When I had an ovarian cysts (and I have had many on several different occasions), the only time I had pain was when one passed during my period (probably ruptured/burst at that time). The pain was acutely intense to the point of where I was almost vomiting and could not sit up straight and had to have a friend drive me home from work that day.It was horrible. I am not sure how big her cyst is and if it could be pressing on the abdomen to cause her pain or not. I do agree though that since has has had many abdominal surgeries, she could have pain from scar tissue.
I had two c-sections in addition to my jpouch surgery and I also struggle with chronic abdominal pain (the pouchitis does not help either). My pain seems to be worse after drinking tea, eating chocolate or rich/creamy/fried foods or drinking alcohol). Possibly if she restricts her diet from the offenders known to aggravate the gi tract she may have some reduction in her pain. Just a thought. Also, have her make the appointment for the ultrasound soon as that will give you a much better indication of the size of the cyst and
any discomfort it may be causing. The pelvic pain leads me to believe it could be cyst related although I do have lower left pelvic pain often that my GI feels is scar tissue related from my repeat surgeries.

Yes, It could...but it doesn't always...I have had a few over the years and some were awful (especially during PMS, periods or sex) but I had a couple that just always hurt especially if I wore tight clothing (jeans) or was running around a lot (always)...so have it checked out by a gyn...also, on my hit parade of the most painful of gyn specialties would be salpangitis...where the fallopian tube is inflamed or infected...not always easy to catch on other exams...But it can be mind blowingly painful...I would hurl, vomit, scream and writh on the floor in pain until they figured it out and fixed it (first a long course on antibiotics then the surgery)...so a gyn would be the go-to doc to check it all out...
Hope that they figure this out quickly and get her life/health straitened out soon.
Sharon

Thank you Jeane and Sharon.

She is going to have to fit the ultrasound in and then follow up with the gyn. She had an appt to do this a month ago but all the GI tests and final exams came first.

Thank you for the ideas. I will tell her about them so she can discuss them with her gyn.

Hugs to you ladies!