Can endometrial cancer patients become pregnant?

Written by Du Rui Xia

Obstetrics

Updated on September 02, 2024

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After the occurrence of endometrial cancer, it is not possible to become pregnant. This is because, after pregnancy, a woman's immunity decreases, and her resistance to illness declines. This will affect the woman's health and may exacerbate the condition of endometrial cancer. Additionally, women with endometrial cancer, even if they become pregnant, may experience miscarriages as the embryo cannot develop normally, and even many harmful symptoms might occur, affecting the woman's health. Therefore, women with endometrial cancer should take contraceptive measures to prevent unintended pregnancies.

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Written by Du Rui Xia

Obstetrics

58sec

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Late-stage symptoms of endometrial cancer

Endometrial cancer is a common malignant tumor in the female reproductive system. In advanced stages, patients often experience irregular vaginal bleeding. In addition, there may be bloody discharge from the vagina. If an infection is present or there are signs of necrosis due to the cancer, there may also be purulent discharge or other foul odors. Additionally, there are more apparent symptoms such as pain, abdominal masses, and in late stages, the cancer may invade blood vessels, causing swelling in the lower limbs, or spread to nearby organs, such as the ureters, leading to renal damage. Over time, this can also lead to cachexia, fever, and other signs of systemic failure.

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Written by Shen Li Wen

Obstetrics and Gynecology

1min 2sec

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Is surgery necessary for endometrial cancer?

When a woman suffers from endometrial cancer, the primary treatment method is surgery, but there are some special circumstances. For example, if the lesion in the woman is relatively minor, it is atypical hyperplasia, which is a precancerous condition, or it is in the late stage of the disease, or in cases of recurrent endometrial cancer. At this time, treatment can be administered using progestogen drugs, applying high-dose long-term oral intake of effective progestogens, which can suppress the cancerous transformation of the endometrial lining and inhibit the further proliferation of cancer cells. Generally, it involves continuous oral administration for 12 weeks, which is three months, followed by a diagnostic curettage to evaluate the therapeutic effects of the drug. In addition, radiation therapy can also be considered.

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Written by Shen Li Wen

Obstetrics and Gynecology

1min 7sec

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How is endometrial cancer detected?

When women experience irregular vaginal bleeding, or vaginal bleeding reoccurs after menopause, and uterine endometrial cancer is suspected, the first step is to conduct a routine gynecological examination to identify whether the bleeding originates from the uterine cavity or the cervix. Additionally, an ultrasound examination can be conducted to observe the condition inside the uterine cavity, the thickness of the endometrium, whether the thickness is uniform, and whether there are any abnormal growths, to understand whether the woman might have uterine endometrial cancer. However, these methods usually cannot provide a diagnosis and only serve to assess or suggest the possibility of endometrial cancer. For a definitive diagnosis, a hysteroscopy or diagnostic curettage can be performed, and the results of the pathological examination can confirm the diagnosis.

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Written by Li Shun Hua

Obstetrics and Gynecology

52sec

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Is endometrial hyperplasia the same as cancer?

Endometrial hyperplasia is not cancer; it is caused by a prolonged absence of ovulation, which means there is no secretion of progesterone. This prevents the proliferative phase endometrium from transforming into the secretory phase, leading to hyperplasia. If the hyperplasia persists over an extended period, it may lead to precancerous changes in the endometrium, and in severe cases, it can cause endometrial cancer. Therefore, it is essential to treat endometrial hyperplasia with progesterone, which can transform the endometrium and allow it to shed completely, altering its condition and restoring it to normal. As long as there is ovulation, there is the production of progesterone, so promoting ovulation is crucial.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 10sec

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Endometrial cancer B-ultrasound manifestations

Normally, the endometrium has a certain thickness. Patients with endometrial cancer usually show thickening of the endometrium, accompanied by irregular bleeding and abdominal pain. In severe cases, patients may experience excessive discharge from the half-vagina, accompanied by a fishy and foul odor. Typically, in cases of endometrial cancer, an ultrasound can reveal thickening of the endometrium and abnormal endometrial echoes, and some patients may show significant blood flow signals around the area according to reports. These signs generally suggest a high likelihood of endometrial cancer. The diagnosis of endometrial cancer typically involves undergoing a diagnostic curettage at the hospital. The tissue scrapped during this procedure is sent for pathology. Afterward, based on the pathology results, the type and nature of the endometrial cancer are determined. Therefore, the presence of endometrial cancer can generally be inferred from an ultrasound as well.