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DESCRIPTION
Cancer of the endometrium, which is the lining of the uterus usually affects postmenopausal women ages 50 to 60 years and is the most common female pelvic malignancy in the United States. A second type of uterine cancer, sarcoma, is less common. There is a difference between the two types of cancer.
Uterine sarcoma is a disease in which malignant (cancer) cells form in the muscles of the uterus or other tissues that support the uterus. Uterine sarcoma is a very rare kind of cancer that forms in the uterine muscles or in tissues that support the uterus. Uterine sarcoma is different from cancer of the endometrium, a disease in which cancer cells start growing inside the lining of the uterus.
Information about both types of uterine cancer are included here for review and comparison.
FREQUENT SIGNS & SYMPTOMS
Early Stages Endometrial Cancer:
- Unusual bleeding or spotting, especially after sexual intercourse. This often occurs after menstrual activity has ceased for 12 months or more. A watery or blood-streaked vaginal discharge may precede bleeding or spotting.
- Uterine cramping, pelvic pain. Pain during intercourse.
- Trouble or difficulty urinating. Painful urination.
- Enlarged uterus. It is sometimes a large enough mass to be felt externally.
Later Stages Endometrial Cancer:
- Spread to other organs, causing abdominal pain, chest pain and weight loss.
Possible signs of uterine sarcoma include:
- Abnormal bleeding from the vagina, Bleeding that is not part of menstrual periods.
- Bleeding after menopause.
- A mass in the vagina.
- Pain or a feeling of fullness in the abdomen.
- Frequent urination.
CAUSES
Exact cause is unknown. Estrogen levels are implicated.
RISK INCREASES WITH
Diabetes mellitus.
Obesity.
High blood pressure (hypertension).
Use of estrogen without also using progesterone in hormone replacement therapy (HRT). Endometrial cancer may develop in breast cancer patients who have been treated with tamoxifen. A patient taking this drug should have a pelvic exam every year and report any vaginal bleeding (other than menstrual bleeding) as soon as possible. Women taking estrogen (a hormone that can affect the growth of some cancers) alone have an increased risk of developing endometrial cancer. Taking estrogen in combination with progesterone (another hormone) does not increase a woman's risk of this cancer.
History of breast or ovarian cancer.
Family history of endometrial cancer.
History of uterine polyps, menstrual cycles without ovulation, or other signs of hormone imbalance.
Being exposed to x-rays can increase the risk of developing uterine sarcoma. Past treatment with radiation therapy to the pelvis is a risk factor for uterine sarcoma.
PREVENTIVE MEASURES
Pelvic examinations every 6 to 12 months (cannot prevent cancer, but may aid in early detection when treatment is more effective). Examinations are especially important for women with risk factors listed above.
Obtain medical health care for any uterine bleeding or spotting after menopause.
Good general health measures to control diabetes, high blood pressure and maintain ideal body weight.
EXPECTED OUTCOME
Certain factors affect prognosis (chance of recovery) and treatment options.The prognosis (chance of recovery) and treatment options depend on the following:
- The stage of the cancer. Whether it is in the endometrium only, involves the whole uterus, or has spread to other places in the body.
- Whether the endometrial cancer cells are affected by progesterone.
- The type and size of the tumor and/or how the cancer cells look under the microscope.
- The patient's general health.
- Whether the cancer has just been diagnosed or has recurred (come back).
Endometrial cancer is highly curable. With early diagnosis and treatment, 90% of women survive uterine sarcoma at least 5 years. Older women and delayed diagnosis have a poorer prognosis.
POSSIBLE COMPLICATIONS
Those complications that are involved with major abdominal surgery or invasive diagnostic testing.
If bleeding is untreated, severe anemia may occur.
Spread of cancer to the bladder, rectum and distant organs, which could be fatal.
Treatment failure or recurrence of the cancer.
TREATMENT
GENERAL MEASURES
Diagnostic tests may be numerous, first to diagnose the cancer, and the to determine any spread to other body organs (staging). Testing may include laboratory blood studies, Pap smear, chest x-ray, CT scan, mammogram, barium enema, MRI, vaginal ultrasound, endometrial biopsy, dilation & curettage (D&C) .
