Ovarian cysts and uterine Fibroids are common conditions that may affect a woman’s natural fertility and ability to conceive. Ovarian cysts are fluid-filled sacs that develop on the ovaries. Following ovulation, follicles turn into the corpus luteum, which then makes progesterone. Ovarian cysts will form with the monthly follicle or corpus luteum. Ovarian cysts are most often benign but there are rare cancerous cysts that can also develop. Ovarian cysts often do not cause symptoms however, they can present as pelvic pain, pelvic pressure, abdominal swelling, or bladder and bowel problems. Ovarian cysts may go away on their own, however, sometimes surgery may be required.