What Are the Potential Causes of Severe Lower Abdominal Pain in Females?

Severe lower abdominal pain in women can have several possible causes. Issues with the reproductive system may be responsible for lower abdominal pain. An ectopic pregnancy (when a pregnancy develops outside the uterus) can cause intense pain. Ovarian complications—such as torsion (twisted ovary) or a ruptured cyst—may cause sudden, severe discomfort. Reproductive organ infections like pelvic inflammatory disease (PID) are another cause, often accompanied by fever or unusual vaginal discharge. Additional gynecologic conditions, including endometriosis and uterine fibroids, can also trigger pain. The digestive system may also be responsible. Conditions such as appendicitis, inflammatory bowel disease, or severe constipation can produce similar symptoms. Problems with the urinary system, including infections or kidney stones, might also be the source. Since each condition requires specific treatment, it's crucial to consult a healthcare provider who can evaluate your symptoms, take a detailed history, and perform appropriate tests to determine the exact cause and best treatment plan.