Symptoms of Ovarian Cysts Pelvic Pain: Dull or sharp pain in the lower abdomen. Menstrual Irregularities: Irregular periods, heavy bleeding, or spotting. Pelvic Pressure: Feeling of fullness or pressure in the lower abdomen. Pain during Intercourse: Discomfort during sex. Bloating: Abdominal bloating and fullness. Changes in Bowel Habits: Constipation or frequent urination. Nausea and Vomiting: In severe cases or if cysts rupture. Breast Tenderness: Occasional breast tenderness or pain.