Hello!
Thank you for the query.
Lower left abdominal pain can be caused by
diverticulitis,
urinary tract infection, urinary tract stones, ovarian cyst,
ovarian inflammation or inguinal hernia.
Diverticulitis is a condition caused by
chronic constipation, so if you have had them, it is quite possible. Problems with bowels movements can be also present with this condition. Fever can appear.
Urinary tract problems usually give lower abdominal pain which can radiate to the back or even groin. Frequent urinating and burning while urinating can be present.
Inguinal hernia usually gives a lump in the groin area, the pain gets more intense while standing, coughing or lifting heavy objects.
I suggest you to visit your doctor and have some tests performed. Blood work, CRP, urine analysis and abdominal ultrasound should be done at first.
Transvaginal ultrasound should be also performed by a gyneacologist.
If nothing will be found, colonoscopy should be considered.
Hope this will help.
Regards.