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This video shows bilateral Ovarian multilocular cysts. Simple cysts are unilocular and have a uniformly thin wall surrounding a single cavity that contains no internal echoes. These cysts are likely to be functional. In contrast, complex cysts are multilocular and may have a thickened wall; these cysts may be benign or neoplastic. Most ovarian cysts present little or no discomfort and are harmless. The majority disappears without treatment within a few months. However, ovarian cysts — especially those that have ruptured — can cause serious symptoms. Most ovarian cysts are small and don't cause symptoms. If a cyst does cause symptoms, the patient may have pressure, bloating, swelling, or pain in the lower abdomen on the side of the cyst. If a cyst causes twisting of an ovary, pain along with nausea and vomiting may be the outcome. Some cysts are hormone-secreting cysts, which can have an impact on health including weight. PCOS (polycystic ovary syndrome) can also cause metabolic issues, which can lead to weight gain. If you have hormone problems, your healthcare provider may advise taking birth control pills. These may help prevent ovarian cysts. Taking antibiotics for a pelvic infection may also prevent a cyst.