Thank you very much for the good information.
This does seem like it would be worrisome, especially if you were just in to see your doctor for a routine exam! It is very common to have ovarian cysts and even more complex-appearing ones--as the cyst will tend to collapse upon itself, even when a woman is 49. I think you have a good plan to try the BC pills to see if helpful and then go from there. If you pain in the interim, then often this can be removed through less invasive surgical means and then you go home the same day, but if you were considering surgery, it may mean that your remaining ovary may need to be removed. Definitely continue to follow with your provider to be sure. good luck.