1. Endometrial and other cancers in the menopause
Faustino R. Pérez-López
University of Zaragoza Faculty of Medicine and Lozano-Blesa University Hostpital, Zaragoza 50009, Spain
Endometrial and other cancers in the menopause

2. Learning Objectives
Recognize the current evidence-based recommendations for women in their second half of life regarding genital cancer risk and diagnosis
Describe current general approaches for the management of genital cancer

3. Cancer and menopause
Menopause is not associated with increased cancer risk
However, cancer rates increase with age and cancer is the second leading cause of death in women
Special attention should be provided about oncologic issues during the second half of life

4. Genetic factors and cancer
Genetics may contribute to the risk of various cancers
Mass screening for specific mutations cannot be used in the general population
There are no clear screening tests for some cancers (endometrial, ovarian, vulvar, lung)
Preventive measures are based upon early organ extirpation in genetic mutation carriers

5. Lifestyle and cancer: modifiable risk factors
Smoking
Alcohol
High body mass index
Dietary factors
Physical activity
Use of hormones
Infertility treatments
Hormone contraception
Menopause hormone therapy

6. Outline 1. Endometrial cancer 2. Uterine sarcoma 3. Ovarian cancer
4. Cervix cancer
5. Vulvar cancer
6. Other cancers