Postmenopausal bleeding or heavy and irregular bleeding are the most common signs of endometrial cancer. Pelvic pain may occur but is very rare. Unusual vaginal discharge and pain during intercourse can also be symptoms of endometrial cancer. Although there are many causes of irregular bleeding and these symptoms are usually the sign of benign conditions, you should visit a gynecologist as soon as possible if you experience these symptoms.

Your gynecologist will review your medical history and do a complete physical exam. Your doctor may first order a transvaginal ultrasound to help rule out other conditions but some kind of biopsy is usually necessary to determine the cause of the bleeding and to ensure that cancer is not present. If endometrial cancer is suspected, your doctor will suggest that a sample of the endometrium be removed for testing.