Possible Surgery on Ovarian Cyst with Irritable Uterus - what to expect?

So for those who have read my previous post about the discovery of a cyst on my ovary, I finally saw my OB on the 21st who is just as concerned as I am about this cyst.


To fill you all in on what has been happening since my last thread was posted:
My irritable uterus flared up - I had contractions at 10+1 (a sunday night) that went on all night, 2 mins apart, lasting approx 30 seconds each, scared the crud out of me but I figured if I could get to sleep they would go away.
Finally fell asleep around 4am with them still coming, and for the next week I had irregular contractions and was losing bits of plug.
At 10+3 I gave in because I was in a LOT of pain and had DH take me to emergency. They did a scan, bub was there and I had a couple of contractions JUST from the pressure of the U/S wand on my belly. Apparently the sonographer couldn't find the cyst and the consensus made by the doctors was that the cyst had burst on the sunday night, causing all the contractions and they said the pain could stick around for a week or more, so they gave me an Endone tablet, let me sleep for a bit while they waited for HCG and other blood test/urine test results to check for infection (HCG was 53000 on the dot, so normal midrange and perfect for a singleton), and then sent me home.
Continued to have irregular contractions and lose bits of plug once home.
My nuchal translucency scan was booked for 11+4, so went along, first thing that comes up when the lady sonographer put the wand on my belly was the freakin cyst... and it was bigger (only slightly, but still bigger than the baby!) measuring 6.89cm (at 7+3 it was 6.04cm).
Saw my OB later that day and he went through the options:

1st option) is that it shrinks and goes away on it's own, which since it hasn't shrunk by now chances are it won't before the middle of the 2nd trimester
2nd option) is leave it until after bub is born and then operate to remove it as long as it doesn't cause pain or discomfort in the mean time.
3rd option) and them most likely one as it is causing pain and discomfort and pressing on both my bladder and uterus (it is now sitting just in front of and to the side of my uterus and setting off my irritable uterus by rubbing/pressing on my uterus and sending me to the toilet every 30 minutes with the extra pressure on my bladder) is that they operate around the middle of the second trimester using keyhole surgery to remove the cyst.

Now what worries me a bit is that a) I have an irritable uterus that may be set off really badly from all the prodding and pulling that will happen when they remove the cyst, and I can't lose this baby - not only will there never be any more babies for me while my DH still lives and loves me as he is getting his vasectomy in the new year (was supposed to be on the 12th but they cancelled it), but it would cripple me mentally to lose an 8th baby - and b) I don't react very well to anesthetic (sad but true, and I will also be having a gastroscopy on January 30th under GA when I'll be around 17-ish wks as well which is scaring the living daylights out of me too), c) the ovary that the cyst is on is my left ovary, my only good one (I say that because it is the only ovary I have ever conceived from and out of 7 cycles - most very short - post partum with DD I had only ovulated once from my right ovary) and d) I am terrified of any kind of surgery, so much so that I freeze up and start sobbing uncontrollably when I am told it is almost inevitable.

So I would like to prepare myself as much as I can for the possibility that I will need the surgery, as if I am prepared now I believe that my brain will have enough time to learn to accept it and not be as scared of it (I hope anyway!).

And since the last scan on the 28th (where the cyst wasn't measured at all because the young sonographer didn't think it was necessary as it had been done the week before, but it did look slightly bigger again in comparison to the baby which has grown heaps in 7 days and the cyst also looked a little bit squished as well, there isn't all that much room in there with the baby and all my other internal organs as well, add to that a bad case of constipation and I'm in agony most days and keep myself lying down on the couch as much as possible) I have still been getting irregular contractions on a daily basis, combined with the usual aches and crampiness and stretching ligaments, and have still been losing bits of the plug (yes before you ask it's the plug, there's no mistaking that thick slightly-yellowy/greenish-snot-like substance that is so different from other types of CM, I had the same thing happen for about 7-8 days after having a bad bout of contractions at 21wks with DD and then again from 37wks onwards when I started to dilate and was having daily irregular contractions again).


I would also like to hear if anyone has had pre-cancerous cells detected in a fluid filled ovarian cyst? One of those true-life stories in a magazine I read on a regular basis mentioned it and as I have been having problems with my cycles since before DD was conceived combined with really painful ovulation and AF, and, only since DD was born, recurrent bloating only around my middle that lasted longer and longer each cycle, to the point where I would only get 3-4 days bloat free as soon as AF ended before it would start all over again. My GP could find no explanation and suggested I go on the pill (which also doesn't agree with me and has a nasty habit of getting me pregnant anyway lol says the woman who got pregnant regardless with just using charting as a method of contraception ROFL), so no help there. I also don't want to Google as Google is sooooo not my friend!

Sorry if this is long and rambling all over the place, but I was trying to get it out as things have happened and trying to explain things as fully as I could in my exhausted bumbling state, and trying to get all my questions out as I don't see the midwife until the 4th (she has no previous experience with pregnant women who have an ovarian cyst this large anyway so I will be the first she has ever dealt with and will be teaching her a few things along the way lol), and I don't see my OB again until the 15th, so I can't ask him these questions either.