Was told many polyps in cervix and cysts in ovary plus a hole and ovary is hard. What are my options I'm 53.

Unclear. It is not clear what is meant by the terminology of a hole in the ovary or the ovary is hard. I would return to the doctor and ask for clarification on what that means. If you are not satisfied with the answer consider getting a 2nd opinion. Cervical polyps are typical removed in the office.