You not feeling great is a sign. It will only get worst. The cysts won't go away. They are more than likely chocolate cysts. I had one the same size and was really sick. Good luck.

Whyme...did the doctor ever say that it's possible to shrink your cysts with bcp?

Must my two cents, I'd stick with what Dr. Tu is telling you. He's studied this disease for years and he's very well connected in the endo community. Dr. Serdar Bulun is out of northwestern, he's an endo specialist as well. I wouldn't go with what your regular gyno is saying, Dr. Tu has done years of studies and clinical trials on endo research, I really think highly of him and would have totally used him if surgery for me was an option.

I would agree with Shoes. I can't judge your GYN since I have obviously never me her, but most don't know enough about endo. I would stick to what the specialist says. The GYN who did my surgery actually told me that they don't remove endo anymore. Like seriously, she said that.
Anyways, I will also add my thoughts on surgery since I have been meaning to respond to your other post.
This is just my opinion, and is not meant to be pushy at all, but I personally would think more about surgery, especially if you decide to try other medications first. I am not an advocate for surgery by any means. Though surgery can be very helpful if done correctly, numerous surgeries can cause scar tissues and other issues. But I think, why wait until you can no longer function if that doesn't have to be an option. Currently, I am doing much better than I was before my first surgery, but I am still not feeling my best. I have to several medications every day and sometimes those don't help, but I can still (with a lot of effort) function in my day to day. I am choosing to have another surgery because I don't think we should have to accept feeling only half as good as we could. With a skilled surgeon we can potentially feel good on more days than not, and that is the risk I am willing to take right now.

I know you have a hard decision to make. Not matter decision you do make you are the only one who has to agree with it and feel comfortable with it. Good Luck!

If those complex cysts are endometriomas they won't go away. The only way to deal with them is surgery.

complex cyst- according to research and my specialist, is the kind of cyst that will NOT go away without surgery... listen to the specialist and go from there.

Not to be a broken record but just thought I would add my experience with a complex cyst as well. My regular ob/gyn told me to take the watchful waiting method because at first it was asymptomatic and she said it might resolve on it's own. We watched it for some time and it wasn't growing rapidly or anything so I just waited....I lost my insurance for a bit and of course then started having issues (pain, bleeding, etc.). When I finally got back to an ob/gyn nearly 3 years had passed...guess what - it was still there and bigger although still on the small side at 5 cm. I had a lap and sure enough it was an endometrioma. Had a second lap 6 months later and it had already started to regrow/form a new one too.

So I wouldn't expect it to go away on its own...but as I've seen many ladies here say they came back I wouldn't necessarily rush into surgery until you feel it is necessary for your quality of life. Whenever you do have the surgery, definitely go with the specialist!

Thanks, everyone! One reason I'm concerned is because I've read about how repeated surgery for ovarian cysts can reduce fertility. It's one thing if I truly need it and can't work, but I just wonder if it is the right decision right now if I can function. It's interesting that you guys all say they won't go away.

I just don't know what to do.

I will definitely be using my specialist, Dr. Tu, for my next surgery, though. That is for sure!

Sorry for the delay. No, complex cysts will not disolve on their own. They need to be surgically removed.

Are you able to get your eggs retrieved and freeze them? At least then you'd have an option to use a surrogate if you weren't able to carry on your own.

I'd take care of yourself first. Babies are auxillary but you need to be well first before you could take care of a little one.