Endometrial cancer is the most common funnel genital tract cancer in most countries affecting 2-3% of women.
- It occurs mostly after Menopause.
- It has an excellent prognosis when diagnosed while the disease is still localized.
- Early diagnosis plays an important role in a better outcome.
- Post menopause bleeding is the commonest presenting symptoms.
- So, any woman with Post-Menopausal bleeding should be aware of this complication and consult Gynecologist immediately to rule out Endometrial Cancer.
- The incidence of endometrial cancer is increasing gradually, suggesting the strong influence of modifiable risk factor for increasing obesity, life expectancy.
Two factors which can protect from Endometrial Cancer:
- More number of pregnancies.
- Duration of breastfeeding more than 18 months.
Risk factors for endometrial cancer:
- A sedentary lifestyle
- Unopposed estrogen production in cases live PCOS
- Advanced age -affect usually a Post-Menopausal woman.
- Aware of Post-Menopausal bleeding
- High-fat diet
- No pregnancies
- Diabetes- combination of high BMI and low physical activity
- When girls mature early
- Late Menopause: average age of menopause in Indian women is 47 years
If it is late, if menopause occurring after the age of 55 always better to consult a gynecologist because 2-fold increased the risk of endometrial cancer.
Women with polycystic ovarian syndrome have several risk factors for endometrial cancer.
- Like- lack of ovulation regularly.
- Overweight and obesity
- Although most women with PCOS will not develop endometrial cancer evidence has shown that PCOS are more likely at increased risk.
- If post menopause women on HRT always take progesterone along with estrogen.
Tamoxifen widely used as a part of therapy for breast cancer increase patient’s risk of endometrial polyps, endometrial hyperplasia, endometrial cancer.
Raloxifene does not have this association.
So any women on tamoxifen therapy with post-menopausal bleeding needs to consult gynecologist immediately because of increased risk of endometrial cancer.
Although there is no screening test for the diagnosis of endometrial cancer 85% cases of endometrial cancer are diagnosed at low stage because of symptoms like post-menopausal bleeding and survival rate are high.
So, an reacting menopause all women should know about the risks and symptoms of endometrial cancer and immediately consult the doctor for early diagnosis.
Any unexpected bleeding (or) spotting should be reported immediately to the doctor after menopause for early diagnosis.
Any women with post-menopausal bleeding should consult gynecologist immediately for early diagnosis.
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