Undecided on what to do

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Long story short, I have bilateral cysts/tumours on my ovaries. One is 18cm the other around 10cm. I do have raised blood markers CA 125 was 181. The surgeon advised under 35 is normal but not alarmed under 200 for someone of my age (36) as it fluctuates so much during the cycle. 

We have wanted a second baby now for 4 years and what has lead to finding these masses. 

They gave me 3 options for surgery which will be open surgery:

  1. Take a staged approached and have surgery to remove one mass and ovary, and take biopsies of different areas (assuming they other cyst) to check for cancer.  Then follow up with future surgery once know what dealing with
  2. Remove both masses and both ovaries, take biopsies and have egg donation if all good to proceed 
  3. Remove everything 

Then this is where my heart and head cant make a decision. Head is saying go for option 2 in case but heart is saying option 1 as we would like another child, it is only suspected. Likewise what happens if I go for option 1 and then results come back positive and have to have surgery again. 

Has anyone else been through a similar dilemma? And am I being stupid wanting to push for more children when I do want to be here to see my son grow up (aged 6)? 

I don't feel like I have symptoms to suggest it is but I know it's not always the case.