Hi and thanks for your question, evaluation of a patient who fails to get pregnant leads either to the diagnosis of primary or secondary infertility. Depending on whether you have once been pregnant or not, the chances and diagnostic procedures and management approach becomes different. However, characterization of the cyst type is very important. There are generally functional cysts which are temporary, organic cysts that tend to persist and what is called a polycystic ovarian disease. these conditions have different management plans and their outcomes related to getting pregnant are very different. Consulting an infertility specialist for a proper clinical evaluation and appropriate laboratory and radiologic examinations could be of great help. Thanks and best regards, Luchuo, MD.