In general, a very small ovarian cyst (smaller than 2 centimeters) will not cause problems and are very common in most reproductive-age women. Some larger cysts are prone to leak fluid or cause twisting of the ovary if moved around too much, so for that reason we do advise avoiding intercourse and vigorous exercise/activity until we see that the cyst is smaller or gone. If a cyst does rupture or cause twisting, the pain can be quite intense and often surgery becomes necessary.

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