Breast Cancer Fund,Highlands Ranch|Uterine Cancer|The Colorado BWRC Fund

A Step-by-Step Guide to Your First Uterine Cancer Screening

Last updated 5 months ago

Uterine cancer affects the cells of the lining of the uterus. Currently, there is no recommendation to have annual screenings for uterine cancer. However, there are two tests that can be used to diagnose this women’s cancer. When your symptoms suggest uterine cancer, your doctor will use either a transvaginal ultrasound or an endometrial sampling to evaluate your condition.

Transvaginal Ultrasound

A transvaginal ultrasound helps a doctor visualize the patient’s vagina, uterus, fallopian tubes, and bladder. During a transvaginal ultrasound, the doctor will insert an ultrasound probe into the vagina. Directing high-energy sound waves (ultrasound) toward the internal tissues and organs creates echoes that form a sonogram picture. By examining the sonogram, a doctor can identify tumors.

What to expect during a transvaginal exam:

First, the patient is asked to empty her bladder.
The patient lies on a padded table with her hips slightly elevated.
The doctor will insert a thin, lubricated transducer (probe) into the vagina. Patients report that they feel some pressure but no other discomfort.

Endometrial Sampling

When a doctor performs an endometrial sampling, a small piece of endometrial tissue is removed by inserting a small, thin tool into the uterus through the cervix. A pathologist will analyze this sample for cancer cells under a microscope.

An endometrial sampling includes the following steps:

The patient will lie on her back with her feet in stirrups, similar to a Pap smear test.
Next, the doctor will use a speculum to open the vaginal canal and visualize the cervix.
The doctor will then insert a thin tubular device through the cervix and into the uterus. This device will remove a very small piece of the endometrial lining.

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