You still have chance of conceiving.At your age you might need to see, if there are active follicles in ovaries and ovulation studies can help to know this.But with modern fertilization technique you can still get pregnant.I don't think you should get operated on your ovary immediately.MRI
findings are not specific for endometrial cyst
, so keep following up this cyst with sonography
to see if it resolves.Such cyst may resolve in few months.
If there are no symptoms related to fibroids, then no need to remove uterus
. And if needed doctor can perform uterus sparing operation.
Hope this answers your question.