Should ovarian cysts require surgery?

Patient's question:

I am a teenage girl.
Due to frequent abdominal pain, I went to the county hospital for a check-up on 10/23. The ultrasound revealed an ovarian cyst measuring 55mm, and the doctor prescribed Guizhi Fuling capsules. My period arrived on 11/3 and ended on 11/8. On 11/10, I went to the city hospital for another check-up, and the ultrasound showed nothing (the doctor said no cysts were found in the ovaries).
Could you please explain what could be the reason for this?

Doctor's answer:

Ovarian cysts are common benign tumors of the female reproductive organs, known in traditional Chinese medicine as "stone concretions" and "intestinal mass." They are classified into types such as mucinous cystadenoma, serous cystadenoma, benign teratoma, fibroma, and Sertoli-Leydig cell tumor, among others. Many have the potential for malignancy and are most commonly found in women aged 20-50.
General treatment typically begins with medication to induce ovulation, commonly using drugs such as Diane-35, clomiphene, tamoxifen, and CC-dexamethasone. If medication is ineffective, surgical options such as ovarian wedge resection and laparoscopic microsurgery may be considered.

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