ENDOMETRIAL UTERINE CANCER
Tests that examine the endometrium are used to detect (find) and diagnose endometrial cancer. Because endometrial cancer begins inside the uterus, it does not usually show up in the results of a Pap test. For this reason, a sample of endometrial tissue must be removed and examined under a microscope to look for cancer cells. One of the following procedures may be used:
- Endometrial biopsy: The removal of tissue from the endometrium (inner lining of the uterus) by inserting a thin, flexible tube through the cervix and into the uterus. The tube is used to gently scrape a small amount of tissue from the endometrium and then remove the tissue samples. A pathologist views the tissue under a microscope to look for cancer cells.
- Dilatation and curettage: A surgical procedure to remove samples of tissue or the inner lining of the uterus. The cervix is dilated and a curette (spoon-shaped instrument) is inserted into the uterus to remove tissue. Tissue samples may be taken for biopsy. This procedure is also called a D&C.
After endometrial cancer has been diagnosed, tests are done to find out if cancer cells have spread within the uterus or to other parts of the body. The process used to find out whether the cancer has spread within the uterus or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. Certain tests and procedures are used in the staging process. A hysterectomy (an operation in which the uterus is removed) will usually be done to help find out how far the cancer has spread. The following stages are used for endometrial cancer:
Stage I
In stage I, cancer is found in the uterus only. Stage I is divided into stages IA, IB, and IC, based on how far the cancer has spread.
- Stage IA: Cancer is in the endometrium only.
- Stage IB: Cancer has spread into the inner half of the myometrium (muscle layer of the uterus).
- Stage IC: Cancer has spread into the outer half of the myometrium.
Stage II
In stage II, cancer has spread from the uterus to the cervix, but has not spread outside the uterus. Stage II is divided into stages IIA and IIB, based on how far the cancer has spread into the cervix.
- Stage IIA: Cancer has spread to the glands where the cervix and uterus meet.
- Stage IIB: Cancer has spread into the connective tissue of the cervix.
Stage III
In stage III, cancer has spread beyond the uterus and cervix, but has not spread beyond the pelvis. Stage III is divided into stages IIIA, IIIB, and IIIC, based on how far the cancer has spread within the pelvis.
- Stage IIIA: Cancer has spread to one or more of the following:
- The outermost layer of the uterus; or
- Tissue just beyond the uterus; or
- The peritoneum.
- Stage IIIB: Cancer has spread beyond the uterus and cervix, into the vagina.
- Stage IIIC: Cancer has spread to lymph nodes near the uterus.
Stage IV
In stage IV, cancer has spread beyond the pelvis. Stage IV is divided into stages IVA and IVB, based on how far the cancer has spread.
- Stage IVA: Cancer has spread to the bladder and/or bowel wall.
- Stage IVB: Cancer has spread to other parts of the body beyond the pelvis, including lymph nodes in the abdomen and/or groin.
UTERINE SARCOMA
Tests that examine the uterus are used to detect (find) and diagnose uterine sarcoma. The following tests and procedures may be used:
- Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient's health habits and past illnesses and treatments will also be taken.
- Pelvic exam: An exam of the vagina, cervix, uterus, fallopian tubes, ovaries, and rectum. The health care provider inserts one or two lubricated, gloved fingers of one hand into the vagina and the other hand is placed over the lower abdomen to feel the size, shape, and position of the uterus and ovaries. A speculum is also inserted into the vagina and the health care provider looks at the vagina and cervix for signs of disease. A Pap test or Pap smear of the cervix is usually done. The health care provider also inserts a lubricated, gloved finger into the rectum to feel for lumps or abnormal areas.
- Pap test: A procedure to collect cells from the surface of the cervix and vagina. A piece of cotton, a brush, or a small wooden stick is used to gently scrape cells from the cervix and vagina. The cells are viewed under a microscope to find out if they are abnormal. This procedure is also called a Pap smear. Because uterine sarcoma begins inside the uterus, this cancer may not show up on the Pap test.
MoonDragon's Obgyn Procedures: Pap Smear - Pictorial Description
- Dilatation and curettage: Surgery to remove samples of tissue or the inner lining of the uterus. The cervix is dilated and a curette (spoon-shaped instrument) is inserted into the uterus to remove tissue. Tissue samples may be taken and checked under a microscope for signs of disease. This procedure is also called a D&C.
