Endometrial cancer is the most common gynecologic cancer in the United States and the only major one still with no screening test. Until that changes, the fastest route to an early answer is a woman who knows what to ask for. That is what this page is.
Harrington et al., Gynecologic Oncology Reports, 2026. Survey of 603 women at increased risk.
This is not a diagnosis and it does not score you. It gives you the sentence to say and the right thing to ask for.
1. Where are you in all this?
2. Does any of this apply to you?
“Something has changed and I would like it looked at properly.”
Health information, not medical advice. Nothing here is stored or sent anywhere.
Each one is a sentence you can say out loud in an exam room, and each one is sourced.
Watery or pink discharge, a brown smudge, a spot smaller than a penny. After years of heavy periods, light spotting can feel like an improvement. If it is new for you, it counts. Say it in the words you would use at home.
What counts as abnormalTwo organs, two tests. A normal Pap is good news about cervical cancer and says essentially nothing about the endometrium. There is no validated population screening test for endometrial cancer, which is exactly the gap this Foundation works on.
What a Pap does and does not catchIn April 2026 ACOG updated its guidance to recommend both transvaginal ultrasound and endometrial tissue sampling at the initial evaluation for most women with postmenopausal bleeding. In a simulated cohort, ultrasound triage at the 4 mm threshold had 47.5 percent sensitivity in Black women compared with 87.9 percent in white women. Fibroids make the lining harder to see at all. This gap was identified and named by Dr. Kemi Doll, whose work with ECANA put it in front of the field. Doll et al., JAMA Oncology, 2021. ACOG, Obstetrics & Gynecology, April 2026.
An office endometrial biopsy takes a few minutes, and about half of women report moderate to severe pain. There is no consistent pain control standard, so what you are offered depends largely on what your clinic does by habit. Asking what is available, including a local anesthetic or sedation, is a reasonable question. Arch Gynecol Obstet, 2013.
Questions to take with youPMOS, polyendocrine metabolic ovarian syndrome, is the condition most women still know as PCOS. It was renamed in 2026 and is usually explained as a fertility and weight condition. It also carries a meaningfully higher lifetime risk of endometrial cancer, because cycles that do not complete leave the lining building unopposed. Women diagnosed at 15 are routinely hearing this for the first time at 40.
Almost every campaign in this category is about bleeding after menopause. Very little tells a 38-year-old what counts as abnormal for her. In the research, premenopausal women were nearly twice as likely to delay and more likely to be sent home. Incidence under 50 is rising, from a low base, and fastest in women in their 30s.
She was a mother of three, the person her family turned toward, and a grandmother to the boys she never met. The Foundation carries her name because the gap that cost her five years is still sitting exactly where it was.
Almost every woman who goes early says the reason was another woman telling her to. A sister, a friend at work, a group chat. That is the whole mechanism, and it costs nothing.
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Most women were never told the truth about endometrial cancer. See how much you already know.
"A Pap smear screens for endometrial cancer."
A Pap smear screens for cervical cancer. It does not reliably detect endometrial cancer, and there is no routine screening test that does.
"Any bleeding after menopause is normal and not worth a visit."
Any bleeding after menopause is never normal. It is the most common warning sign of endometrial cancer and should always be evaluated.
"Uterine cancer deaths are falling, like most cancers."
It is one of the very few cancers in the U.S. where deaths are rising, not falling, and the trend is projected to continue for decades.
"Obesity is the single biggest driver of rising endometrial cancer."
True. Excess body fat raises estrogen that stimulates the uterine lining, and more than half of uterine cancers, around 57 percent, are attributable to it.5
The Eva Tucci Foundation is an endorsing organization of the National Strategy to Close the Women's Health Gap, alongside the Society of Gynecologic Oncology, Susan G. Komen, and more than fifty others. How we are funded and governed