What causes uterine cancer?

Nov 05, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, uterine cancer may be caused by factors such as excessively high estrogen levels, obesity, endometrial hyperplasia, diabetes, and hypertension. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, maintaining a healthy lifestyle is important, including regular sleep patterns with avoidance of late nights, and reducing intake of high-fat, high-sugar, and high-sodium foods.

1. Excessively high estrogen levels: Prolonged estrogen stimulation without progesterone opposition can lead to continuous endometrial proliferation, increasing the risk of malignant transformation. Hormone levels can be regulated under medical guidance using medications such as progesterone capsules, dydrogesterone tablets, or medroxyprogesterone acetate tablets. Regular gynecological examinations should also be performed to monitor endometrial status.

2. Obesity: Adipose tissue converts and produces estrogen, leading to elevated estrogen levels in the body and increasing the risk of uterine cancer. Weight should be reduced through balanced diet control and regular physical activity such as brisk walking or jogging to lower the likelihood of disease development.

3. Endometrial hyperplasia: Simple endometrial hyperplasia, if not treated in time, may progress to atypical hyperplasia and eventually lead to uterine cancer. Treatment options include levonorgestrel-releasing intrauterine systems, megestrol acetate dispersible tablets, or norethisterone tablets, used as directed by a physician.

4. Diabetes: Patients with diabetes often suffer from metabolic disturbances and reduced immunity, which increases the risk of developing uterine cancer. Blood glucose should be controlled under medical supervision using medications such as metformin hydrochloride tablets, glimepiride tablets, or insulin injection.

5. Hypertension: Long-term hypertension can impair blood supply and normal function of the uterus and surrounding tissues, thereby increasing the risk of uterine cancer. Blood pressure can be stabilized under medical advice using medications such as nifedipine controlled-release tablets, valsartan capsules, or metoprolol tartrate tablets.

In daily life, it is important to maintain a healthy lifestyle—regular sleep patterns avoiding late nights, reducing intake of high-fat, high-sugar, and high-sodium foods, and consuming more fresh fruits and vegetables. Additionally, regular gynecological check-ups should be maintained to enable early detection and early intervention, thus preserving uterine health.

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Do uterine fibroids during menopause require surgery?

For perimenopausal women with uterine fibroids, if the fibroids are small in size, asymptomatic, and carry no risk of malignancy, surgery may not be immediately considered; however, regular follow-up is necessary. If the fibroids are large, cause severe symptoms, or show suspicion of malignant transformation, timely surgical intervention should be performed to prevent continuous growth of the fibroids or progression to cancers such as uterine cancer or endometrial cancer.

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Can you have sex after treatment for uterine cancer?

In general, patients can resume sexual activity after treatment for uterine cancer, but should pay attention to frequency and methods. If any discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, patients should ensure adequate warmth to avoid getting chilled, get sufficient rest, and avoid excessive fatigue. It is also important to maintain a positive mindset and avoid emotional stress.

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Can benign uterine cancer be cured?

In general, uterine cancer is a malignant tumor and does not have a benign form. With active cooperation in treatment, patients with uterine cancer can be cured. Early detection and prompt treatment are crucial to increasing the chances of cure. In daily life, it is recommended to maintain a positive mood, eat a balanced diet, consume more fruits and vegetables, and engage in appropriate outdoor activities, all of which are beneficial for recovery.

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What are the early symptoms of uterine cancer?

In general, uterine cancer mainly includes endometrial cancer and cervical cancer. These two types share some common early symptoms but also have differences. Early symptoms may include abnormal vaginal bleeding, unusual vaginal discharge, dull pain or a feeling of heaviness in the lower abdomen, increased vaginal discharge, and mild pain after sexual intercourse. If any of these symptoms occur, prompt consultation with a gynecologist is recommended.