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Management
Follow-up Visits -- During the first three years after treatment, you should have follow-up visits every three to six months to ensure that changes in your health are monitored and problems are treated early. Your follow-up visits will include physical exams and pelvic exams and may include blood tests and X-rays. A pap test may also be done to look for cancer cells in the vagina. If the cancer does not return within three years, visits can be scheduled less often.
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Menopause -- If you have not gone through menopause, it will begin immediately after most treatments for endometrial cancer. If your uterus and ovaries have been removed or you have had radiation therapy, your body will have a decrease in estrogen, which is normal in menopause. The lack of estrogen can cause osteoporosis (brittle, thin bones) and menopausal symptoms such as hot flashes and insomnia. Several medications and other treatments are available for preventing or treating osteoporosis and menopausal symptoms, so talk with your doctor about your options.
Fertility -- Before you begin a treatment plan for endometrial cancer, your doctor will discuss your fertility options. Women who have undergone a hysterectomy and bilateral salpingo-oophorectomy (removal of the uterus, ovaries, and fallopian tubes) for endometrial cancer are infertile, meaning they will not being able to become pregnant.
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