What to do about reoccurring ovarian dermoid cyst (teratoma)?

Possible removal: Once an ovarian dermoid is removed , especially in the younger patient, follow up ultrasonography is required. The incidence of recurrent dermoid cysts in a pediatric and adolescent population following ovarian cystectomy is 10.6% where only 3% will recur and require further surgical management. Eventually all are cured

Surgical removal: A recurrence implies that you had prior excision of an ovarian dermoid without removing the entire ovary, That is acceptable in women wanting to preserve maximal fertility as nearly all of these are benign. If there is now recurrence, even if you are asymptomatic, you should have the ovary removed to rule out malignancy which can occur. If malignant, you may need a more extensive procedure.

Removal: You should have it removed by a qualified pelvic surgeon! Good luck and hope that it is benign!