Female related if you are female(endometriosis, cysts
, PID, etc.,or even bowel. Chrone's disease and
ulcerative colitis causes that type of pain. Do you have other symptoms like diarrhea, nausea, cramping, gas etc. with the pain? Check it out before agreeing to appendix removal. That surgeon told me that over 40% of appendix removed end up not being appendicitis.