What Causes Lower Abdominal Pain in Females? Charlotte NC Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. It can be a sharp and stabbing pain in a specific spot, 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 Jezebel Felina