Dear Bella,
The first important decision is whether a person needs surgery or not. As most
ovarian cysts are functional - that is related to the menstrual cycle - they will go away after a few menstrual cycles.
For cysts that do not, go away, are greater than 4-5 cm, are causing pain, are associated with other finding (elevated CA 125, fluid in the abdominal, other tumors, etc) , look complex with both solid and cystic parts, and so on - surgical removal is the next step.