2 ovarian cysts showing endometriomas. Both in a retro uterine location. Right one measuring 4 x 3.6cm and the left 6x4.5cm. How bad is my condition?

Significant. Ultrasounds are fairly accurate in the diagnosis of endometriomas. Any endometrioma over 3 cm should be removed. If fertility is not important, have uterus and both ovaries removed. If fertility important, can have cysts removed but with endometriosis and age 41, fertility may be impaired already.