It may also be caused by inflammation of the endometrium, which is often associated with lower abdominal pain, dysmenorrhea, and increased vaginal discharge. In addition, endometrial echogenicity may also be caused by simple hyperplasia, atypical hyperplasia, or cancer of the endometrium. Therefore, for endometrial echogenicity, it is better to do hysteroscopy in clinical practice. Do not have intercourse within 3-7 days after menstruation, and do hysteroscopy after laboratory tests and gynecological examination if there are no contraindications, to visualize the endometrial condition. If there are polyps, it is recommended to give removal. If there are other problems, it is better to do a diagnostic curettage and send the scraped out tissue for pathological tests to finally give a diagnosis.