I am a 35 year old female with 2 kids. For the past 2 months, I have been having excessive flatulence and belching. I have had some issues with constipation off and on for years, but these symtoms are completely new. I had a transabdominal pelvic ultrasound that showed a 2.8 cm complex cyst on my right ovary. The radiologist noted this may represent a hemorrhagic cyst. The gyn does not seem concerned but ordered a CA-125 to reassure me. My CA-125 was 20 which she said was normal. I am having a follow-up pelvic ultrasound ( this time transvaginal) in 2 weeks. In the mean time, I also have an appt with a gastro dr. I understand that cysts are overwhelmingly benign and at my age I am at low risk for ovarian cancer, but the sudden onset of my symptoms along with the cyst has me very alarmed. Also, my grandmother & great grandmother on my father's side died of breast cancer and my dad has prostate cancer, so that worries me about a genetic predisposition. At what point would laparoscopic surgery be warranted as I understand that is the most definitive way to rule out ovarian cancer?