<s>[INST] I had intercourse with a tampon in (accidentally of course) about a week ago.  I experienced a sharp abdominal pain on the right side and now I have pain on the lower right side during sex and increased pain afterwards.  Is there something wrong?  Should I go to my doctor? [/INST] Hi. The probable causes of Dyspareunia that is painful sexual intercourse are:Pelvic Inflammatory disease (PID). AppendivitisTO (Tubo-oavarian) marshy Chat Doctor.  I would advise :::First a manual per-vaginal examination by a Gynecologist after careful complete history is told. Secondly - Ultrasonography CT scan may be necessary if clinical impression suggests something is missing or to confirm the findings of the USG. The treatment will depend upon the diagnosis. </s>