According to the symptoms and laboratory reports you mention ( HPV , abnormal Pap-test(?), ovarian cysts, cramps, legs swelling, diarrhea, bloated abdomen, lower back pain, fatigue…) it is really hard to say precisely what the problem is. You might be experiencing a few conditions simultaneously that may be or may not be connected to one another.


An abnormal Pap-test and HPV-infection should be taken very seriously because dysplasion may turn into cancer. You have to perform a colposcopy with a cervical biopsy for further evaluation of the cervical lesion.


An ovarian cyst can also cause cycle irregularity , but only if it is hormonally active. Sometimes an ovarian cyst can rupture and then a very urgent condition occurs. The rupture of an ovarian cyst manifests primarily with severe abdominal pain (an “acute abdomen”). Surgical intervention is absolutely necessary in that case. At your age (26), ovarian cysts are usually functional (follicular or luthein) and they usually disappear spontaneously after your period comes. If an ovarian cyst is smaller than 5cm in diameter and doesn’t disappear after 2 menstrual cycles, a laparoscopy is indicated, with a possible laparotomy after that. If an ovarian cyst is larger than 5cm in diameter, surgical removal (laparotomy) is indicated immediately.


Abdominal cramps, diarrhea, constipation and bloated abdomen suggest that you might be experiencing some kind of gastro-intestinal disorder. An abdominal ultrasound and blood analyses (standard blood test plus liver and renal status) may provide us with valuable data for establishing the correct diagnosis.


Swollen legs and lower back pain could indicate anything and I won’t speculate about that before further diagnostic procedures are done.