How does endometrial polyps affect fertility?

Endometrial polyps can create an unfavourable environment for implantation and increase the risk of miscarriage. They may interfere with the implantation process by altering the endometrial lining’s receptivity, reducing the embryo’s ability to attach and proliferate. Polyps can also lead to irregular uterine bleeding, which may affect the timing of ovulation and intercourse, reducing the chances of conception. Sometimes, larger polyps may physically obstruct the fallopian tubes or cervix, hindering sperm transport or embryo passage. Removing the polyps through a procedure called hysteroscopy can improve fertility outcomes.