What could cause pain in the lower right abdomen during intercourse?

Pain in the lower right abdomen during intercourse (dyspareunia) can have several causes. Common culprits include endometriosis, in which tissue similar to the uterine lining grows outside the uterus, and pelvic floor dysfunction, where the muscles supporting the pelvic organs become too tight or weak. Other possible causes include ovarian cysts, pelvic inflammatory disease, irritable bowel syndrome, or adhesions from prior surgery.

Because the lower right abdomen contains multiple organs — including the appendix, right ovary, and portions of the intestine — pinpointing the source of pain requires careful evaluation. Symptoms, timing, and accompanying signs (such as bleeding, bloating, or bowel changes) all offer important clues.

Since these conditions vary widely in urgency and treatment, understanding your specific symptoms is the critical first step. Take a free, instant, AI-powered symptom check to get personalized insights about what may be causing your pain and clear guidance on the right next steps — whether that's self-care, seeing a specialist, or seeking urgent care.

Reviewed for medical accuracy: 07/15/2026