For women, I feel it could be estrogen decline. So many women take estrogen and I haven't pulled the trigger. My estrogen levels are still in normal range but low. My testosterone is high. I have ebb and flow of pain and what triggers the gluteal and hip pain. I also now have pain that radiates across my upper back by shoulder blades and into both sides of the neck. My CR-P which is an inflammation marker was noticed by my cardiologist and said it was very high. He asked me if I had any pain. I just looked at him and said for years. He asked had I been sent to a Rheumatologist. I said no. He left it there. Nobody wants to touch "pain in women" scenario. All therapies do not help. Tens unit and Ibuprofen help me more except for sharp hip pain out of the blue that comes and goes. Thinking about PRP - Platelet Rich Plasma injections.