OB-GYN (Obstetrician-Gynecologist) Questions Lower back pain

Is lower back pain a sign of pregnancy?

I've missed two periods now, and I have lower back pain. Is having lower back pain one of the early signs that a woman might be pregnant, along with missed period?

2 Answers

Yes, low back pain and missed periods could mean + pregnancy as the enlarging 2 month pregnant uterus would be the size of a moderately opening fist, putting pressure on the bladder, the rectum and the coccyx or tailbone as the enlarging uterus is still small enough to remain in the pelvis. Once the uterus reaches 3months size, it is too large to remain in the pelvis and it starts to raise out of the confines of the boney pelvis. Of course, missed periods and back pain could also mean an ovarian cyst which can also reach the size of the 2month pregnant uterus, putting the same pressures on the bladder, the rectum and the coccyx; and it can twist on its own stalk and cut off its own blood supply, this is a surgical emergency as it is extremely painful and you can strangulate and cause your ovary to die. Doing a home pregnancy urine test, available at any dollar store or pharmacy can tell you if you are pregnant or not. If you are pregnant, then make an appointment with your doctor to start your prenatal care. If you are not pregnant, then please seek a doctors appointment with pelvic exam and possible ultrasound to determine why you have an enlarged uterus. You may also find out that you are not pregnant, meaning you may have an enlarging uterine fibroid that is putting pressure on your tailbone. Whichever direction your pregnancy test takes you, you still need to determine why you have pain and missed periods; checking your blood hormone levels for Estradiol and Progesterone as your female hormones can help determine if there is a problem with your cycles; checking your blood hormone levels to also include Total and Free Testosterone can help determine if you may have Polycystic Ovary Disease. You should also check your thyroid blood tests as underactive or overactive thyroid can cause a change and possible slowdown in your GI tract to cause you to become bloated or constipated, another reason for gas or stool to remain in your lower colon, pushing against your uterus and tailbone also causing low back pain.
It can be but a better way to find out would be a home preg test. If you already have a positive preg test then low back pain could be a sign of pregnancy but usually in women much farther along as their uterus grows. Severe back or abdominal pain would not be a normal sign of pregnancy and would require a thorough evaluation to look for possible complications of pregnancy or health issues not related to pregnancy.