Women whose risk of getting uterine cancer is high include postmenopausal women who began menstruating early and went through menopause late, are obese, diabetic, or have high blood pressure, have few or no children, are infertile, have irregular menstrual periods, or endometrial hyperplasia.
Susceptibility to endometrial cancer is also linked to how much the endometrium has been exposed to oestrogen without progesterone. Oestrogen stimulates cell division, while progesterone suppresses it. With a high level of cell division, the chance of cancer increases. Women on HRT should be monitored regularly for uterine cancers.
Pap smears should be regularly performed as these may detect some uterine cancers before symptoms develop. Otherwise, uterine cancer is usually diagnosed by the appearance of symptoms.
Conventional medicine is usually successful in curing most women of uterine cancer. The type of treatment will vary depending on the stage of the cancer.
Surgery is standard treatment for uterine cancer that has not begun to metastasise, or spread. The usual treatment for early endometrial cancer is total hysterectomy, which means the uterus, cervix, ovaries, and fallopian tubes are all removed. If the disease has begun to spread beyond the uterus, the patient is given radiation therapy after surgery, in the hope of wiping out the remaining cancer cells.
Patients with widespread (metastatic) uterine cancer are usually given hormone therapy to slow the cancer's growth. Chemotherapy or radiation might also be given to reduce the size and number of metastatic tumours. Such treatment is rarely curative but can prolong life and relieve symptoms. If it destroys tumours in the other organs, and the cancer is confined to the uterus or close surrounding areas, surgery may then be undertaken.
Patients in remission need checkups every few months for several years. If cancer recurs, it quite often happens within three years.
Caught early, recurrent cancer may be cured with aggressive radiation therapy or further surgery. (See cancer)
There are many support groups to join if you are needing extra help in dealing with this disease. Counselling also may be very helpful for you at this time.
Have a Pap smear and pelvic exam annually. If you are of child bearing age, discuss the pros and cons of taking birth-control pills with your doctor.
It is also advisable to exercise regularly and eat sensibly to become as healthy as you can. (See Cancer entry for more information on this illness).
It is reported that certain vitamins and minerals such as antioxidants may have anticancer properties.
When to seek further professional advice