If you have symptoms, you usually start by seeing the GP. Your GP may do an pelvic examination (internal examination) to feel for anything unusual in the pelvis. They may also arrange:

• a blood test
• a urine sample
• a trans-vaginal ultrasound.

Your GP may refer you directly to a gynaecologist. This is a doctor who treats problems with the female reproductive system. You will be referred urgently (within 2 weeks) if you have: 

• vaginal bleeding after the menopause
• a lump in your pelvis that your GP can feel
• ongoing vaginal bleeding between your periods.

The gynaecologist will explain any other tests you need to have. This may include:

• a cervical screening test, if you have not had one recently
• a biopsy.

They will also ask whether you have any close relatives with womb or bowel cancer.

Further tests for womb cancer

If you are diagnosed with womb cancer, you may have further tests. These show the position of the cancer and whether it has spread from where it started. This is called [staging]. The results of these tests help you and your doctor make decisions about your treatment. They may arrange:

• an MRI scan
• a CT scan
• a chest x-ray.