How To Avoid Uterine Cancer
- Take birth control pills, for each year additional protection is afforded against ovarian and uterine cancer
- Diagnose and Treat all precancerous conditions of the uterus such as polyps
- Prevent and Control Obesity and Insulin Resistance
Gynos don't often miss precancerous changes, accuracy of transvaginal ultrasound and operative hysteroscopy (looking in the uterus) has enabled us to learn a lot about the changes of the lining to help you understand what could be done and what should be done. Lining changes that are specifically a thickened lining or accompanied by polyps of the lining are the changes that are most often seen. And when the thickening is formed in polyps is often what your gyno worries will become a lining cancer of the uterus. The old standard recommendation is that if are young, and if the polyps are small, meaning less than 1 cm, they may resolve on their own, and if the tissue that is polyp shaped on transvaginal ultrasound is greater than 1 cm it may be a precancerous or cancerous growth. Rarely is the growth cancerous. Newest information from multiple studies does confirm that if you are older, particularly past menopause it is more likely the polyp growth is more serious. It is now calculated that if you do have a polyp your chance of having lining cancer is about 3.5%. We don’t know how to recalculate risks if you also have the factors mentioned above: obesity, diabetes, high blood pressure. Preventing cancer may mean surgically removing the polyp and treating with medication to prevent cancer. If you have medical reasons you cannot take the hormones (usually progesterones) that are used to treat polyps then it is more likely you will benefit from a surgical solution. As I often gab about: accuracy in diagnosis is important and proper tests to determine the extent of the lining changes should be done before coming up with the plan of management.
As for controlling weight and obesity, we now know through animal studies that control of insulin for medicines like metformin which controls sugar counts for diabetetics can help control the growth factors that lead to uterine cancer.