Hi. Thanks for your query and an elucidate history. Understood the history well. You have an obvious reason for pain - the adhesions and scar must have reformed. But the history of Dyspareunia, meaning painful sex indicated ther is some active inflammatory process still going on in the pelvis called PID- Pelvic Inflammatory Disease. Cystitis and Procto-colitis are the additional problems causing the pain in abdomen and rectum before and during bowel movements as also during urination. Ovarian cyst can cause problem only if it enlarges fast or gets twisted. I would advise you the following:: -Contrast enhanced CT scan of the abdomen. -Enteroclysis -Colonoscopy -exploratory Laparoscopy or Laparotomy which will be of diagnostic and therapeutic value. A proper course of an antibiotic, metronidazole, probiotic may help a bit or more.