Ovarian Cyst Symptoms: What Every Woman Should Recognize

Ovarian cysts are fairly common, especially during your reproductive years. In most cases, they’re nothing to worry about. Many resolve on their own without causing any symptoms at all. But when they do cause symptoms, those signs matter.

At WomanCare, we believe in helping women understand their bodies and advocate for their health. Here's what to know about ovarian cyst symptoms, and when to reach out for care.

If you're experiencing pelvic discomfort, cycle changes, or unexplained bloating, schedule a consultation or ultrasound with our expert gynecology team. We’re here to help you feel informed, empowered, and supported.

What Are Ovarian Cysts?

Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. Most are functional cysts, part of your normal menstrual cycle, and they often go away on their own within a few weeks.

Other types, like endometriomas, dermoid cysts, or cystadenomas, may grow larger or persist longer, leading to discomfort or complications.

Common Symptoms of Ovarian Cysts

Many women won’t notice any symptoms. But for others, cysts can cause discomfort that ranges from subtle to sharp. Symptoms often depend on the cyst’s size, type, and whether complications arise.

Even mild symptoms can mimic your monthly cycle, which is why it's important to tune into changes that feel new or unusual.

Pelvic Pain or Pressure

• Dull, aching pain on one or both sides of the lower abdomen
• Discomfort that fluctuates with your cycle
• A sense of pelvic fullness or heaviness

Bloating or Abdominal Swelling

• Noticeable bloating, even when you haven’t eaten much
• Abdominal fullness or tightness, especially around ovulation or your period

Changes in Your Menstrual Cycle

• Irregular periods or unpredictable timing
• Heavier-than-normal bleeding or unexpected spotting
• Cycle disruptions linked to hormonal shifts from the cyst

Pain During Intercourse

• Sharp, sudden pain with deep penetration
• May indicate a larger cyst or one pressing on sensitive pelvic structures

Pain with Bowel Movements or Urination

• Pressure from the cyst on the bladder or rectum can cause:
  • Frequent urination
  • Constipation or incomplete bowel movements
  • Difficulty fully emptying your bladder

Nausea or Breast Tenderness

• Hormonal cysts might trigger PMS-like symptoms
• Nausea, breast soreness, or mood swings can mimic early pregnancy

When Symptoms Signal Something More Serious

While most ovarian cysts are benign and self-resolving, certain symptoms should never be ignored. These can indicate a medical emergency.

Signs of a Ruptured Cyst

• Sudden, intense pelvic pain
• Dizziness or lightheadedness
• Shoulder pain or internal pressure (a sign of internal bleeding)

If you experience these symptoms, seek immediate medical care.

Signs of Ovarian Torsion

• Severe pelvic pain, often on one side
• Nausea or vomiting

Torsion occurs when a cyst causes the ovary to twist. This cuts off blood flow and requires emergency treatment.

How Are Ovarian Cysts Diagnosed?

At WomanCare, we use a combination of:

• Pelvic exams
• Ultrasound imaging to assess cyst size and characteristics
• Blood tests, including hormone levels, pregnancy testing, and in some cases, CA-125 (a marker often used to evaluate for ovarian cancer)

Most cysts can be monitored safely over time, but others may require more active follow-up.

Treatment Options for Ovarian Cysts

Not all cysts need treatment. Options vary based on your age, symptoms, and whether the cyst is growing or changing.

• Watchful waiting with follow-up imaging
• Hormonal birth control to reduce recurrence
• Surgical removal for large, persistent, or symptomatic cysts

At WomanCare, we specialize in minimally invasive gynecologic surgery, offering quicker recovery and less disruption to your life.

Pelvic Pain in Women: When to Call a Doctor

It’s time to seek care if:

• Pelvic pain becomes more frequent or intense
• Your menstrual cycle becomes irregular or stops
• You experience unexplained bloating, pain during sex, or digestive changes
• You’ve had a cyst before and symptoms return

Take the Next Step Toward Pelvic Health with WomanCare

Ovarian cysts may be common, but ongoing pain, cycle disruptions, or unanswered questions don’t have to be. At WomanCare, we bring together expert gynecologists, advanced diagnostics, and individualized care plans to give you answers and peace of mind.

Whether it’s time for a pelvic exam, ultrasound, or just a conversation about your symptoms, we’re here to support your whole health.

Let’s take the next step together. Schedule an appointment online or call one of our locations closest to you to schedule a consultation.