You’ve probably heard it before: “Listen to your body.” 

But what does that really mean when you’re experiencing symptoms that seem inconvenient but not urgent like spotting between periods, pelvic pressure, or fatigue? Many people don’t know that these subtle signs can sometimes point to a much more serious issue, including uterine cancer. 

Unlike breast or cervical cancer, there is no routine screening test for uterine (endometrial) cancer. That means your annual Pap smear won’t detect it. The most powerful tool we have for early detection is you and your ability to notice when something feels “off.” 

In honor of Uterine Cancer Awareness Month, let’s talk about how to make the most of your OB-GYN visits, even when you don’t know what to ask. 

 

Uterine Cancer by the Numbers 

• Uterine cancer is the most common gynecologic cancer in the United States. 

• According to the American Cancer Society, an estimated 67,880 new cases were expected to be diagnosed with 13,250 deaths in 2024. 

• Most cases are diagnosed in postmenopausal people, but rates in younger individuals are rising, especially among those with certain risk factors such as obesity or PCOS. 

• People of color, particularly Black women, face higher mortality rates despite being diagnosed at similar or earlier stages. 

 

There’s No Test—So What Do I Say? 

If there’s no screening test, how do you protect yourself? You protect yourself by engaging in clear, intentional communication with your provider. 

Here are key questions to ask, especially if something doesn’t feel right: 

• • • “I’ve been experiencing abnormal bleeding. Could this be a sign of something serious?” 
  • • “I’m having pelvic pain and pressure that doesn’t go away. Could we explore further?” 
  • • “I know there’s no screening for uterine cancer, so what signs should I be watching for?” 
  • • “I’m concerned about my personal and family history. Am I at higher risk for uterine cancer?” 

Even if your symptoms seem minor, these questions can open the door to an earlier diagnosis and peace of mind. 

 

When to Push (And How to Do It Kindly but Firmly) 

Sometimes symptoms are overlooked or chalked up to common factors, such as stress, age, or weight. If you feel like your concerns aren’t being heard: 

• • • Repeat yourself: “I want to revisit what I mentioned earlier about my bleeding, because it has been going on for a while and it is affecting my daily life.” 
  • • Get specific: Track your symptoms in a journal or app and bring it with you. 
  • • Ask directly: “Can you help me understand why this doesn’t warrant further testing?” 
  • • Don’t hesitate to get a second opinion: It’s your body, and seeking another perspective is not overreacting—it’s proactive. 

   

Signs Worth Talking About 

Knowing the symptoms is the first step to having an informed conversation. Here are some signs of uterine cancer that should never be ignored: 

• • • Vaginal bleeding after menopause 
  • • Bleeding between periods 
  • • Unusually heavy or prolonged periods 
  • • Pelvic pain or pressure 
  • • Unexplained weight loss or fatigue 

If you experience these symptoms or anything new, unusual or concerning, it is important to speak with a healthcare provider as soon as possible. 

  

What Self-Advocacy Looks Like 

Self-advocacy doesn’t mean you have to know all the answers. It means knowing that your health concerns are valid and that your voice matters. To advocate for yourself, you can: 

• • • Prepare before appointments: Write down your symptoms, questions, and concerns. 
  • • Bring support: A trusted friend or family member can help you stay focused and advocate for you. 
  • • Trust your gut: If something feels wrong, it probably is. Keep asking until you get clarity. 

 

Moving Forward with Confidence 

While we continue to push for better research, funding, and diagnostics for uterine cancer, you can be your own best advocate by asking the right questions when you experience abnormalities and honoring what your body tells you. 

 

If you or someone you love is facing a uterine cancer diagnosis or wants to learn more, we encourage you to explore our free, downloadable guide, available in English, Spanish, Mandarin, and Arabic. The FWC also offers other trusted educational resources and survivor stories to guide you.