Tubal ligation sex pain

Patient: Had my tubes tied about 5 years ago i had a set of twins c section. now i find when i have sex and im on top of my man it hurts very badly and i can feel him go bast a wall like and hit something in there before he cums. then the next dday im still in excurtiating pain by my overies and top part of my stomach. should i be concerned

Symptoms: Pain in my lower abdominom and upper stomach

Doctor: