I would do a d & c first and if the biopsy from that tissues removed is positive, then have the hysterectomy. Have you had any kind of discharge or spotting? Why was the ultrasound done on your uterus? I had clear, watery discharge. The ultra sound showed a uterine polyp and thickness of 7-12 mm. Had the d & c in 2021 (age 66) and no problems since then.