I think they consider it 5 cm when one of the dimensions is 5 cm so yours is still about half that size. The problem, though, is that we are not supposed to get any cysts at all after menopause , so even the smaller ones could be a candidate for surgery. My cyst was after menopause and they fast tracked me to get it removed. It was larger, but they were more concerned about my post menopause status than the size of the cyst. The ovarian cancer risk increases with age and menopause, but cysts can still occur and can still be benign, too.
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