There is no need of surgery start with the treatment of panchkarma, avoid oily n white floor products like pizza,pasta , Maggie etc Do regular exercise n physical activity Take consultation for medicine after proper  history

This can be cured, no need to go for laparoscopic surgery,

Metabolism is one part other things are also required like regular exercise following a diet part and take certain ayurveda treatment.

Report is showing that you have enlarged ovaries i.e, both right and left along with multiple small follicles. Yes correction of metabolism is the prime thing in any case of PCOD, but it should be done at tissue and cellular level which is said as Dhatvagni in ayurveda, it is done only by pachana and deepana drugs., Some times panchakarma therapies also needed to expell the toxins from the body and clear the channels and etc So no need of laproscopic surgery,it not regularises harmones in the body. Mainly your daily food habits,sleep,your work and your appetite,bowel moments etc As ayurveda mainly concentrate on bodies metabolism, so you can get rid of these enlaged cysts through beautiful ayurvedic drugs.

Find out root cause of your problem by ayurved way diagnosis Correct it by ayurved way medicine diet and lifestyle corrections Finding out root cause and its cure is very important for improvement permanent cure Correct diagnosis by ayurved way is very important main factor in treatment Take any ayurved medicine after proper ayurved way diagnosis only for avoiding bad effects of intake

You are having bulky ovaries and polycystic pattern. It can make ur cycles irregular, and may affect fertility in some.Surgery is not needed as it can be corrected with ayurveda and lifestyle changes. If you have gained weight or have unwanted facial hair growth you may need internal medicines and Ayurveda treatments alongside.