Symptoms of abnormal uterine bleeding should be treated in time. Women need to see a doctor in time when they have abnormal uterine bleeding symptoms. Women who are over 50 years old or postmenopausal and have abnormal bleeding symptoms in the last 6 months should be screened for endometrial cancer. About 90% patients with endometrial cancer will have irregular vaginal bleeding, most often after menopause. Therefore, infertility patients with postmenopausal bleeding, irregular bleeding in perimenopausal period and irregular menstruation should be highly vigilant, and endometrial cancer should be ruled out first.

If there are no symptoms, you need regular physical examination. Women who have no symptoms should also have regular gynecological examinations. It is recommended that all women over the age of 50 receive endometrial cancer screening once a year. Those who are younger than 50 years old but meet one of the following conditions can be selectively screened for endometrial cancer at the doctor's judgment:

Shielding strip

★ Abnormal uterine bleeding, especially postmenopausal vaginal bleeding.

★ Women over 35 years old who have high risk factors for hereditary nonpolyposis colon cancer (HNPCC) or have a history of malignant tumors or family history (especially breast cancer, colorectal cancer and female reproductive system tumors).

★ Women who have received or are receiving postmenopausal hormone replacement therapy or taking mifepristone or tamoxifen to treat other diseases.

★ > 30 years old, suffering from obesity (body mass index ≥28), diabetes and hypertension.

★ Ovulation disorder (PCOS, infertility, etc. ).

Long-term irregular menstruation needs treatment. Women with long-term irregular menstruation should see a doctor in time. At present, there are many effective methods to regulate menstruation, including oral short-acting contraceptives and progesterone treatment in the second half of the cycle, which can help menstrual cramps regularly, control the menstrual cycle within 45 days, and have a good effect on protecting endometrium. If you don't want to take drugs orally and have no fertility requirements, you can also get a sustained-release contraceptive ring (Manyuele), which can also protect the endometrium well.

Hormone therapy should follow the doctor's advice. Climacteric syndrome can be relieved by hormone replacement therapy, but it should be carried out under the guidance of a doctor. Women at risk of endometrial cancer must take estrogen and progesterone supplements according to their doctor's advice. Irregular hormone replacement therapy, such as estrogen supplementation alone, will increase the risk of endometrial cancer.

Genetic testing for people with high genetic risk If there are women with endometrial cancer, ovarian cancer, hereditary nonpolyposis colon cancer (HNPCC) or colorectal cancer in their immediate family or family, it is recommended that the patients have genetic testing first. If Lynch syndrome is diagnosed, then the female relatives of these patients are also prone to Lynch syndrome. According to the results of genetic testing, corresponding intervention measures can be taken, such as early delivery, close observation, regular drug treatment, and preventive hysterectomy if necessary, so as to reduce the occurrence of endometrial cancer.

In a word, endometrial cancer is a chronic disease, and the risk can be reduced by adjusting lifestyle. It is suggested that female friends have regular physical examinations at ordinary times, and see a doctor as soon as possible if there are symptoms, so as to find precancerous lesions or early endometrial cancer in time. After giving appropriate treatment, the prognosis of patients is good and will not affect their lives. Even a considerable number of young patients can give birth normally after treatment.