<s>[INST] Hello doctor..I have got chocolate cyst of size 2.5 cm in my right ovary. Trying to conceive. I have brown spotting before one week of actual period. How to get pregnant. Is IUI helpful in my case. Will the cyst create any problem after conception.Is lap really necessary in my case.Will laproscopy lower my chances of fertility.Is progeaterone helpful in my case [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I think you should go for evaluation first. Get a thyroid profile and prolactin level done. You can track your ovulation by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for 2 to 3 days after the injection. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. If ovulation happens, you can try like that for 3 to 6 cycles. If it doesn't work, you can go for IUI. Laparoscopy can help you in deciding the mode of treatment. Laparoscopy will not lower the chance of fertility. Cyst will not cause any problem after conceiving. Progesterone will help in supporting implantation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khushboo Priya </s>