First of all, could you tell me why you got the scan done in the first place? Did you have any complaints/problems? And since when are you having only spotting instead of bleeding during cycles? A single ovarian cyst
with internal echos could mean an endometriotic cyst (caused due to endometriosis
). But you do require further evaluation to find out what exactly is the nature of the cyst. Since you also have abdominal pain
, i would suggest you to consult a gynecologist and proceed accordingly.