I know I have at least one ovarian cyst Lately

Patient: I know I have at least one ovarian cyst. Lately I have had a lot of cramping and bloating. Sometimes the cramping is so bad I can’t move. I have the Mirena birth control, have had it a little over two years. I have also had a lot of soreness in my nipples. Is any of this to be alarmed of or is it just a normal process, I don’t want jump straight to surgeries if they can naturally go away.

Doctor: