An ultrasound that shows a homogeneous endometrial echogenicity is usually considered to be free of polyps.
In normal healthy women, the endometrium is echogenic, but if endometrial polyps or endometrial lesions are present, the endometrium may become less echogenic.
Uneven endometrial echogenicity is described by ultrasound, which is not as accurate as hysteroscopy, so if you want to know more accurately about the endometrial lining, you can have a hysteroscopy if necessary.
If the endometrium has uneven echogenicity, it may be caused by endometrial hyperplasia, endometrial polyps, endometritis, etc. It may also be related to frequent scraping and the use of estrogen and progesterone drugs.
If endometrial echogenicity is found to be uneven, it is recommended that physical examination, diagnostic curettage and hysteroscopy be performed under the guidance of a doctor to clarify the cause and treat the symptoms.