Uterus is not smooth in the clinical meaning that there may be a bulge on the surface of the uterus, commonly found in subplasma fibroids or intermural larger fibroids, will be manifested as uterus is not smooth locally, there is a bulge in the tumor, basically through the ultrasound examination can be initially diagnosed. Under normal circumstances, the uterus is smooth and the echoes are uniform, once the appearance of not smooth is likely to be caused by gynecological tumors, you can continue to check. If malignancy is suspected, blood can be drawn for gynecologic tumor triple test to know whether carcinoembryonic antigen and cancer antigen are abnormally elevated, which plays a major role in diagnosis accordingly. In addition, if the uterus is not smooth by ultrasound, it may also be caused by adenomyoma, which is often accompanied by dysmenorrhea.