Uterine cancer is quietly becoming a pressing health issue in Singapore. The incidence rate has nearly doubled over the past two decades—from 9.5 per 100,000 women in 1998-2002 to 18.1 per 100,000 in 2016-20201. This sharp increase demands attention, awareness, and timely action.

At the Vascular and Interventional Centre, we want to provide you with clear, professional insights about uterine cancer Singapore—its risks, symptoms, and treatment options—so you can make informed decisions for yourself or your loved ones.

What Is Uterine Cancer?

Uterine cancer refers to cancer that develops in the uterus, the organ responsible for nurturing a fetus during pregnancy. The most common type is endometrial cancer, which starts in the inner lining of the uterus (the endometrium). Another less common form is uterine sarcoma, which arises from the muscular wall or supporting tissues of the uterus.

The Rising Incidence of Uterine Cancer in Singapore

Uterine cancer is now the fourth most common cancer among women in Singapore, with nearly 3,000 new cases reported between 2016 and 2020. Most diagnoses occur in women aged 50 to 70, although it can affect women over 40 as well.

Why the rise? Factors include lifestyle changes, increased obesity rates, and hormonal influences such as unopposed estrogen therapy after menopause. Interestingly, use of combination birth control pills (estrogen plus progesterone) appears to reduce risk, offering some protection for up to a decade after stopping.

Recognizing the Symptoms Early

Early detection is crucial. The good news? When caught early, uterine cancer has a cure rate exceeding 90%. The most common symptom is abnormal vaginal bleeding—especially postmenopausal bleeding. Other signs may include pelvic pain or unusual discharge, but these are less common.

Don’t wait for pain or severe symptoms! If you experience any abnormal bleeding, see your doctor promptly. Regular pelvic exams and awareness of symptoms are your best defense.

Diagnosis and Treatment Options

Diagnosis

Diagnosis typically involves pelvic examinations, ultrasound scans, and biopsy of the endometrial tissue. Imaging like MRI or CT scans helps determine the cancer stage and whether it has spread.

Treatment

Treatment depends on the cancer stage and subtype but often includes:

• Surgery: The standard approach for early-stage uterine cancer is a total hysterectomy (removal of the uterus), often combined with removal of ovaries, fallopian tubes, and pelvic lymph nodes to prevent spread.
• Radiation Therapy: Used in certain cases to eliminate residual cancer cells.
• Chemotherapy and Hormonal Therapy: For advanced or recurrent cases, tailored drug therapies may be recommended.

Fertility preservation is a sensitive topic. While hysterectomy ends the possibility of pregnancy, some younger women with early-stage cancer may explore hormone therapy options to maintain fertility under specialist guidance.

Why Early Detection Matters

Almost 70% of uterine cancers in Singapore are diagnosed at Stage I, where the 5-year survival rate is about 94%. Conversely, advanced-stage diagnosis drastically reduces survival chances. This stark contrast underscores the importance of vigilance and timely medical consultation.

Taking Control: What You Can Do

• Be aware of your risk factors: age, obesity, hormone therapy, and reproductive history.
• Monitor for symptoms, especially any abnormal vaginal bleeding.
• Maintain regular gynecological check-ups.
• Discuss any concerns with your healthcare provider promptly.

Conclusion

Uterine cancer in Singapore is on the rise, but the outlook is optimistic when detected early. At the Vascular and Interventional Centre, we emphasize education, early diagnosis, and comprehensive care. For detailed information and support, visit our dedicated page on uterine cancer Singapore.

Take charge of your health today—because knowledge is power, and early action saves lives!