<s>[INST] Last year I developed an abdominal abscess after a partial hysterectomy. It eventually had to be drained using a tube through my back. The last few weeks ago, Ive had a lot of the same cramping, tiredness, pain during sex, and Im wondering if it is possible for the abscess to return, or could it be something else? [/INST] Hi. Thanks for your query. Read the history and understood it. There was an abscess of the abdomen after hysterectomy which was Chat Doctor. Now you have a problem of cramping, tiredness, pain during sex for the last few weeks. The probable diagnosis can be Intestinal obstruction with attendant problems of peritonitis or so or there may be a problem with the ovaries if they were left. I would suggest you the following:X-ray of the abdomen in the standing position. UltrasonographyCT scan to prove or rule out EnteroscysisAll these investigations will lead to the exact diagnosis and the treatment then can be planned accordingly. Consult a General Surgeon for clinical examination and investigations correlation to come to the final diagnosis </s>