Sexual intercourse has an effect on ovarian cysts, especially those >5cm, which may cause rupture or torsion of the cyst during sexual intercourse, resulting in an acute abdomen and requiring emergency surgery. The larger ovarian cysts not only have an effect on the ovarian cysts during sex, but also during normal life such as sports activities and heavy physical labor, which may cause the ovarian cysts to twist or rupture. If the tip is twisted for a long time, it will easily cause necrosis of the ovary or fallopian tube, requiring surgery to remove the ovary and fallopian tube, which will have an impact on a woman’s fertility. In case of small ovarian cysts, after ruling out physiological xanthogranuloma, tumor marker tests should be performed to understand the benignity and malignancy of the cysts. If the ovarian cysts are >5cm or more, surgery is recommended.