Which pelvic or abdominal issues could make me feel so weird, achy, and exhausted?

[toomuchtothinktonight]

First, I'm definitely not pregnant. (I'm gay, so that's impossible without medical or divine assistance.) It started a couple months ago with very sharp, constant, stabbing pain in my LRQ. I had no fever, no vomiting, no severe nausea, so I knew it probably wasn't appendicitis, and more likely a cyst (I have a history of them). I decided to wait and watch. It occurred on and off for 3 days, and I was too sore to lay on that side at night. Scheduled appt with OBGYN who sent me for transvaginal ultrasound, which came back with 3.2 x 4.5 pedunculated fibroid on the outisde of left side of uterus, and 3 x 2 x 6 (?...don't know how that's possible, and need to check with Doc and see if that was a typo on my US results) septated cyst on left ovary. While I'm waiting to have the follow up with OBGYN to decide what to do, now my left and right side are constantly crampy and aching with intermittent stabbing. Sometimes when I go to the bathroom, I get unbelievable cramps in my rectum that literally take my breath away, and this (I think it's a colon spasm) lasts about 10-20 minutes and is worse than labor pains. I sit down to pee and it feels like there's a 10lb weight inside pressing down inside me trying to come out my vagina, but much deeper, I'm thinking in the cervix area. Now today, it feels like I'm sitting on a painful ball, but that's up near my tailbone. My CBC came back "normal", but I was flagged for high neutrophils and high White Blood cells, but they were just barely over the normal limit. My BP, which has always been very steady at 116/69 ish is higher every time they check it--it's never been this high: 128/87--still 'normal', but not normal for me. I've had an excessive watery discharge, but swabs were within normal limits. I wake up at night with severe bladder cramping until I pee (it's the pain that wakes me up), and I'm peeing very urgently and having some incontinence, not just stress incontinence, but sometimes after I pee and think I'm done, when I stand up, a little more leaks out. I'm also, worst of all, so so so very tired. Not just sleepy, but like my body cannot move unless I convince myself for a while. My breasts are very sore outside of my menstrual cycle, and I have profound heartburn. I've had a clear endoscopy within the last 2 months, and a clear colonoscopy, but that was 5 years ago. For what it's worth, I had a baby 2 years ago and it was a very physically traumatic  46 hour labor. I was pushing hard for 4 1/2 hours before they brought an emergency team in to do a forceps extraction because they decided she was stuck. My blood pressure plummeted, hers shot up, and I lost quite a bit of blood. I wonder if I could have injured something inside me--I don't think we're meant to push that hard for that long. I was pulling backwards on my knees in the stirrups and bearing down as hard as I could for that whole time while under my second epidural because I pushed right through the first one. I have slightly elevated risk for ovarian/breast cancer, but it was all 2nd and 3rd degree paternal relatives who had all the cancers in my family (ovarian, breast, renal, lung, and esophageal), and they were all past middle age when they got them. Any thoughts? Could this relatively small fibroid and septated cyst be causing me so many symptoms, and especially the literal exhaustion?