I had a 3 cm chocolate cyst/endometrioma on my right ovary. Unbeknownst to me, it had been noted in my original RE work-up. In that same cycle of that original RE work-up I did the CCCT and an HSG and I ended up BFP (early m/c).
When I eventually moved on to another RE he recommended removal of the endometrioma. I consulted with my OB/GYN and he concurred so I had it removed.
Fast forward to when I was consulting with Dr. C.heck and he disagreed with having removed it. But he also said not to dwell on it. I didn't.
Fast forward some more...I got my sticky BFP on a cycle where that right "compromised" ovary sprouted a 20MM follicle.
After learning more about laps and its effects I wouldn't say it's an absolute to get it done and wouldn't necessarily do dow that route. But in my personal experience, in the end, thankfully
it didn't harm anything at all.