You have to see a gynaecologist who will do a check-up to find out whether you are getting pains due to the tubes, ovaries or uterus
. Also the source of the bleed needs to be determined. Next an ultrasound
scan of your abdomen will confirm better what may be wrong. A routine urine test will be helpful. A simple breast examination is enough for the breast tenderness. You may be having the beginings of an infection which will need antibiotics. If the pains are not in relation to your periods, the chances of a gynaecological cause are less. Sometimes, the lower abdominal organs get stuck together (adhesions) after repeated surgery. That could cause pain. Similar adhesions within the uterus may be the reason the menses are lesser.