What is thickened echogenic endometrium?

Endometriosis: Although there is some variation in the sonographic appearance of endometriomas, the classic endometrioma is a homogenous, focal lesions with low level echogenic. They may be uni or multilocular, contain thin or thick septations and may contain wall nodules (a finding also found in ovarian neoplasms). If these mural nodules are hyperechoic, or thickened lining.

Endo thickening: Ultrasound determination of endometrial "thickening" is because of hormonal action on the endometrial lining. This can occur for various reasons (twin ovulation, pregnancy, etc.). Check with your healthcare provider for advice, as this will depend on your cycle history.

Secretory phase: The thickness and echogenicity of the endometrium lining of the uterus depends on the phase of the menstrual cycle. From ovulation to menstruation through the secretory phase of the cycle, the endometrium lining is the thickest and more uniformly echogenic.

Endometrium: It is a thickening of the lining of the uterus. It could be caused by several things, including a polyp, fibroid, overgrowth of the lining. Depending on your clinical presentation, your doctor might want to further evaluate this finding.