Will ovarian cysts cause infertility?

Patient's question:

Detailed medical condition and consultation purpose: Full of acne, haven't had a menstrual period for over a month. Went to Hongfang Hospital today for an ultrasound, which detected a cyst in the left ovary, size: 19mm19mm18mm. Additionally, the endometrium is 5mm. The doctor said it doesn't look like it's about to start menstruation. I'm only 22 years old, unmarried, and a bit worried about finding an ovarian cyst. I'd like to consult: Does this require surgery? Is it serious? Will it cause infertility?
First follow-up question: I have a 19mm19mm18mm cyst (anechoic), does it require surgery?
Second follow-up question: (1) Then

Doctor's answer:

Difficult Labor: Once an ovarian cyst becomes relatively large, it may compress the uterus and fetus, leading to abnormal positions and affecting normal delivery. It can also obstruct the birth canal, potentially causing difficult labor.
Infertility: Ovarian cysts can impact ovarian function and may cause blocked fallopian tubes, both of which can affect pregnancy. According to research data, women with ovarian cysts have a 40% chance of infertility.
Impact on the Fetus: Ovarian cysts generally have no adverse effects on the baby. However, if complications arise or the cyst becomes malignant, it is crucial to seek medical treatment promptly to avoid potential harm to the baby. In severe cases, the pregnancy may need to be terminated.
Miscarriage or Preterm Labor: If the ovarian cyst is large, it may compress the uterus, affecting its growth and potentially leading to miscarriage or preterm labor.
Based on the above information, it is believed that women

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