There are currently no specific screening tests routinely undertaken for endometrial cancer. Early in the disease process, however, irregular bleeding occurs between periods before the menopause or there is otherwise postmenopausal bleeding. Fortunately symptoms occur early so that the prognosis is relatively good provided these symptoms are investigated without undue delay. Heavy periods after the age of forty or intermenstrual bleeding are indications for evaluating the endometrium ? usually by hysteroscopy and D and C(hysteroscopy D&C). Pre-malignant changes occur that are described as varying degrees of hyperplasia. When there is severe atypical hyperplasia, there is a 50% risk of cancer developing;hysterectomy  is clearly advisable.

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 Women's Health