I have a sudden onset of a sharp pain in my left lower abdomen, only when I cough, but quite intense. I've had fallopian cysts before as well.

Pelvic pain. Pelvic pain is complex as there are several organs in the pelvis. The ovaries, fallopian tubes, uterus, cervix, bladder, appendix, intestines, colon and rectum can all be the source. Pelvic pain requires and examination to help organize the evaluation.