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There is not too much room in a woman’s pelvis. Thus, when a cyst becomes too large, depending on the location of the cyst in the pelvis, it can result in acute back or leg pain. The cysts begin to compress the nerves that run all the way down the back of your pelvis and cause intense pain. Consult your doctor to know for sure whether ovarian cysts are the cause of your pain. If your doctor is unable to diagnose the reason behind your sciatica for sure, you might have to explore ovarian cysts as a potential source of the problem.