Endometrial Polyps and Fertility: Can They Affect Implantation?

Endometrial polyps are growths of the uterine lining that extend into the uterine cavity. Most are benign (noncancerous).

Polyps may interfere with embryo implantation, but having a polyp does not automatically mean you cannot become pregnant.

Possible signs include:
• Spotting between periods
• Irregular or heavy menstrual bleeding
• Difficulty conceiving
• No noticeable symptoms

A transvaginal ultrasound may detect a polyp. A saline sonogram can provide a clearer view of the uterine cavity, while hysteroscopy allows a specialist to look directly inside the uterus and remove a polyp when appropriate.

Does every polyp need removal?
Not necessarily. Your gynecologist or fertility specialist will consider your symptoms, the polyp’s features, medical history, and pregnancy plans when discussing monitoring or removal.

If you are trying to conceive or preparing for an embryo transfer, speak with your doctor about whether a suspected polyp needs further assessment.