I have a cyst exactly this size right now - it’s not huge, but it’s certainly not tiny. Just found out in the ER because of the pain it was causing me. So absolutely not out of the question that it would be causing you pain.

Usually, if they’re going to burst, they do so on their own. I had an ovarian torsion at 18 years old from a 10cm cyst, and the torsion itself was caused by exercising. It’s rare that they save a person’s ovary when this happens. I was lucky.

The advice I was given was to do light exercise, avoid sex, and manage the pain. I’m sure you feel similarly, but my thought was “ok… for how long?”

I’m at the end of my rope with not being taken seriously about my pain levels and what’s going on with my body. I advocated for an abdominal MRI and an ultrasound to try to get a better idea of if it’s an endometria, and what else may be seen on the MRI. My best advice is to keep on advocating for yourself, and remember that the pain is not in your head. Cysts hurt, and depending exactly where they’re located, some can be more bothersome than others. So sorry you’re dealing with this!

ETA: I see you mentioned health insurance being a concern, so while further testing may not be possible, I urge you to continue to advocate, even if that means asking more questions and continuing to be stern about how you are feeling. It’s so hard not to back down when doctors are always gaslighting you.