Why Do My Hips Hurt During My Period? Understanding Menstrual Hip Pain
Published on September 5, 2024
Key Takeaway
Hip pain during menstruation is often caused by hormonal changes and increased prostaglandin production, which can lead to referred pain and muscle tension in the pelvic and hip region.
Introduction
If you've ever wondered, "Why do my hips hurt during my period?" you're not alone. Many women experience hip pain as part of their menstrual symptoms, and it can be both uncomfortable and concerning. This article will explore the causes of menstrual hip pain and provide insights into managing this common issue.
The Connection Between Menstruation and Hip Pain
During menstruation, your body undergoes various hormonal changes that can affect multiple areas, including your hips. The primary culprit behind menstrual pain, including hip discomfort, is often the increased production of prostaglandins. According to Dr. Alyssa Dweck, an OB-GYN, "Cramps are primarily due to the release of prostaglandins by the uterus, resulting in muscle contractions." These contractions can lead to referred pain in surrounding areas, including the hips.

Hormonal Influences on Hip Pain
The hormonal fluctuations during your menstrual cycle can have a significant impact on your musculoskeletal system. A study published in 2019 found a positive association between menstrual pain and hip/thigh pain. This suggests that the hormonal changes during menstruation may affect the muscles and joints in the hip area, leading to discomfort.
Referred Pain and Muscle Tension
Hip pain during menstruation can also be a result of referred pain from the uterus. As the uterus contracts, it can cause pain that radiates to the lower back, hips, and thighs. Additionally, the tension in the pelvic muscles can extend to the hip region, causing discomfort. Research has shown that women with primary dysmenorrhea (painful periods) often have lower lumbopelvic muscle endurance and mobility compared to those without menstrual pain.
Posture and Alignment Changes
Interestingly, menstrual pain may be associated with changes in posture and spinal alignment. A 2023 study found that women with menstrual pain had reduced lumbar lordosis and thoracic kyphosis compared to those without pain. These postural changes could contribute to hip discomfort during menstruation.

Managing Hip Pain During Menstruation
While hip pain during your period can be uncomfortable, there are several strategies you can employ to manage it:
- Use heat therapy: Applying a heating pad to your lower abdomen or hips can help relax muscles and reduce pain.
- Try gentle exercises: Research has shown that certain exercises, such as modified wall squats and yoga, can help reduce menstrual pain and improve pelvic mechanics.
- Consider over-the-counter pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce prostaglandin production and alleviate pain.
- Practice good posture: Be mindful of your posture, especially during your period, to avoid additional strain on your hips and lower back.
- Stay hydrated and maintain a balanced diet: Some studies suggest that vitamin D levels may be associated with menstrual pain intensity, so ensuring proper nutrition is important.
When to Seek Medical Advice
While some hip pain during menstruation is common, severe or persistent pain may indicate an underlying condition such as endometriosis or uterine fibroids. According to the Mayo Clinic, if your pain is severe enough to interfere with your daily activities or if you experience symptoms like heavy bleeding or pain during intercourse, it's important to consult with a healthcare provider.
Conclusion
Hip pain during menstruation is a common experience for many women, often resulting from hormonal changes, referred pain, and muscle tension. By understanding the causes and implementing effective management strategies, you can minimize discomfort and maintain your quality of life during your menstrual cycle. Remember, if your pain is severe or persistent, don't hesitate to seek professional medical advice to ensure your overall reproductive health.