What Causes Lower Abdominal Pain In Females? Complete Guide. If you're facing persistent lower abdominal pain, unusual vaginal discharge, or pain during urination or intercourse, it could be a sign of Pelvic Inflammatory Disease (PID). Early diagnosis and treatment can prevent That nagging pain in your lower right abdomen could be more than just indigestion. It may indicate issues related to the appendix, intestines, urinary tract, or even the ovaries in women. Conditions Why Can I Feel My Heartbeat in My Stomach? Baptist Health