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Polyps can be present in the uterus without any abnormal uterine bleeding. Therefore, it is not uncommon for polyps to be an incidental finding during an investigation for infertility. One of the common diagnostic tests for infertility is a hysterosalpingogram (HSG), which is an x-ray of the uterus and fallopian tubes.
Endometrial or uterine polyps are protrusions of the interior lining of the uterus. These polyps within the womb may be flat and knubby or stalklike. In rare cases, they may be large enough to actually protrude into the vagina, and be visible during a speculum exam â for example, during a pap smear.