Oh, I totally understand the dilemma, but honestly, if you're trying to conceive, most mums I know who've been through this say removing it was the right call, because polyps can genuinely interfere with implantation and some doctors feel quite strongly that it's better to have a clean uterine environment before trying again. The procedure itself is hysteroscopic (they go in without any cuts), usually done under sedation, and my neighbour said recovery was pretty manageable, just some mild cramping and tightness in the lower abdomen for about a week or so. Cost-wise, do check your insurance carefully as it can run into the thousands, so it's good to be prepared for that. On the accuracy of diagnosing via ultrasound alone, it's worth asking your gynae if a more detailed scan or a scope is needed to confirm before you decide. Definitely have a proper chat with your specialist about your specific situation, they'll be best placed to weigh the risks and timing for you!