Exploring treatment options for endometrial cancer

Endometrial cancer is one of the most common cancers affecting women. It starts in the endometrium, the lining of the womb, and it is usually found early, when treatment works well. Understanding the range of endometrial cancer treatment options can help you feel more prepared and more in control. At Gynae Solution, led by Mr Jafaru Abu, we provide personalised care to guide you through every stage.

Surgery: the first step in endometrial cancer treatment

Surgery is usually the first line of endometrial cancer treatment. The most common operation is a hysterectomy, which removes the womb. Depending on the stage and spread of the cancer, the ovaries, fallopian tubes and nearby lymph nodes may also be removed (see lymphadenectomy).

Minimally invasive techniques, such as laparoscopic (keyhole) and robotic surgery, are often used. Compared with open surgery, they usually mean less pain, a shorter hospital stay, a quicker recovery and fewer complications. You can read more on our total laparoscopic hysterectomy and robot-assisted gynaecological procedures pages.

Radiotherapy

Radiotherapy uses high-energy rays to target and destroy cancer cells. It may be recommended after surgery to reduce the risk of the cancer coming back, or as the main treatment for people who cannot have surgery. There are two types: external beam radiotherapy, given from a machine outside the body, and brachytherapy, in which the radiation source is placed inside the vagina for a short time.

Hormone therapy

Hormone therapy is particularly effective for endometrial cancers that are sensitive to hormones. It uses medicines that block or lower hormone levels, which slows the growth of the cancer. It is most often used for advanced or recurrent cancer.

Chemotherapy

Chemotherapy is usually recommended for advanced or more aggressive types of endometrial cancer. It uses medicines to destroy cancer cells, and it can be combined with radiotherapy or surgery for a more complete approach.

Immunotherapy

Immunotherapy is an emerging and promising option. It helps the body's immune system to recognise and attack cancer cells. It is especially useful for some cancers with specific genetic changes, which can be identified by testing the tumour.

How your endometrial cancer treatment is chosen

No two people are the same, so your endometrial cancer treatment plan will be tailored to you. It depends on the stage and type of the cancer, your general health and what matters most to you. Your case will usually be discussed by a team of specialists, and Mr Abu will explain the benefits, risks and likely recovery for each option, so that you can make an informed decision together.

It is completely normal to have lots of questions. Write them down before your appointment, and bring a family member or friend if you would like support.

Recovery and follow-up

After treatment, you will have regular follow-up appointments to check your recovery and look for any signs of the cancer returning. Most people recover well from keyhole surgery within a few weeks, although everyone heals at their own pace. Tell your team about any new bleeding, pain or other symptoms between appointments, rather than waiting for the next check.

Support at every stage

At Gynae Solution, we believe in giving patients clear information and tailored care. If you or someone close to you is facing endometrial cancer, we are here to help you explore your options with confidence and compassion. Our endometrial cancer page and our patient pathway explain what to expect.

Cancer Research UK explains womb cancer treatment in more detail, and NICE sets out when symptoms should be referred urgently. For more information, or to book a consultation with Mr Jafaru Abu, please contact us.