Uneven uterine cavity echogenicity may be caused by a variety of reasons, the severity of which needs to be combined with the patient’s symptoms, medical history and physical signs to make a comprehensive determination, such as simple uterine cavity echogenicity can be observed first, if caused by other diseases need to actively intervene in the treatment: 1, intrauterine bleeding: uneven uterine cavity echogenicity belongs to the ultrasound examination results, can be caused by abnormal bleeding, such as menstrual dripping, bleeding for a long time, the situation is more serious If the echogenicity of the uterine cavity is uneven after miscarriage, it is necessary to check the HCG level, if the HCG level is high, the problem of incomplete miscarriage may exist, which is more serious if not treated in time; 3, fibroids: uneven echogenicity of the uterine cavity can be caused by fibroids, when the diameter of fibroids is small, the situation is not serious, regular review can be done, large diameter, it is necessary to Combined with other symptoms, the doctor will determine whether to operate; 4, endometrial hyperplasia: the vast majority of endometrial hyperplasia is a reversible lesion, or maintain a continuous benign state, the condition is mild and not serious. However, there are a few cases that may develop into cancer after a longer interval of time, and the condition is serious at this time; 5.Other: if the patient simply has uneven uterine cavity echogenicity, but no other symptoms, the condition is mild. At this time, it can be observed or followed up for 3 months, and if there is no abnormality during this period, the echogenic inhomogeneity will disappear by itself.