Womb cancer treatment options

The main treatment for womb cancer is surgery. Other treatments you might have include:

  • radiotherapy
  • chemotherapy
  • hormone therapy

You have one or more of these treatments.

Deciding which treatment you need

Your doctor will talk to you about the treatment they suggest. They will explain its benefits and the possible side effects.

This will depend on:

  • where your cancer is
  • how big it is and whether it has spread (the stage)
  • the type of cancer
  • how abnormal the cells look under a microscope (the grade)
  • your general health and level of fitness

Treatment by cancer stage

Stage 1 and 2

Surgery is the main treatment for early stage womb cancer. Generally, your surgeon removes your womb and cervix (hysterectomy), and usually both ovaries and fallopian tubes. They might also remove lymph nodes in your pelvis to check for cancer cells.

After surgery, if there is a high risk of your cancer coming back, for example a high grade cancer, you might have:

  • radiotherapy
  • chemotherapy 
  • radiotherapy and chemotherapy (called chemoradiotherapy)

Stage 3

Depending on how far your cancer has spread, you might have surgery to remove the cancer. You then have :

  • chemotherapy
  • radiotherapy
  • chemotherapy and radiotherapy (called chemoradiotherapy)

You usually have chemotherapy and radiotherapy if you can't have surgery. Or you might have hormone therapy.

Stage 4

For some stage 4 cancers, you may have surgery to remove as much of the cancer as possible. You might then have chemotherapy or radiotherapy, or both.

If you can't have surgery, you might have:

  • hormone treatment
  • chemotherapy
  • radiotherapy
  • a combination of these treatments

Clinical trials

Your doctor might ask if you’d like to take part in a clinical trial. Doctors and researchers do trials to make existing treatments better and develop new treatments.

Last reviewed: 
07 Feb 2020
Next review due: 
10 Feb 2023
  • ESMO-ESGO-ESTRO Consensus Conference on Endometrial Cancer: diagnosis, treatment and follow-up

    N Columbo and others (2016) 

    Annals of Oncology 27: 16–41

  • BGCS Uterine Cancer Guidelines: Recommendations for Practice 

    S Sundar and others (2017) 

    British Gynaecological Cancer Society  https://bgcs.org.uk/professionals/guidelines.html(Accessed September 2017) 

Related links