Re: hot flashes at 25?
Usually, cysts can't be "felt" or seen during a pelvic. It generally takes an ultra-sound. Pretty easy procedure....the only discomfort is that you have to drink a lot of fluids before hand to fill your bladder (makes it easier for the ultra-sound waves to "bounce" off your bladdder. It's such blessed relief when you finally get to pee!!
As to other symptoms...Some women have either sharp pains in the area of the ovaries, sometimes its a kind of tugging and/or burning feeling, kind of like you've pulled a muscle and some women feel it in their lower backs. Because I am so prone to the little buggers, I have experienced all of the above at one time or another. There can also be some bleeding between periods, on and off low grade fevers and kind of "ampped-up" PMS.
If you are not experiencing any of these, you might just be getting tolerant to the BC pills you've been on. It's been so long since I've taken them, I don't know much about whats out there now.
I hope this helps and I hope you find some resolution. Feel free to post any questions you have and I'll try to help. Take Care, cmpgirl