Objective: To explore the pregnancy status and influencing factors of infertile patients with endometrial polyps (EP) after hysteroscopic surgery. Methods: 95 patients with EP infertility who underwent hysteroscopic surgery and were admitted to our hospital from November 2021 to November 2024 were selected as the research subjects. All patients underwent hysteroscopic surgery treatment. The natural pregnancy conditions 6 months after the operation were statistically analyzed. Patients with successful pregnancies were included in the successful group, and those with failed pregnancies were included in the failed group. Collect and compare the baseline data of the two groups. A multivariate Logistic regression analysis model was constructed to analyze the influencing factors of pregnancy failure after hysteroscopic surgery in patients with EP infertility. Results: Among 95 infertile patients with EP after hysteroscopic surgery, 41 cases failed to conceive successfully, with a failure rate of 43.16%. The body mass index, combined gynecological diseases, polyp location, previous history of uterine cavity operations, and the number of polyps in the successful group and the failure group were the influencing factors of pregnancy after hysteroscopy in patients with EP combined with infertility (P < 0.05). The results of Logistic regression analysis showed that body mass index, combined gynecological diseases, polyp location, previous history of uterine cavity operations, and the number of polyps were the influencing factors of pregnancy after hysteroscopic surgery in patients with EP combined with infertility (P < 0.05). Conclusion: There is still a risk of pregnancy failure in patients with EP infertility after hysteroscopic surgery. The patient"s body mass index, combined gynecological diseases, polyp location, previous history of uterine cavity operations, and the number of polyps are all influencing factors for the pregnancy status of patients with EP combined with infertility after hysteroscopic surgery.