Diagnosed with multiple thyroid nodules and going back to talk about options or biopsy. what options are there other than biopsy?

There are too: Many variable to give you a specific answer about what to do, but biopsy is always a good idea, depending upon lab results and ultrasound. Sometimes watching and repeating tests at a later date is an option, sometimes surgery is indicated. Check w/your doctor.

In practice: You can follow nodules or biopsy them. Biopsy is very commonly done and easily tolerated by patients. A very fine needle is placed in the nodule after numbing up the skin and samples sent to the pathologist. Sometimes we follow patients with an ultrasound in 6 mos. Even with a pathology report that shows no cancer just to be sure.

Several options: Belfry: the fact that there are multiple nodules means that it is likely a benign multinodular goiter. Sometimes these are just watched with serial ultrasound exams as well as following your bloodwork. A biopsy is a fine needle aspiration and is minimally invasive. It is well-tolerated and you should do it if there is an atypical or dominant nodule that stands out from the rest.