Endometrial polyps are more common in infertile women than in the general population, and although the mechanism of their reproductive impact is unknown, it has been clinically proven that the removal of polyps improves pregnancy outcomes in both spontaneous and assisted reproduction. Hysteroscopy is currently the only instrument that allows direct visualization of the uterine cavity and has the advantages of short operative time, minimal bleeding, rapid recovery, preservation of organ function, and high patient satisfaction, making it the gold standard for diagnosis and treatment of endometrial polyps. Hysteroscopic endometrial polypectomy is performed under direct vision and allows targeted removal of endometrial polyps by clamping or by removing them from the root tip. In the case of non-tipped polyps, a circular electrode is often used to remove them without damaging the surrounding normal lining, making it the best procedure for the treatment of endometrial polyps. Hysteroscopic polypectomy can increase the pregnancy rate, regardless of the size and number of polyps, and the type of polyps does not affect postoperative fertility. Currently, assisted reproductive techniques are widely used in clinical practice, but pregnancy rates are not as high as expected, with embryo implantation failure being one of the main reasons. Endometrial polyps are one of the reasons affecting the outcome of assisted reproduction, and their removal can improve the success rate. Therefore, it is recommended that women undergoing IVF should routinely undergo hysteroscopy and if endometrial polyps are found, hysteroscopic polypectomy should be performed to improve the success rate of IVF.