DEAR DR. GOTT: I am in my 40s and have had two c-sections. When I had my tubes tied, I was found to have a cyst the size of a grapefruit attached to my right ovary. I then had surgery (because a large incision was needed) to remove the cyst and the ovary. I also have had the Novasure procedure because of severe cramping during menstruation.

I continue to have cramping and have had abdominal ultrasounds, vaginal ultrasounds, a CT scan, and multiple trips to the emergency room. The final diagnosis was scar tissue. The ER doctor told me that he believes that the scar tissue has wrapped itself around my female organs and when I ovulate, it pulls and causes the pain. He said without doing exploratory surgery, he can’t be sure but surgery hasn’t been recommended because apparently, I produce scar tissue really well.
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