Do I Need Surgery For A Complex Right Ovarian Cyst With Endometrial Hyperplasia And Possible Intermittent Torsion?

I was first diagnosed with an ovarian cyst at 14. It was painful, but doctors said it would resolve on its own. At 21, I had a sudden, intense pain that lasted about an hour—I couldn’t stand or walk. Since then, I’ve felt nauseous. A pelvic scan showed a complex cystic mass on my right ovary (4.4 cm) with cyst-in-cyst formation, an enlarged ovary (6.7 × 4.7 cm), and complex fluid in the right adnexa and cul-de-sac. The left ovary was normal. My uterus was normal in size but had a thickened endometrium (24.3 mm) consistent with hyperplasia. Other organs appeared normal. The impression: right ovarian complex cystic mass with endometrial hyperplasia—possible intermittent ovarian torsion or teratoma, needing further imaging (TVS/TRUS or MRI). The gynecologist said I might need surgery or could wait three months for review, but it could twist again. Even though the pain hasn’t returned, I’m terrified it will. My periods are irregular, heavy, and extremely painful, with bleeding between cycles. I’m scared—do I really need surgery?