What might cause pain in the lower right abdomen during orgasm?

If you experience pain in the lower right abdomen during orgasm, several underlying conditions may be responsible. One possibility is endometriosis, a condition where tissue similar to the uterine lining grows in other areas of the body, causing pain during sexual activity. Another potential cause is dysorgasmia—pain that occurs specifically during orgasm—which may stem from various pelvic conditions. Other conditions that may cause this type of pain include ovarian cysts, pelvic inflammatory disease (PID), or adhesions from previous surgeries in the pelvic area. Some people may also experience pain due to muscle tension or spasms in the pelvic floor muscles during orgasm. If you experience this type of pain, particularly if it's frequent or severe, consult your healthcare provider. You can also use a free symptom checker to help identify potential causes before your appointment. They can determine the underlying cause and create an appropriate treatment plan.