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If you have symptoms, they may include: Pressure in your abdomen Bloating or a feeling of fullness Swelling Lower abdominal pain (sharp or dull, and it may come and go) on the side with the cyst Less common symptoms include: Pelvic pain Dull ache in your lower back and thighs Pain during sex Pain during your period or irregular periods Unusual vaginal bleeding Unexplained weight gain Breast tenderness Frequent urination Problems emptying your bladder or bowel completely If the cyst has ruptured, symptoms may include: Sudden, severe pain Vaginal bleeding Nausea or vomiting Bloating or fullness in the abdomen Pressure or aching in the abdomen If you experience these symptoms, get medical help right away