The echogenicity needs to be specific to the area. However, if there are no symptoms, an occasional ultrasound examination suggesting an uneven endometrial echogenicity does not necessarily indicate a pathological condition, and it is recommended to review the ultrasound in 2-3 months when the menstruation is just clean. If the echogenicity of the endometrium is uneven for a long period of time and there is incomplete menstruation, hysteroscopy is recommended. If the echogenicity of the ovarian follicles is uneven, it indicates poor tone and suggests the possibility of poor follicular growth. The description of ovarian cysts also mentions echogenicity, which is a descriptive term and is mostly considered benign. The echogenicity mentioned above is a description of an ancillary test that cannot confirm the diagnosis, so a combination of history, symptoms and pathology is needed to confirm the diagnosis.