Does an ovarian cyst affect fertility?

Patient's question:

I've been married for two years, but haven't taken any measures, yet still haven't conceived. Last month, I went to the hospital for a check-up and had an ultrasound. The report said: approximately 2.52.3cm fluid-filled dark area in the left ovary, uterus in anterior position, endometrial line centered, bilateral thickness about 1.3cm, uniform distribution of muscle layer points, fluid-filled dark area in the uterosacral pouch, maximum anteroposterior diameter 2.1cm, endometrial thickening, pelvic floor effusion.
The doctor prescribed some traditional Chinese medicine for me. I don't know if the ovarian cyst is the cause of my infertility. What is the best treatment, and do I need surgery? How can I get pregnant as soon as possible?
I'm feeling really

Doctor's answer:

Ovarian cysts are a common gynecological condition that pose significant harm to women. Therefore, it is crucial for women with ovarian cysts to seek timely treatment, as otherwise their lives will be severely affected. Ovarian cysts are a type of ovarian tumor, and their mechanism of causing infertility is related to interference with ovulation function. Certain endocrine-functional ovarian cysts, such as ovarian thyroid tumors, granulosa-theca cell tumors, and Sertoli-Leydig cell tumors, can produce specific hormones due to the different components of the tumor tissue they contain, thereby disrupting the normal secretion of ovarian hormones and ovulation, leading to symptoms such as amenorrhea, uterine bleeding, hirsutism, and infertility. Therefore, when an ovarian cyst is detected, active treatment is necessary to prevent its growth during pregnancy, which could be dangerous for both the mother and child. Additionally, if left untreated, the chances of pregnancy may also decrease.

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