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Many patients with simple ovarian cysts found through ultrasonographic examination do not require treatment. In a postmenopausal patient, a persistent simple cyst smaller than 5 cm in dimension in the presence of a normal CA125 value may be monitored with serial ultrasonographic examinations.[3, 6] Pharmacologic therapy Oral contraceptive pills (OCPs) protect against the development of functional ovarian cysts. Existing functional cysts, however, do not regress more quickly when treated with combined oral contraceptives than they do with expectant management.[7] Laparotomy and laparoscopy Persistent simple ovarian cysts larger than 5-10 cm (especially if symptomatic) and complex ovarian cysts should be considered for surgical removal. The surgical approaches include an open incisional technique (laparotomy) and a minimally invasive technique (laparoscopy) with very small incisions. Removing the cyst intact for pathologic analysis may mean removing the entire ovary. Bilateral oophorectomy Bilateral oophorectomy can be done consult gynecologist with all relevant reports they will help you