Really sharp pain in pelvis

[Realitea]

I’ve had this off and on for a few years now. A sudden sharp shooting pain right in the vagina! It doesn’t feel like it’s an outer problem it feel deep inside. It shoots upwards to lower abdomen. It’ll happen a few times and stop. I’ve had it off and on all day today. Sometimes it’s so painful I consider A&E but then it goes again. Sometimes it’s the same level as labour pain.
I had a pelvic exam when I first told GP. She couldn’t find anything and left it.
Now I’m really wanting to sort this out. What the hell is it?
I did have endometriosis as a teenager. I’ve had two c sections in the past twenty years. Just turned 40.
Hope someone has some suggestions.

Adhesions from previous surgery?
Muscle spasm?
Pelvic floor dysfunction?
Referred pain from IBS?
Lots of possibilities can't always be diagnosed by exam.
Ask for inflammatory marker blood and a pelvic scan- won't help you diagnose anything but might rule out nasties and put our mind at ease.

Thank you! I do have IBS and wondered if it was to do with that. I’ve made another appointment so I’ll go in knowing what I want to happen this time.

Did you ever get an answer to this?

No, I also had an ultra sound and found nothing. The pain hasn’t come back for years now!