Uneven endometrial echogenicity after ovulation is not normal. Most endometrial echogenicity can be due to endometritis or endometrial hyperplasia, endometrial polyps, etc. Endometritis can develop with chronic gynecologic diseases such as pelvic inflammatory disease and cervicitis. Endometrial hyperplasia is caused by hormonal imbalances in the body, resulting in uneven growth of the lining. Endometrial polyps may form due to endocrine factors or inflammatory factors. If the endometrial echogenicity is uneven after ovulation, you need to go for a gynecological ultrasound three days after your period to check the condition of the uterine adnexa to determine the cause of the uneven endometrial echogenicity. Inflammatory causes or hormone levels cause endometrial echogenicity can be oral anti-inflammatory drugs, such as metronidazole, etc., or to regulate the body’s hormone levels of drugs, such as progesterone. The use of specific drugs need to be under the guidance of a doctor. In addition, endometrial polyps caused by endometrial echogenicity, need to consult a doctor in order to clarify its specific causes.