How is adenomyosis back pain different?

Adenomyosis-related back pain often comes from an inflamed, sometimes enlarged uterus, and it can feel like deep, intense cramping that radiates into the low back. Many patients notice it flares most during heavier bleeding days and can come with pelvic heaviness or pressure, not just “muscle” back soreness.

On exam, the uterus may feel tender and “boggy,” which can help distinguish uterine-source pain from spine or joint issues. Because adenomyosis frequently coexists with endometriosis, the pattern can be mixed—cyclical uterine cramping layered on top of other pelvic pain triggers. If your back pain predictably tracks your cycle or is paired with heavy bleeding and pelvic pressure, our team can help evaluate whether adenomyosis is contributing and review next steps with you.