I want mine removed. I haven't read about links with testosterone and ovarian cysts, but I do know that unused organs are more likely to get cancerous without your noticing right away.
My mom had teeth and hair growing in one of her ovarian cysts. Eww. And she was a standard ciswoman. My maternal grandmother had similar problems. Stuff happens. I don't see the need for unnecessary chances. Insurance and money barriers make for necessary chances, of course. I certainly can't get that surgery yet.