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How do you know when surgery is right?

Hi Ladies - what a wonderful board! I have always struggled with ovarian cysts, cystic breast, etc. My GYN is currently following a cyst on each ovary. They have been there several months but no period until he put me on a round of Provera. I go back tomorrow to see if that helped. How do you decide whether to keep waiting or do the surgery? Did you just rely on your dictor's advice or seek a second opinion? I'm a wreck about this so in some ways I just want to get this over with. On the other hand I am terrified of losing both ovaries and needing HRT which will further complicate issues with my breasts. My guess is at least the one on the right is still alive and well - lol. Any advice is appreciated :)
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Update: cysts on both sides are still there but both are small with smooth edged and no solid mass or vascular activity so no need to remove. Phew!
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Ps: I also have a fibroid so he would be removing that too. Not sure how big anything is.
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