All the symptoms you have mentioned are those that can be associated with functional ovarian cysts. The cyst that you have now can be the same one but, most likely a different one all together.
Cysts are fairly common in your age group because small cysts have to form during ovulation and rupture to release an egg. Sometimes, the rupture doesn't happen when it supposed to and it increases in size. A cyst can cause systemic (all over the body) symptoms because normally it is this cyst that talks to the body during the beginning of pregnancy to signal hormonal changes. Its becoming larger and sending a large amount of signals.
Many women opt to have their cysts removed because of these symptoms, it gets too big and rupture risk increases which can damage the ovary, causes pain or has changes in consistency. However, most cysts resolve on their own and the risks of surgery may not outweigh the benefits yet. I would suggest you follow up with your MD in 2-3 months to evaluate the status of the cyst. If nothing changes or your symptoms change, talk about surgery at that time.
The risk of infection and complications from surgery aren't worth removing a cyst that might go away soon anyway. But, of course if you are uncomfortable or feel as though you can't wait for it to resolve on its own, I would talk to your MD about your options.
Hope this helps!
Shyla RN
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