I'm 37 years old with a long history of infertility. I have a 5 year old, who is a miracle, concieved naturally after many failed treatments. We have been trying to have another baby with no luck. I was recently diagnosed with a 4.5 cm complex right ovarian cyst and a 2cm fibroid on my uterus. I have been having sharp pains in my lower abdomen,, irregular periods, nausea, breast tenderness, which is why we did the ultrasound. A previous ultrasound from my pregnancy showed a simple right ovarian cyst, same size as my current one. My dr seems to disregard the history of ovarian cyst in the same side. She said a complex cyst is rare, but it is probably just part of my ovulation, it did not have time to go away yet ( the ultrasound was done about the time I was supposed to ovulate, but no mentioning of any sign of ovulation). She is absolutely not worried about the fibroid eighter. We are going to repeat the ultrasound to check on the complex cyst. I would love to believe her and accept that all of this is no big deal, but in the meantime I'm still having the sharp pains, irregular periods and crazy symptoms, and have not been able to concieve. Any advise, please?