Gynecological cancers occur when cells in a woman’s reproductive organs grow uncontrollably. The main types include cervical, ovarian, uterine, vaginal, and vulvar cancers, with fallopian tube cancer being a very rare sixth type.
Types of gynecological cancers
Cervical cancer
Cervical cancer develops in the cells of the cervix, the lower, narrow part of the uterus that connects to the vagina.
Ovarian cancer
Ovarian cancer begins in the ovaries, the reproductive glands that produce eggs and hormones like estrogen and progesterone.
Uterine (endometrial) cancer
Uterine cancer, also called endometrial cancer, starts in the lining of the uterus (endometrium).
Vaginal cancer
Vaginal cancer is a rare type that begins in the tissues of the vagina, the muscular canal between the cervix and the external genitalia.
Vulvar cancer
Vulvar cancer is also rare and develops in the external female genitalia (the vulva), including the labia, clitoris, and vaginal opening.
Common symptoms*
Abnormal vaginal bleeding or discharge - common in most gynecologic cancers, except vulvar cancer
Feeling full quickly, difficulty eating, bloating, or abdominal/back pain
Pelvic pain or pressure – common in ovarian and uterine cancers
More frequent or urgent urination and/or constipation – common in ovarian and vaginal cancers
Itching, burning, pain, or tenderness of the vulva, or changes in vulva color or skin (rash, sores, warts) – found only in vulvar cancer
Explore resources for valuable insights into pathology and molecular testing. Access our collection of articles, case studies, and educational materials to enhance your understanding of our diagnostic solutions.
Only women can develop gynecological cancers, which affect the reproductive organs.
Risk factors vary by cancer, but may include:
Reproductive and menstrual history (e.g., early periods, late menopause, never having children)
Diabetes, obesity, or a weak immune system
PBV or HIV infection
Smoking
Family history of gynecologic or breast cancer
Previous pelvic radiation
Use of oral contraceptives, fertility drugs, or estrogen therapy
Older age
High-fat diet
While not all cancers can be prevented, you can reduce risk and detect cancer early through:
Pap test for cervical cancer
HPV vaccination
Healthy diet and lifestyle
Genetic testing if you have a family history
Doctors use your medical history, physical exams, and diagnostic tests such as:
Blood tests
Pap test
Imaging scans (CT, MRI, ultrasound)
Biopsy
Treatment depends on your health, cancer type, and stage, and may include:
Surgery
Chemotherapy or radiation therapy
Hormone therapy
Intraperitoneal chemotherapy
Clinical trials
Some people continue working, but it depends on your treatment, side effects, and overall health.
Yes, cancers, especially ovarian, can return after treatment. This is called recurrence, and the risk depends on the type and stage of cancer.
Support is available through:
Local and online support groups
Counseling or therapy
Patient navigators and nonprofit cancer organizations
Friends and family networks
Don’t wait, contact your healthcare provider promptly for evaluation.
*Note: Experiencing these symptoms does not always mean cancer. If you notice any of them, it’s important to speak with a healthcare provider for proper evaluation.
References
What if my ovarian cancer comes back? https://www.roswellpark.org/cancertalk/202311/what-if-my-ovarian-cancer-comes-back