A woman’s right lower abdominal pain with a pulling sensation may be triggered by appendicitis, ectopic pregnancy and inflammation of the right adnexa. 1. Appendicitis: The presence of this inflammatory disease is likely to cause pain in the lower right abdomen, and may also cause gastrointestinal discomfort, inducing nausea and vomiting. In addition, the pain may start in the upper abdomen and later move to the lower right abdomen. 2. Ectopic pregnancy: If the pregnancy is ectopic in the right fallopian tube, it may cause tugging pain in the right lower abdomen, often accompanied by a history of menopause. 3. Adnexitis: If it belongs to the right side of the adnexitis, it will also cause the right lower abdomen to have tugging pain. It is recommended that women go to regular hospitals to receive early examination, according to the results of the examination, under the guidance of specialists and active treatment.