6 cm ovarian cyst. hemorrhagic in appearance. history of severe endometriosis & endometriomas. causing severe pain. treatment recommendation?

Options: You have a number of options. You can repeat the u/s in 3 months or so and see if it has gone away on its own. Hemorrhagic ovarian cysts frequently resolve spontaneously. If It is very painful, you could have a laparoscopy and removal of the cyst. With your history of severe endometriosis and endometriomas, its also possible that you would need an open procedure to remove the ovary.