Welcome to MedHelp's Pain Management Forum. I'm glad you found us and took the time to begin a new post/thread.
Ouch, ovarian cysts! Most of us woman have been there. The good news is after it ruptures the pain normally subside in 48-72 hours - at least that's been my experience and my friends experience. I've had multiple one. If there is no internal bleeding your pain should be subsiding very soon. If you have extreme pain you may need to be seen again.
Tramadol effects peak at about 3 hours, post-oral administration and last for approximately 6 hours. In 1995 when it was introduced to the market is was not a controlled substance. On July 2, 2014, the DEA placed it into the Schedule IV category. It's thought to be effective. I was prescribed it several years ago and found the same - I might well have taken a tic-tac.
I'd simply inform your MD of your level of pain - and that Tramadol is not effective. I wouldn't ask for a specific medication. He/she may order something different or tell you to wait it out. If you don't ask for a different pain killer you can't/shouldn't be viewed as a drug seeker - just a patient reporting your continued pain. Remember increased pain or pain that doesn't resolve quickly may be significant.
Please know you are always welcome here. I just want you to be aware of our Ovarian Cyst Community. You may want to post here also. Here's the link: http://www.medhelp.org/forums/Ovarian-Cysts
I wish you the best and hope you'll let us know how you are doing. I'll look forward to your updates.
FYI - I found a heating pad to my effected side helped ease the pain.