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However, when they become problematic, you may notice: Pelvic pain (especially ovulatory pain) Abdominal bloating (particularly around ovulation) Irregular cycles Lack of ovulation Fertility struggles Spotting or bleeding mid-cycle Painful urination (if the cyst is pressing on the bladder) Pain with bowel movements (if the cyst is putting pressure on the bowel) Nausea and/or vomiting What Are The Treatment Options For Ovarian Cysts