Routine endometrial surveillance is not recommended for women on hormone therapy unless they experience bleeding.

“So, we really don't like to look for things. Um, the nice thing about endometrial cancer, from what I understand, again, I'm putting my urology hat on. I am not a gynecologist, it bleeds. So, if you Now, if you bleed, um, then if you bleed and you just started a new hormone therapy, it's probably okay. Now, for me, I like to know if there's any structural things going on. Do you have a polip? Do you have a fibroid? Is your lining super thick? You know, if you're in pmenopause, you still should be bleeding, right? So, it's that challenge. I don't go looking for things that aren't uh bleeding because I don't necessarily want to find things.”