Question: I have pain in lower left side below abdomen. This has happened a couple of times over the last four years. It is dull and usually goes away after a week or two. What could be causing this?

Thank you Dr. XXXXXXX Here are more details. About 4 yrs ago I took a new gym class (mat Pilates) which had exercises new to me. I started having pain which I determine was in the left ovary area. After I stopped this class the pain subsided. I don’t recall having another bout of pain until this February when I entered and exercise contest that had me doing double classes per day which consisted of spinning and weights. (I was an avid road cyclist for over 10 yrs. and did many century rides so I’m use to a lot of exercises and exerting myself). The pain went away after several weeks. I did go to my gyn for an exam but she could not feel anything on my ovary. As of this past week or so the pain has returned. Coincidentally, I did start a new more aggressive weight class that consists of short reps using the XXXXXXX weight you can manage. Things like kettle bell swings and swats and TRX moves. It is quite the workout. Being my age I have concerns about ovarian cancer. I wonder if I had cancer would it be much worse after 4 years. And btw, I have no other symptoms other than this left side lower pelvic pain. Thank you, XXXXXXX