I was 30 when someone finally listend about the pains I was having every month. I had a cyst the size of an orange and another the size of a grapefruit removed. I still conceieved with only a partial ovary. Also cysts can be reduced in sized with medication. Definitely see you doctor and if you are not happy with the answer get a 2nd opinion.
I had a test before 3 months and its length was 49m and APD 28.7,TRD 35.6
I would certainly talk to your doctor about conceiving. Without knowing more about the cysts and size, plus many other things I can not tell you about the need for surgery.