- Endometrial biopsy: The removal of tissue from the endometrium (inner lining of the uterus) by inserting a thin, flexible tube through the cervix and into the uterus. The tube is used to gently scrape a small amount of tissue from the endometrium and then remove the tissue samples. A pathologist views the tissue under a microscope to look for cancer cells.
Treatment (surgery, radiation, hormonal therapy, and chemotherapy) may involve one or a combination of therapies depends on the extent of the disease.
Surgery may include removal of the uterus and, usually, the ovaries and fallopian tubes.
Psychotherapy or counseling for depression may be recommended.
After uterine sarcoma has been diagnosed, tests are done to find out if cancer cells have spread within the uterus or to other parts of the body. The process used to find out if cancer has spread within the uterus or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. The following procedures may be used in the staging process:
- Transvaginal ultrasound exam: A procedure used to examine the vagina, uterus, fallopian tubes, and bladder. An ultrasound transducer (probe) is inserted into the vagina and used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. The doctor can identify tumors by looking at the sonogram.
- CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, such as the abdomen and pelvis, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues to show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography.
- Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body.
- Blood chemistry studies: A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by organs and tissues in the body. An unusual (higher or lower than normal) amount of a substance can be a sign of disease in the organ or tissue that makes it.
- CA 125 assay: A test that measures the level of CA 125 in the blood. CA 125 is a substance released by cells into the bloodstream. An increased CA 125 level is sometimes a sign of cancer or other condition.
- Cystoscopy: A procedure to look inside the bladder and urethra to check for abnormal areas. A cystoscope is inserted through the urethra into the bladder. A cystoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove tissue samples, which are checked under a microscope for signs of cancer.
- Sigmoidoscopy: A procedure to look inside the rectum and sigmoid (lower) colon for polyps, abnormal areas, or cancer. A sigmoidoscope is inserted through the rectum into the sigmoid colon. A sigmoidoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove polyps or tissue samples, which are checked under a microscope for signs of cancer.
- Barium enema: A series of x-rays of the lower gastrointestinal tract. A liquid that contains barium (a silver-white metallic compound) is put into the rectum. The barium coats the lower gastrointestinal tract and x-rays are taken. This procedure is also called a lower GI series.
Uterine sarcoma may be diagnosed, staged, and treated in the same surgery.
Surgery is used to diagnose, stage, and treat uterine sarcoma. During this surgery, the health care provider removes as much of the cancer as possible. The following procedures may be used to diagnose, stage, and treat uterine sarcoma:
- Laparotomy: A surgical procedure in which an incision (cut) is made in the wall of the abdomen to check the inside of the abdomen for signs of disease. The size of the incision depends on the reason the laparotomy is being done. Sometimes organs are removed or tissue samples are taken and checked under a microscope for signs of disease.
- Abdominal and pelvic washings: A procedure in which a saline solution is placed into the abdominal and pelvic body cavities. After a short time, the fluid is removed and viewed under a microscope to check for cancer cells.
- Total abdominal hysterectomy: A surgical procedure to remove the uterus and cervix through a large incision (cut) in the abdomen.
- Bilateral salpingo-oophorectomy: Surgery to remove both ovaries and both fallopian tubes.
- Lymphadenectomy: A surgical procedure in which lymph nodes are removed and examined to see whether they contain cancer. This procedure is also called lymph node dissection. For a regional lymph node dissection, some of the lymph nodes in the tumor area are removed. For a radical lymph node dissection, most or all of the lymph nodes in the tumor area are removed.
Treatment in addition to surgery may be given.
The following stages are used for uterine sarcoma:
Stage I
In stage I, cancer is found in the uterus only. Stage I is divided into stage IA, stage IB, and stage IC, based on how far the cancer has spread.
- Stage IA: Cancer is in the endometrium only.
- Stage IB: Cancer has spread into the inner half of the myometrium (muscle layer of the uterus).
- Stage IC: Cancer has spread into the outer half of the myometrium.
Stage II
In stage II, cancer has spread from the uterus to the cervix. Stage II is divided into stage IIA and stage IIB, based on how far the cancer has spread.
- Stage IIA: Cancer has spread to the glands where the cervix and uterus meet.
- Stage IIB: Cancer has spread into the connective tissue of the cervix.
