How can we treat cyst in the ovary?

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I have gone through the attachment (attachment removed to protect patient identity). The cyst in the right ovary is found with thick walls and shows internal echoes, with a size more than 4 mm. Ideally, the differentiation is needed to be done to know whether it is an endometrioma, hemorrhagic cyst, or ovarian tumor, which presents with internal echoes and often with internal septations. So it is better to get tumor markers done to rule out any possibility of ovarian cancer; hence, get CA 125 (cancer antigen 125), CEA (carcinoembryonic antigen), AFP (alpha-fetoprotein), and beta hCG done.

If it is negative, then one can be assured, and you can go for medical or surgical intervention. Considering the size, which is more than 4 mm, it is advisable to get it laparoscopically removed, as it may not regress with medical management of hormonal pills or oral contraceptive pills for hemorrhagic cysts or endometriomas. You may discuss the options with your gynecologist in detail and try to have an informed decision.