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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.
The main symptoms of uterine or endometrial polyps are heavy bleeding during the menstrual cycle, bleeding between periods, irregular menstrual cycles, bleeding after menopause, bleeding after sex and infertility. The most common treatment is a hysteroscopy that allows the surgeon to view and remove the polyps.