The nature of the pain is a pulling pain caused by the sensation of something heavy sinking downward in the area of the pain. The most common place where the pain occurs is in the abdomen, especially in the lower abdomen, however, the most common are gynecological diseases, such as fibroids in the uterus or cervical inflammation, pelvic inflammatory disease, and possibly localized pain caused by pregnancy. In addition, large swellings in the lower abdomen may also cause pain in the lower abdomen, as well as urinary tract diseases, such as cystitis caused by urinary bladder infections, and large stones in the bladder may also cause this symptom.