Female pelvic pain is a complex multifaceted condition. For women, it can be felt in their vagina, in the lower abdomen, in the lumbar, in the sacral region, the buttocks, and then, of course, the entire pelvic region where it can be felt in something called the perineal area. It can go down their leg, it can radiate up towards the thoracic spine, quite often it can be felt in the bladder, and the urethra, and/or the rectum.
Some things that are unique to females are vulvodynia and/or vaginismus, underlying gynecological disorders such as endometriosis, polycystic ovarian syndrome, uterine fibroids, and/or ovarian cysts that can cause pelvic pain, vaginal delivery. There is a strong hormonal component to pelvic pain with females. You can have something called pubic symphysis dysfunction or pain in your pubic symphysis, sacroiliac joint dysfunction, this can happen with pregnancy itself with or without a vaginal delivery.