Just have a surgery 2 years ago to remove few cysts and now it come again with about 6 cm large. Currently on Visanne (Dienogest) to see whether it helps to shrink my cyst. Just started it for 3 weeks and it works very well so far. Very less pain, no hot flush and mentally feels better...Referring to my specialist, since my cyst is kind of big i still need to proceed with the surgery if i want to go for the fertility treatment. I'm just worried since i know my chances to be pregnant with IVF is decreasing due to this endo...should i proceed with IVF?