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Hello: When it comes to ovarian cysts, it really depends on what type it is. There are many different types, some are fluid filled and do tend to resolve on their own and disappear and some are solid or contain tissue and can either remain the same or grow to be quite large. I have PCOS (this syndrome often creates fluid filled cysts) but at the same time I had a solid right ovarian cyst removed in 1992 and another solid left ovarian cyst discovered in Dec/04 that is being monitored. I am now 11 wks pregnant and back in mid-June when my last cyst related u/s was done, it showed that the cyst had grown and my ob/gyn wanted to remove it (I didn't know I was pregnant yet) and I refused to have it removed because my husband and I were undergoing fertility treatments and everytime you have an abdominal surgery there is some risk of scarring to your tubes. Anyway, the risks my ob explained to me by not removing it is for it to get so large that the weight of it causes it to fall into your pelvis which causes torsion (twisting) of your fallopian tube. This is extremely painful, is an emergency, and requires surgery (most likely in this case you may lose your ovary and tube). However, by close monitoring, it can be watched prior to any issues arising, plus once again, if it is a fluid filled cyst than the likelihood of the above worst case scenario would be quite small I would think. Good luck.

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