Hi Borderlyme,
I'm both happy to see you and sad to see you here!!
Once you have had Lyme, you should always consider that it could be a culprit in many things unfortunately.
Yes, the bacteria does like the reproductive system. I used to get ovarian cysts that were incredibly painful - and they weren't always the largest ones that hurt the most! No matter what their size, if they were blood filled, they created a lot more pain for some reason. I was fortunate in that I finally got too old for those things to be working any longer, so the cysts quit!
And since it came on right after something as stressful as surgery, it also points back to Lyme.
Also consider food allergies - it's amazing what they can do to a person!! I found out that I'm allergic to soy and MSG and it gives me all kinds of symptoms when I get a hold of some now.
Can you get back in to your LLMD and ask them to give you the 'once over' to see if they think it could be due to Lyme or other tick-borne infections? If not, maybe it would be good to get in to see some other LL practitioner???