- Stage III
In stage III, cancer has spread beyond the uterus and cervix, but has not spread beyond the pelvis. Stage III is divided into stage IIIA and stage IIIB, based on how far the cancer has spread within the pelvis.
- Stage IIIA: Cancer has spread to one or more of the following:
- The outermost layer of the uterus; and/or
- Tissues just beyond the uterus; and/or
- The peritoneum.
- Stage IIIB: Cancer has spread to lymph nodes in the pelvis and/or near the uterus.
Stage IV
In stage IV, cancer has spread beyond the pelvis. Stage IV is divided into stage IVA and stage IVB, based on how far the cancer has spread.
- Stage IVA: Cancer has spread to the lining of the bladder and/or bowel.
- Stage IVB: Cancer has spread to other parts of the body beyond the pelvis, including lymph nodes in the abdomen and/or groin.
Additional information available from: The American Cancer Society
(800) ACS-2345
Web site: http://cancer.org
or
National Cancer Institute
(800) 4-CANCER
Web site: www.nci.nih.gov.
MEDICATION
Anticancer drugs, including cortisone drugs.
Hormone therapy may be prescribed.
Antibiotic therapy, if needed for infection.
ACTIVITY
Resume your normal activities as soon as symptoms improve after treatment. In most cases, full sexual activity may be resumed after therapy.
Walk regularly. One study found that a moderate amount of brisk walking (a minimum of a mile a day, six days a week) reduces the risk of endometrial cancer. It is not necessary to go for long distances, since the beneficial effect of walking does not increase beyond a mile a day.
DIET
No special diet after treatment, but pay special attention to your diet and eat a well-balanced diet even if you lose your appetite from radiation or drug therapy. Vitamin and mineral supplements are helpful.
Avoid alcohol, caffeine, animal fats, butter, dairy products, fried foods, foods that contain additives, all hardened fats, poultry (except organically raised and skinless chicken or turkey), refined and processed foods, salt, shellfish, and sugar.
Diets rich in soy products are associated with lower rates of various types of cancer, including endometrial cancer. Soy foods include miso and tofu.
Proper nutritional requirements for cervical and endometrial cancer are very similar. Follow suggestions for an ESTROGEN-REDUCING DIET.
ESTROGEN-REDUCING DIET
A proper diet can reduce lifetime exposure to estrogen, which in turn can reduce the risk of a variety of disorders, including breast cancer, endometriosis, and fibrocystic breast disease. Both proper nutrition and reduced estrogen exposure are important considerations for a person who has or has had an estrogen-influenced disorder. You can reduce your lifetime exposure to estrogen by making the following dietary changes:
- Reduce your overall calorie intake: Reducing calorie consumption increases levels of a hormone called SHBG, which keeps estrogen from stimulating the growth of healthy and cancerous cells in the breast. Scientists believe that calorie reduction has the same effect on other estrogen-influenced disorders. Calorie reduction is not recommended, however, during chemotherapy or radiation treatment.
- Eat more whole grains, legumes, and berries, and more fiber-rich foods in general. Fiber increases the rate at which estrogen is excreted from the body. Also, some experts believe that simply adding fiber to the diet can reduce the risk of breast cancer by 75 to 80 percent.
Fiber in the intestine keeps excreted estrogen byproducts from being reassembled by bacteria and reabsorbed into the bloodstream. Because the effects of estrogen are cumulative, the benefits of fiber are also cumulative - eating fiber-rich foods confers lifetime reduction of breast cancer risk. For this effect, it is necessary to eat at least 10 to 20 grams of fiber daily, which is difficult without eating high-fiber cereals. If high-fiber cereal is unpalatable, mix it with regular cereal. Use skim milk in your cereal rather than whole milk to reduce fat consumption.
- Reduce your fat consumption but do not completely exclude healthy fats from your diet. Low-fat diets do not decrease estrogen production but do increase estrogen excretion through the urine. Low-fat diets also tend to include a lot of fruits and vegetables, many of which contain compounds that protect against cancer.
Note, however, that some kinds of fat are cancer protective. Omega-3 essential fatty acids from fish oils have shown to reduce the risk of breast cancer. Eating two to three servings a week of salmon, tuna, sardines, or other cold-water fish, or taking fish-oil capsules confers this benefit. In laboratory studies, cancer cells grown in the same test tube as healthy cells without essential fatty acids overtake the cancer cells. Olive oil and similar mono unsaturated fats also substantially reduce the risk of breast cancer, but include them in your diet in moderation.
