Hi
So looking at your history, I feel here we may be dealing with endometriosis ( chocolate cyst ).
Complete removal of the ovary is never required as only cyst can be safely removed with laparoscopy. So wait before u take such radical decision as it has already happened to you before.
Your
AMH levels are still ok.
If medical method doesn’t work for at least 3 months and size of the cyst is increasing then surgery may be the option.
Consider doing IVF ( stimulation of the ovary and collection of eggs ) before u go for surgery as it will give u chance to conceive with your own eggs as we do not know what your surgeons would remove.
Consult a fertility specialist cum Gynec laparoscopy surgeon who operates by him/ her self.
If not you may always come down to Mumbai , we will be surely able to help u.
Regards
Dr Varun Shah
Inception Superspeciality women’s healthcare
Mumbai