33 year old lady complains of cyclical pain, usually just before the onset of menstruation, as well as pelvic discomfort She and her husband have been trying unsuccessfully to conceive for the past 2 years.
Both ovaries are enlarged and cystic, with the left ovary appearing larger. There is a unilocular cyst expanding the left ovary, with some brownish areas of old haemorrhage in the inner lining. No solid or papillary areas are identified. A smaller cyst is present in the right ovary.