hello. Welcome to HCM, Ovarian cysts are either functional or non functional. Dependding on your symptoms and age, the cause can be follicualr cysts, corpus luteal cysts, chocolate cysts or simply age related inclusion cysts. Otherwise, sometimes cysts may be tumourous. An equal number may be entirely benign without any consequence. This is decided mainly by the echotexture and pattern of cyst on USg and is further confirmed by biopsy. Some cysts may appear/ disappear based on period in menstrual cycle... like follicular cysts. Sometimes these may enlarge and cause hormonal problems. IN YOUR CASE YOUR SYMPTOMS WILL DECIDE WHETHER THE CYST CAN BE TREATED BY MEDICATION OR NEEDS SURGERY. Secondly, for fibroid..... These are almost benign tumours with very very less chance of transformation to malignancy. barring very small fibroids which can occasionally regress in size and disappear, most fibroids will be stagnant or grow slowly and cause symptoms based on their location in uterus. Most fibroids will cause less problems after menopause. For moderate to large size fibroids, say above 1.5-2 cms, SURGERY is usually the only treatment. So you need to act accordingly. Hope this helps.