Thank you for your question, and I am sorry to hear about the pain you are experiencing. In order to provide an accurate diagnosis, I would need more information. I would need to review your entire medical history and also perform a thorough physical exam, including a pelvic exam. I would also need to review any prior testing you have had, including the operative report from your prior surgery
. You may also need to undergo further testing. Only after collecting this information would it be possible to provide an accurate diagnosis. Therefore, I strongly encourage you to schedule an appointment with a primary care doctor
Abdominal pain has many potential causes. Despite your tubal ligation, it is still possible you are pregnant. You could even have another ectopic pregnancy. Ovarian cysts can cause pain in this area, as well. Pelvic inflammatory disease can lead to inflammation of the cervix, causing pain during intercourse as well as at other times. Constipation is often a cause of pain in the lower abdominal quadrants. Appendicitis classically causes pain in the right lower abdominal quadrant. Other potential causes, include diverticulitis, irritable bowel syndrome, and inflammatory bowel disease
. I strongly encourage you to discuss these possibilities with a primary care doctor.