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Endometrial Cancer
Endometrial Cancer Causes and Risks
The cause of endometrial cancer is unknown, but a significant
factor seems to be prolonged exposure of the endometrium to
the hormone estrogen.
Menstruating women are exposed to
estrogen every month. Thus, women who are at high risk for the
disease are sometimes prescribed birth control pills to
decrease their production of the hormone. In postmenopausal
women, estrogen replacement, a common treatment, greatly
increases the risk for endometrial cancer. But this risk can
be reduced when progesterone, another hormone, is added to the
estrogen. Women who are "on the pill" automatically decrease
their risk of developing endometrial cancer, as do those who
maintain their ideal body weight. Also at higher risk are
menopausal women who have never been pregnant and those with a
history of infertility, failed ovulations, irregular periods
(menses), or irregular bleeding.
Endometrial Cancer Facts
Cancer of the endometrium (the membrane lining the uterus) is
the most common of the female reproductive tract cancers,
ahead of ovarian and cervical cancer. It occurs mainly in
women older than 50 and affects about 35,000 American women
each year.
Endometrial Cancer Prevention
Prevention of endometrial cancer involves maintaining ideal
body weight, avoiding unnecessary estrogens and, if at high
risk, being screened at menopause for early signs of
endometrial changes that might lead to cancer.
Symptoms of Endometrial Cancer
The main symptom of endometrial cancer, abnormal bleeding,
occurs early, a factor leading to early diagnosis. For this
reason, the overall cure rate is high, 70 to 80 percent.
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