Hi dear, Most patients with ovarian cysts are asymptomatic but in some patients they can cause abdominal pain, nausea, vomiting, bowel disturbance, frequent urination, indigestion etc depending upon the size of the cysts and the pressure that the cyst impose on the adjacent organ. Another chances for your problem is ovarian tortion and cyst rupture as you have cysts diagnosed.Tortion is the twisting of ovarian pedicil which cause to decrease or obstruct the vascular supply to ovary and cause infarction. Cyst rupture is another condition: it is characterised by sudden sharp pelvic pain, usually specific to one side. Abdominal trauma and anti-coagulation medicine are the risk factors for this, so if you had history of abdominal trauma we can suspect this. All the above can be diagnosed using appropriate imaging studies. So if you have severe pain you can discuss with your doctor , from there you will be guided after a final diagnosis. You should continue the HPV monitoring as you are doing now. With thanks