Endometrial cancer risk factors

Hello,  

I have had some post menopausal spotting, pink and dark brown.  Haven't had a period for about 14 months maybe more. 

I'm low Bmi, fairly active and eat really healthily.  Have been on HRT for a couple of years. 

Looked it up online thinking it could be about HRT,  or perfectly normal but was alarmed to see the advice to get it checked out immediately, even if it's only happened once and not heavily. 

I'm inclined to leave it for a while as I don't have other risk factors however,  my mother had endometrial cancer in her mid 60s. I can't find any info about whether or not that constitutes a 'family history '. My mother is not active, always struggled with weight and although eats a healthy diet also eats a lot cakes, biscuits etc.

I already have Mixed Connective Tissue Disease and lots of blood tests, hospital appointments etc.  Another 'thing' resulting in more appointments and time off work will probably finish me off. 

Any advice or personal experiences appreciated. 

  • Hello and thank you for your post,

    While hopefully, nothing serious is the matter having a bleed, even just one, after the menopause should be checked out. This is because it may be caused by a thickened lining of the womb. Having a thickened lining of the womb for many people is not serious for example you may need adjustments made to your progesterone level. In a small number of cases, it is caused by cancer.

    Most women who get womb cancer will not get it because of an inherited (family) risk. That is because most cases of womb cancer are not caused by an inherited gene fault (an increased risk in families). You can read more about the risks of developing womb cancer on our website.

    I realise that this may seem frightening but please do follow the advice of your doctor. As I said in most cases nothing serious is the matter.


    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Take care

    Caroline 

  • Hi Caroline,  thank you for reply.  I think putting it all together I'm a pretty low risk. Forgot to mention that I also have a couple of fibroids which are probably the culprits.

  • Apologies ifim repeating myself, my first reply didn't send

    I think I'm probably a low risk, looking at the whole picture.  Also. I forgot to say I have  a couple of fibroids which, are probably the cause. 

  • Please get this checked out. I had a minor bleed and thought nothing of it however a subsequent PET scan undertaken ahead of a completely different procedure highlighted an issue in my womb which turned out to be endometrial cancer. You may not have the same result but surely it's better to know? 

  • Offline in reply to SFUC

    Hi SFUC

    I hope you're doing OK x

    Thank you for the reply. I read that fibroids actually cause fewer problems and often shrink after menopause so perhaps that's not it. 

    I did have  a look at my diary from last year and actually it's only been just over 10 months since my last period so perhaps I'm worrying about nothing. 

    Do you mind me asking how long it had been for you when you had the bleed? 

    Wishing you all the best. X

  • Offline in reply to Brychni

    That's not an easy question to answer as I had a mirena cool fitted a few years before I became menopausal and had it removed in my early 60s. The coil had effectively stopped any bleeding whilst in situ. The bleed I subsequently had (years after coil was removed) was so minor I wouldn't have thought to follow it up. I'm quite grateful that my lung mets (from bowel cancer) indirectly led to the discovery of this second, unconnected from of cancer.

    I know you feel you're low risk for endometrial cancer but you're not zero risk (no one with a uterus is!). Obviously it's your decision but you might want to have all information available to you first! 

    I wish you well.

    Helen