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Pressure/Pain in Perineum/Vaginal Area

I experience pressure/pain in the vaginal/perineal area mostly after activities that cause blood flow to this area, i.e. orgasm, running, during defecation, etc.  It also sometimes happens just out of the blue.  What is this - I am worried.  I am going for a colonoscopy tomorrow but I don't sense it is a colon issue.  Thanks for any insight you can provide.
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