I Am A 44 Year Old Female. For The Past
PMS most likely....
Thanks for the query to HCM,
The presence of suprapubic pain over the midline over the bikini area is most likely due to bacterial vaginosis induced secondary urinary tract infection. BV is also a known cause , if chronic, for pelvic inflammatory disease which too can cause this pain.
The pain of ovulation is often associated to one side of pelvis or left/ right iliac fossa as only one ovary ovulates during a cycle. However, PMS also presents with mild lower abdominal ache around 10 days before start of menses and which can last till menses. So, in your case the typical is more likely to be PMS rather than any UTI, PELVIC infection or bacterial vaginosis.
I hope i have answered your query in detail,
Wishing you good health,