Many of the above topics fall into play, however rectal pain and discomfort are the most bothersome to me. I'm in alternative medicine and what I discovered (and certainly out of my scope of practice) is the internal releases of muscular tissue within the pelvic area. I discovered this procedure from an osteopath from England and Greece. I now believe and understand the technique. You must be very skilled and trained as PTs are now doing this in the US, however I wonder if they truly understand the road of fascial components that may have come from a back or leg injury that has manifested itself in the pelvis (our gravity and holding structure). I'm better if I do core work and you'll be better if you can exercise the vaginal regions.
Judy