A day spent slouching at the desk or an evening spent dancing on high heels affects the spine curve and leads to back pain at night. A very soft or a hard and uneven mattress won't support your back and will worsen the pain. If change in sleeping and sitting posture doesn't lower the pain, and you aren't pregnant, see a doc and test for spinal arthritis or tumors, kidney stones, or a cancer of the abdominal organs.
Although the exact cause of endometriosis isn't known, female hormones, especially estrogen has an important role to play. Back flow of menstrual debris, an overactive immune system, a family history of endometriosis, and a history of abdominal or pelvic surgery are other possible causes. Women who menstruate before 11 or have a cycle shorter than 27 days and heavy, long periods are at risk.
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