- Have a baby
- Take birth control pills, for each year additional protection is afforded against ovarian and uterine cancer
- Use Progesterone
- Use a Progesterone IUD
- Diagnose and Treat all precancerous conditions of the uterus such as polyps, and uterine lining thickening also called hyperplasia
- Prevent and Control Obesity
- Insulin Resistance
- Exercise, more than 50% of all women do not get enough exercise to protect themselves against endometrial cancer
- Drink coffee
- Moderate the amount alcohol intake
- Continue to have regular pap smears, more and more pap tests are improving uterine cancer detection as they become sensitive for picking up uterine cells, not just a cervical cancer test
Having a baby, using hormonal birth control, keeping your weight down, actually are all strategies to prevent the pre-cancerous and cancerous changes that can occur in the lining. We don’t know yet what other metabolic changes affect this, it may be that both diabetes and high blood pressure are also specific risk factors. In a new study on line obesity is a more serious problem than was previously thought for development of uterine cancer.
And we do now know that the lining of the uterus changes years before it becomes cancerous.We do know with this long lag time, we can help many cases of uterine cancer be avoided, yet it has to be done through ongoing and individual evaluation, don't skip check ups even if it's not a pap smear year. The uterine wall is a muscle, and the lining tissue is very different stuff, it’s called the endometrium. Endometrium is shed monthly and it regenerates, this propensity to grow, develop and respond to estrogen, makes this vulnerable to factors that can created a malignancy. Other cancers of the uterus such as scarcomas that form in uterine fibroids do exist, but most cancers of the uterus thus occur in the lining or endometrial cancers. So it’s important to keep that lining healthy.
The Endometrial Cancer 2013 Report, which was published by the American Institute for Cancer Research (AICR) and World Cancer Research Fund International (WCRF), contains many of the facts listed in this post
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.