Can I still get pregnant if I have uterine cancer?

With the worsening of pollution and the increase of social pressure, the number of women suffering from cancer has gradually increased, and the health of our female compatriots has been seriously threatened. The high-risk population is usually working people, and negative emotions and psychological burdens have become accomplices of cancer. Endometrial cancer is one of the common cancers in women. This disease not only harms health, but also deprives many women of the right to get pregnant. So how can we leave a glimmer of hope for the next generation when we are sick?

Endometrial cancer is a common gynecological malignancy, and cases occur in women of childbearing age under 40 years old. The main treatment method is total hysterectomy with bilateral salpingo-oophorectomy or simultaneous retroperitoneal lymph node resection. However, as women around the world prepare for pregnancy later and people's requirements for quality of life increase, the treatment of young endometrial cancer patients should not only aim to reduce recurrence and prolong survival time, but also maximize the quality of life, preserve physiological function, or even preserve reproductive function on the basis of ensuring prognosis.

Generally speaking, endometrial cancer is a malignant tumor that occurs in the endometrium. However, as the disease progresses, the tumor will gradually invade the muscle layer, and metastasis may begin at that time! Lack of personal hygiene, sexual intercourse during menstruation, and heterosexual intercourse with people with sexually transmitted diseases are also prone to this disease. Elderly women have decreased estrogen levels, decreased vaginal acidity, and reduced cervical mucus plugs. Local inflammatory cell infiltration and exudation of inflammatory mediators show embryotoxic effects, which are not conducive to sperm survival and fertilized egg implantation. Inflammation involving the fallopian tubes can cause obstructive infertility.

After childbirth, abortion and various uterine cavity operations, this barrier function is weakened or even disappears, which can easily lead to bacterial invasion and cause endometrial cancer. Once endometrial cancer occurs, the above functions will be dysfunctional, resulting in menstrual disorders and infertility, and may even cause symptoms such as vaginitis in women. Mild endometrial cancer is limited to the endometrial layer, while chronic or persistent infections often involve the fallopian tubes, easily leading to adnexitis.

The prerequisite for preserving the uterus for future pregnancy is that the endometrial cancer must be highly differentiated in pathological examination and without any evidence of myometrial invasion. At the same time, the patient must be young, infertile and willing to be closely followed up for observation.