Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If you have pain and cramps on a regular basis. And the cyst is larger than 1.5 inches, it is better to meet your gynecologist and get it removed. But, if it is not causing you much discomfort and the size is smaller, you can wait; some cysts shrink and disappear on administration of medication(GnRH Agonists). Since you are in menopausal phase the medications are likely to work and cysts shrink. However, if you are having much discomfort and cysts grow in size, its better to get it removed, they will only increase the chances of chronic pelvic pain or cancer. Your treatment will depend upon your pathology. Hope I have answered your query. Let me know if I can assist you further.