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Complex ovarian cyst, fibroids, endo, and PCOS - pregnancy possible?

I'm a 34 year old woman. I've been trying for a pregnancy since 2016. I got diagnosed with endometriosis (symptomatically) in late 2017 due to extreme pain (every day), heavy periods, and other history, along with PCOS due to bulky ovaries. I didn't opt for surgery to confirm and managed to overcome the pain through a super strict diet. Fast forward six months and I surprisingly found out that I was pregnant in June 2018. Had a miscarriage at 10 weeks.
The regular pain went down for a while but eventually returned and in July 2019, I had a laproscopy for endo. They removed adhesions between my ovary and muscle wall, one uterine fibroid (out of 2), one small ovarian cyst, and concluded that I did indeed have endo (moderately severe).
Months of pills and diets and exercise later, I was told that I wouldn't conceive naturally and went through one round of painful and unsuccessful IUI in Jan 2020. Due to covid, everything came to a standstill, and I maintained a good diet and exercise to keep the pain at bay. Now, I have less pain, but no successful pregnancy. I finally got an ultrasound in April 2021 and the results are that I have an abnormally thick endometrial lining (about 4-5 mm thicker than usual), 2 uterine fibroids (one at 3cm and one at 1cm), PCOS, and one 4.5 cm complex cyst with some internal growth in one ovary. I've been recommended to get another scan in 3 months to check on all these, especially the cyst and lining thickness. Attempting to get an appointment with a gynac, but my concern is whether I should even consider pregnancy possible anymore or look into other options. Also a little worried about whether it could potentially be ovarian cancer.
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Avatar universal
I'm so sorry you are dealing with all this. Were you able to get in to see a doctor? Chances are slim that it's ovarian cancer (OC) since OC is rare. Most ovarian cysts are benign and resolve on their own.

I wish you the best in getting proper treatment and conceiving.
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Thank you :) I am scheduled to see a specialist by end of this month. Hoping that they're able to address the many issues at the same time. At this point, I'm looking to simply have one day without pain, as the pain has now flared up and is more or less consistently severe.
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