Endometrial cancer is the most common gynecologic cancer in developed countries, and it almost always announces itself early with abnormal bleeding. Do not dismiss postmenopausal spotting or irregular periods as “just hormonal changes.” If you notice any of the following for more than two weeks—especially if you are over 45, have obesity, polycystic ovary syndrome, or a family history of endometrial or colon cancer—seek expert evaluation immediately:
Symptom | What to Watch For |
Postmenopausal Bleeding | Any vaginal bleeding, spotting, or pink discharge after menopause—even once. |
Irregular Menstrual Bleeding | Heavier, longer, or more frequent periods than usual; bleeding between periods in premenopausal women. |
Watery or Bloody Discharge | Persistent thin, watery, or blood-tinged discharge without infection signs. |
Pelvic Pain or Pressure | A dull ache or feeling of fullness in the lower abdomen or pelvis, especially in advanced stages. |
Pain During Intercourse | New-onset pain during or after sexual activity. |
Systemic Signs | Unexplained weight loss, persistent fatigue, or anemia (pale skin, dizziness) in advanced cases. |
If you are over 45, have obesity (BMI >30), have never given birth, started menstruation early or menopause late, have polycystic ovary syndrome, diabetes, or hypertension, or have a family history of endometrial, breast, or Lynch syndrome (hereditary non-polyposis colorectal cancer)—annual transvaginal ultrasound and endometrial biopsy can detect cancer at its earliest, most curable stage.
