Can uterine fibroids cause lower back pain?

Patient's question:

I have been experiencing severe lower back pain recently, and my previous health check-up revealed uterine fibroids. Can uterine fibroids cause lower back pain?

Doctor's answer:

Small uterine fibroids rarely cause lower back pain and usually do not have obvious clinical symptoms. If the size of the uterine fibroid is large, especially if it is less than five centimeters, it may cause lower back pain. Additionally, if the location of the uterine fibroid is submucosal, it may lead to a series of clinical symptoms such as excessive menstrual bleeding and prolonged menstrual periods.

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