Along with an exam, monthly cycle details – how long, how frequent, how much blood, spotting between periods – can help your doctor decide if you have polyps. They may look at your uterus or remove a piece of it to test. You might not need treatment if you have no symptoms. But if polyps cause heavy bleeding, pregnancy problems, or come after menopause, they’ll want them gone. Drugs can ease symptoms, but only surgery can get rid of polyps.