Ovarian cysts smaller than 5cm, combined with menstrual abnormalities usually indicate functional follicular cysts for women your age; such functional follicular cysts can heal spontaneously by themselves. If an ovarian cyst persists for more than two menstrual cycles or is bigger than 5cm, it has to be treated surgically. Laparoscopy is a very useful diagnostic procedure that helps a gynecologist decide which treatment can be most effective. You can follow up with your gynecologist to determine whether or not it is safe for you to conceive.