Married at 18, 3.32.2 ovarian cyst

Patient's question:

After the ultrasound examination, it was found to be a 3.32.2 ovarian cyst, with a thick endometrium of 1.5 cm. Currently, she is experiencing abdominal distension and pain, especially when sleeping at night. Is this related to her early sexual activity? What is the cause of this? I am very worried but don’t know how to treat it. Please help us, teachers and doctors present.
Moreover, she is a carrier of hepatitis B (HBsAg positive). What should we do about her future fertility issues? What kind of tests are needed in this situation? Our family’s financial situation is not good, and we really don’t know whether surgery or medication is better. I heard that medication cannot remove the cyst either. Please, masters, please help quickly.

Doctor's answer:

Hello, don't worry. Ovarian cysts can be physiological or pathological. Physiological cysts do not require treatment and will disappear on their own within a few weeks. Pathological cysts generally need surgical treatment.
It is recommended to first take Guizhi Fuling capsules for treatment, followed by a follow-up check-up after two months. If the cyst has not disappeared, it is more likely to be pathological. Regular follow-ups are advisable. If the cyst size exceeds 5.0 cm, laparoscopic surgery may be performed.

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