Before medical examination, it is imperative to understand the anatomy of the area it inhibits. Apart from the fallopian tubes and the ovaries, both urinary and gastrointestinal tracts are included in this area, which is medically referred to as the adnexal space. Common urologic disorders like, urinary tract infection and other anatomic abnormalities like appendicitis, ptotic kidney, pelvic kidney, are most often confused with symptoms of ovarian cyst. In older geriatric patients, bowel diseases like acute and chronic diverticular disease. Pelvic pain or a mass may be due to diseases involving the sigmoid and not ovarian cysts. A thorough pelvic examination, some imaging tests like ultrasound, or if the cysts cause too much discomfort, invasive tests like culdocentesis or and blood tests may be necessary.