Uterine cancer, most commonly Endometrial cancer (which starts in the lining of the uterus), often presents with symptoms that are noticeable, allowing for earlier detection and better treatment outcomes. It’s crucial for every woman to be aware of these signs, even though they can also be caused by less serious conditions.
Here’s what everyone should know about uterine cancer symptoms:
The Most Important Symptom: Abnormal Vaginal Bleeding
This is by far the most common and often the earliest symptom of uterine cancer, occurring in about 90% of cases. “Abnormal” bleeding can look different depending on whether you’ve gone through menopause or not
While abnormal bleeding is the primary symptom, other signs can occur as the cancer grows or if it’s a less common type of uterine cancer (like uterine sarcoma):
- Unusual vaginal discharge: This can range from watery to thick, and may be clear, white, pink, or blood-tinged. It might also have an unpleasant odor.
- Pelvic pain or pressure: This can be a persistent ache, cramping, or a feeling of fullness or discomfort in your lower abdomen or pelvis. It might also present as pain in your lower back or legs.
- Pain during sex (dyspareunia): This can occur if the cancer has grown and is affecting the cervix or vagina.
- Changes in urination or bowel movements: If the tumor grows large enough, it can press on the bladder or rectum, leading to:
- Pain or difficulty when urinating.
- More frequent urination.
- Blood in the urine.
- Pain or difficulty with bowel movements.
- Blood in the stool.
- Unexplained weight loss: Losing weight without trying can be a symptom of many cancers, including uterine cancer, especially in later stages.
- A lump or swelling in the tummy or pelvis.
- Feeling of fullness or bloating.
- Symptoms can be misleading: Many of these symptoms can be caused by benign conditions like fibroids, polyps, infections, or hormonal imbalances. However, only a doctor can determine the cause. Don’t assume it’s “just” menopause or a normal part of your cycle if you experience these changes.
- Don’t wait: If you have any of these symptoms, especially abnormal bleeding, see your doctor right away. Don’t delay seeking medical advice.
By being aware of these symptoms and acting quickly, women can significantly improve their chances of a positive outcome if diagnosed with uterine cancer.

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