My first thought is endometriosis. She shouldn't be having pain at this point. Only a pelvic exam can track down the cause. If that is ruled out, then there are psychological causes we can look at. However, a medical explanation, especially the endometriosis, needs to be ruled out. You don't want to start probing the psyche if it's a medical problem to begin with.
Please encourage her to see her health care provider. If it is endometriosis or other condition, it needs to be treated.
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