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Early Detection of Endometrial Cancer

Learn about expert guidelines for endometrial cancer early detection and who should get screened. Stay up to date by signing up for our community newsletter.
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Should every woman receive screening?

Currently, experts do not recommend screening healthy women at average risk for endometrial cancer. There are expert guidelines that outline options for screening for high-risk women that are outlined in the sections below.

Every woman should know the symptoms

often causes symptoms. For this reason, experts recommend that all women should be aware of the signs and symptoms of .

What are the signs of ?

All women should be educated on the possible signs of and report any of the following to their doctor: 

  • unusual vaginal bleeding
  • pelvic or abdominal pain
  • bloating
  • abdominal distension
  • difficulty eating
  • increased urinary frequency or urgency
  • pain during sex

Importantly, these symptoms do not mean you definitely have cancer, other conditions can cause the signs listed above. 

How do they screen for in high-risk women?

Expert guidelines include a list of screening options for people and increased risk for . They emphasize that the research to date has not proven that these options lower the risk for dying of . Screening for in high-risk women may include a combination of the following:

  • A pelvic exam involves the doctor carefully feeling the pelvic area for any changes that might be cancer.
  • A transvaginal  uses sound waves to look for any thickening of the endometrial wall. This test works best for screening in post-menopausal women. 
  • Endometrial biopsies involve removing a small sample of endometrial tissue under local anesthesia. A pathologist will examine the tissue under a microscope and perform special tests to look for cancer or other abnormalities. Endometrial biopsies are quick outpatient procedures.  

People at increased risk should discuss the benefits, limitations, and potential risks of each  screening option with their doctor and promptly report any abnormal uterine bleeding or other symptoms.

Gynecologic Cancer Detection and Prevention

Which genes are covered in the screening guidelines?

The National Comprehensive Cancer Network (NCCN), is an organization of cancer experts that creates guidelines on prevention and treatment of cancer, including .  Recommendations for risk management vary by gene. People with mutations in one of these genes should have a conversation with their healthcare professional about the benefits, limitations and costs of screening and other risk management options:

*

NTHL1**

POLD1

POLE

*Some mutations may not increase the risk for gynecologic cancers. If you have a mutation in your gene, it's important to speak with a cancer genetics expert to understand your risk for .
**Requires a mutation in both copies of the gene.

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, Esophageal and Gastric; v1 2026.

FORCE Info on Lynch Syndrome

FORCE has in-depth information and support for people with Lynch syndrome.

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Last updated October 05, 2025