If a polyp is suspected in uterus it better to test or just go ahead and have D C?

It is always better to confirm the diagnosis of a uterine polyp before undergoing any treatment. A polyp can be diagnosed through various methods:

1. Transvaginal ultrasound: This is a non-invasive imaging technique that uses sound waves to create images of the uterus. It is commonly used to detect the presence, size, and location of polyps.

2. Hysteroscopy: This is a minimally invasive procedure where a thin, lighted instrument called a hysteroscope is inserted through the cervix to visualize the inside of the uterus. It allows the doctor to directly examine the uterine cavity and identify any abnormalities like polyps.

3. Saline infusion sonohysterography (SIS): This is a specialized ultrasound technique where saline is infused into the uterine cavity through the cervix. It enhances the visualization of the uterine lining and can help detect polyps.

After the diagnosis of a polyp is confirmed, the treatment options can be discussed with a doctor. Treatment options may include:

1. Hormonal therapy: Certain hormonal medications can shrink or stop the growth of polyps, especially those caused by hormonal imbalances.

2. Polypectomy: This is a surgical procedure where the polyp is removed using a hysteroscope. It is usually done on an outpatient basis.

3. Dilation and curettage (D&C): This is a surgical procedure where the cervix is dilated and a curette (a small, spoon-shaped instrument) is used to scrape the uterine lining, removing any polyps or other abnormal tissue.

The choice of treatment depends on various factors such as the size, location, and symptoms associated with the polyp, as well as the individual's overall health and preferences. It is important to consult with a healthcare provider to discuss the best approach for the specific situation.