Chronic uterine pain during pregnancy can be concerning, especially when a cyst is detected on the ovary. While it's common to experience some discomfort during pregnancy, it's important to address any persistent or severe pain. It's understandable that you are worried about the lack of an ultrasound to date your pregnancy or identify any potential issues. If your OB-GYN doesn't order one after expressing your concerns, consider seeking a second opinion from another healthcare provider who can provide the necessary evaluation and monitoring for your condition. Open communication with your healthcare provider is crucial in ensuring the best care for you and your baby.