Whether ovarian cysts cause abdominal pain depends on the nature, size and status of the ovarian cyst, as follows: 1. No pain: physiological ovarian cysts, follicular cysts or flavinized cysts will not cause abdominal pain if there is no torsion, rupture or infection of the cyst. 2. If the cyst is ruptured, twisted or infected, it will cause pain in the abdomen and even severe pain, causing an acute abdominal condition in gynecology. In the case of junctional or malignant ovarian cysts, it is very easy to have pain in the abdomen, even with pulling and radiating pain. There is also a special condition called chocolate cyst of the ovary, which is a benign lesion but also prone to abdominal pain because it is prone to pelvic adhesions and also to rupture or malignancy.