This is characteristic of cyclical uterine pain, which is often located in the lower abdomen and may radiate to the lumbosacral region and inner thighs, and is most commonly associated with primary dysmenorrhoea.
Other causes include secondary dysmenorrhoea caused by adenomyosis, submucosal fibroids, endometriosis, cervical adhesions, uterine adhesions and developmental abnormalities of the reproductive system such as vaginal diastasis syndrome, transverse vaginal septum, cervical atresia, vaginal atresia and hymenal atresia.