Black women are more likely to be diagnosed with endometrial cancer when it’s at an advanced stage. Then, stage-for-stage, they have decreased survival rates. The reasons behind those numbers are likely multifactorial. Many hold an understandable generational mistrust of the medical system. Some of the risk factors related to endometrial cancer — like hypertension, diabetes, and obesity — are seen more frequently among Black women. But it is also important to recognize that access to regular and good gynecologic care is simply harder for Black women. There’s also evidence that their symptoms are often not addressed the same way as they are for non-Black women. Their voices are not heard, and they are not taken as seriously. Unfortunately, this problem is not unique to gynecologic oncology. It happens in many cancer fields. Evidence tells us that on a national level, women who are Black, poor, or both are less likely to get the appropriate standard of cancer care. They are also less likely to receive continued treatment and be enrolled in clinical trials. Collectively, all of those factors contribute to decreased survival rates.