Learn everything from her favorite part of her job to the advice she lives by.
Gynecological Cancers: When Cancer Hits Close
Understanding Your Risk of Uterine or Ovarian Cancer: Prevention, Screening, & Genetic Testing
If you’re worried about uterine or ovarian cancer, you’re not alone. Many women are concerned about their risk, especially if they have a family history of cancer. The good news is that cancer treatments and early detection strategies have made tremendous strides. You can take proactive steps to understand your risk, get screened, and potentially prevent these cancers.
How Common Are Uterine & Ovarian Cancers?
Uterine cancer is the most common cancer of the female reproductive system, with most cases diagnosed in women over 50. Ovarian cancer, though less common, is often more concerning due to its subtle early symptoms and diagnosis at more advanced stages. It’s important to remember, however, that while these cancers can be serious, the overall risk for most women remains relatively low.
For women who are at higher risk—such as those with a family history of cancer or genetic mutations like BRCA1 or BRCA2—the key is vigilance and taking appropriate action.
Who Is at Risk?
Several factors can increase the risk of uterine or ovarian cancer, including:
- Family history of ovarian, breast, or uterine cancer
- Genetic mutations (like BRCA1, BRCA2, or Lynch syndrome)
- Age (risk increases with age, particularly after menopause)
- Hormone therapy or certain fertility treatments
- Endometriosis or obesity
If you recognize any of these risk factors in yourself, it doesn’t mean you will definitely develop cancer. But they do mean you should speak with your doctor about prevention and screening options.
What You Can Do: Screening & Prevention
1. Routine Checkups
Make sure to keep up with your regular gynecological exams. While there is no standard screening test for ovarian cancer, your doctor can perform pelvic exams and recommend imaging or blood tests if you have symptoms or are at higher risk.
For uterine cancer, abnormal bleeding can be an early sign, so never hesitate to report changes to your doctor.
2. Genetic Testing
Do you have a strong family history of breast, ovarian, or uterine cancer? Get genetic testing for mutations like BRCA1, BRCA2, or Lynch syndrome. This can provide valuable information about your risk.
If you do carry a genetic mutation, your doctor can help you develop a personalized monitoring or prevention plan. This could include more frequent screenings or preventive surgeries.
3. Lifestyle Choices
Maintaining a healthy lifestyle can lower your risk of many cancers. Keeping a healthy weight, staying physically active, and eating a balanced diet rich in fruits and vegetables can help. Limiting alcohol and avoiding smoking are also important steps in reducing cancer risk.
4. Hormonal Considerations
Hormone therapy for menopause symptoms may increase the risk of uterine and ovarian cancers. Talk to your doctor about the safest options for managing menopause symptoms if this concerns you.
How Worried Should You Be?
It’s normal to feel anxious about cancer, especially if you’re at higher risk. But remember: Many women with risk factors never develop cancer, and early detection can greatly improve outcomes if cancer does occur.
Cancer treatments have become more advanced, with better survival rates than ever before. New surgical techniques, chemotherapy options, targeted therapies, and immunotherapy give women more hope and more options for successful treatment.
Reassurance & Support Resources
If you’re feeling overwhelmed, it may help to know that you’re not alone. At UVA Health, you can find all kinds of support, from genetic counselors to cancer support groups. It’s totally possible to feel more empowered about your health.
If you’re reading this, you’re already on the right path to reducing your risk and protecting your future. Keep on reading for more in-depth guidance and resources.
Know what causes cervical cancer and the 3 things you need to do to prevent this common cancer.
Learn how and why the price of straight hair is steeper for Black women.
Learn why more people are getting endometrial cancer and what you can do about it.
Learn the defining moment that made Paola Gehrig, MD, want to become a gynecologic cancer doctor who treats ovarian, cervical, and other cancers women face.
Worried about ovarian cancer? Know these 5 odd symptoms that are often mistaken for GI conditions.
You might think the HPV vaccine, which prevents multiple cancers, is for teens and young adults. But adults up to age 46 can benefit from it.
Most of us don't want to think about whether we'll get cancer, but it's an important discussion to have with your provider. Inherited gene mutations cause many breast, ovarian and endometrial cancers.
For adults diagnosed with cancer, a major concern is fertility preservation, being able to maintain your ability to have children in the future.
This fall, the U.S. Preventive Services Task Force released new recommendations for cervical cancer screening. The Pap smear, which was once the go-to test for cervical cancer screening, is no longer the only option.
Subscribe for Updates
Get stories & health tips every week