in the muscles supporting my chest and stiffness in my shoulders around the time of ovulation. My husband massages me and comments that it feels swollen and hard. However, the discomfort disappears after my menstrual cycle begins. This has been troub...

Dr. Xiao Yongxun reply Family Medicine
"Back pain can affect marriage." Dear Miss: 1. In principle, your issue should be addressed by a gynecologist. 2. Your description would be classified medically as menstrual-related pain (dysmenorrhea); it is primarily divided into primary dysmenorrhea and secondary dys...

Severe Lower Back Pain Before Menstruation: When to Seek Help?

Hello doctor, since last year, about 2-3 days before my menstrual period, I suddenly experience severe lower back pain that feels like I've pulled a muscle. The pain is so intense that I can't stand or lie down comfortably, and even putting my feet down causes weakness ...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. There are numerous causes of premenstrual syndrome, and accurate assessment requires blood tests, pelvic examinations, and transvaginal ultrasound. 2. Endometriosis is one of the most common causes.

Why Does Menstruation Cause Back Pain? Understanding the Connection

Why do I experience back pain every time my period comes, even affecting my sleep? Is there something wrong with my spine? Should I see a doctor, and which specialty should I consult?

Dr. Shi Qiming reply Orthopedics
Hello: Lower back pain during menstruation is usually not due to issues with the spine itself, as it is intermittent and monthly rather than persistent. It is advisable to visit a gynecology clinic for diagnosis and treatment of the underlying cause.