Sometimes, the polyps stick out through the opening of the cervix so that they are visible during a speculum exam, such as during a Pap smear. Diagnosis is by ultrasound or examination under a microscope of the tissue removed during uterine sampling. A diagnosis can also be made by hysteroscopy, the insertion of a scope that allows visualization of the uterine cavity from the inside. It is often possible to remove polyps during this procedure. Curettage, a procedure in which the lining of the uterus is removed, can be used to cure endometrial polyps in most cases.
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