What should I do if there is a cyst in the right attachment?

Patient's question:

During the physical examination, the ultrasound detected a cyst on the right adnexa, about 3 units (I don't know the unit). The doctor said that surgery is usually only performed if the cyst is 5 units. In fact, it has been present for two years, with no changes. Do I need treatment? Could it be malignant? What should I do?
First follow-up question: I have no symptoms regularly, normal menstruation, and no pain. Does this situation require treatment?
Second follow-up question: I am 40 years old. How can I determine if it is benign or malignant?

Doctor's answer:

Hello, it is necessary to determine the type of ovarian cyst. Some are physiological cysts, which do not need to be worried about. If it is a pathological cyst, treatment is required. You can choose laparoscopic minimally invasive treatment without opening the abdomen. If it is a functional cyst, during reexamination, the cyst may shrink or disappear. If the cyst does not disappear or becomes painful and enlarges, it is necessary to perform a CA125 serum test.

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