Your HCP has many tools to figure out if you do, indeed, have endometrial cancer and how advanced it is. They will use your medical history, a pelvic exam, endometrial biopsy (taking a tissue sample of the uterine lining), dilation and curettage, also known as a D&C (a procedure to remove the uterine lining), ultrasound, and/or hysteroscopy (an examination of the uterus and cervix). If they detect cancer, you will undergo additional testing to see if the cancer has spread, including chest X-rays, MRIs, CT scans and other procedures. Currently, there aren’t any endometrial cancer screening tests for people with average risk and no symptoms. Women with a history of certain types of hereditary colon cancer (cancer that starts in the colon or rectum) might be offered an annual biopsy, in which the HCP takes a sample of cells from your uterus to check for cancer, starting at age 35.