- If you are overweight, lose weight. Gradual weight loss after menopause reverses the effects of estrogen overexposure.
- Use acidophilus supplements. While the liver breaks down estrogen before sending it to the digestive tract for elimination., bacteria in the intestines can turn these breakdown products back into estrogen. The hormone can then be reabsorbed through the intestinal wall. Taking Lactobacillus acidophilus supplements daily can provide your body with the beneficial microbes that compete with the estrogen forming bacteria.
BENEFICIAL HERBAL RECOMMENDATIONS
Some herbal therapies for endometrial cancer counteract estrogen and support the immune system. Others supplement conventional treatments. Always use herbal medicine as part of a medically directed overall treatment plan for endometrial cancer.
Alfalfa: Take in tablet, extract, or tincture form or drink as an herbal green tea. If using tablets or liquid extract, follow directions on label. Alfalfa is a good food source of vitamin K and needed minerals, including iron. Alfalfa supplements come in various forms and is an ingredient in many products. Powdered Alfalfa contains vitamins A, B-1, B-6, B-12, C, E, & K-1, niacin, pantothenic acid, biotin, folic acid and many essential and nonessential amino acids. The powdered form also contains high amounts of calcium, phosphorus, manganese, iron, zinc, and copper. The recommended dose is 500 to 1,000 mg of the dried leaf per day or 1-2ml of tincture. For tablets or capsules it is best to read and follow product label directions. Here are a couple of examples of some dosages:
- The recommended dose is 500 to 1,000 mg of the dried leaf per day or 1-2ml of tincture.
- Alfalfa for tea - 1 to 2 teaspoons per cup, steeped in boiling water for 10 to 20 minutes
- Fluid extract, 30 - 60ml / week
Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps
Alfalfa, NOW Foods, 650 mg (10 grain), 500 Tabs
Alfalfa Tincture, 100% Organic, 2 fl. oz.
Alfalfa Leaf Root (Medicago sativa) Powder, Kosher, 4 oz. Bulk
Astragalus: Astragalus Root slows the spread of cancer; activates T and NK cells. It can be taken in capsule, tincture, or herbal form. Tincture Dosage: 1 to 1-1/2 teaspoons (4-6 ml) in 1/4 water 3 times daily. Do not use astragalus if you have a fever or a skin infection.
Astragalus Root, Nature's Way, 470 mg, 180 Vcaps
Astragalus Root Tincture, 100% Organic, 2 fl. oz.
Astragalus Root (Astragalus Membranaceus) Powder, 4 oz. Bulk
Cat's Claw: Raises T cell counts. Cat's claw can be taken in tincture form. Take dose as recommended on the label in 1/2 cup water with 1 teaspoon lemon juice. Do not take Cat's claw if you have to take insulin for diabetes. Do not use if you are pregnant or nursing.
Cat's Claw Bark, Nature's Way, 485 mg, 100 Caps
Cat's Claw Tea Spice System Builder, Regular, 100% Organic, Loose Leaf, 8 oz. - Reduces inflammation in arthritis, protects the body from harmful substances, supports the body while undergoing cancer treatments, helps to boost the immune system.
Cat's Claw Tincture, 100% Organic, 2 fl. oz.
Cat's Claw Bark (Uncaria tomentosa) Powder, 4 oz. Bulk
Chamomile: German Chamomile (Matricaria recutita) contains chemicals that prevent cancer cells from anchoring to new sites. German chamomile tea can be prepared with 1 bag per 1 cup hot water. Take 1 cup, 2-3 times daily.
Chamomile Flowers; German Chamomile, Nature's Way, 350 mg, 100 Caps
Chamomile Tincture, 100 % Organic, 2 fl. oz
Chamomile Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Chamomile Standardized Extract, Nature's Way, 345 mg, 60 Caps
Garlic: Garlic retards angiogenesis and metastasis. Use fresh garlic, garlic oil tincture, or enteric-coated tablets. Take at least 900 mg a day. Garlic counteracts the effects of Bifidus and lactobacillus cultures taken as digestive aids. Do not take these supplements at the same time. Precaution: Consult a health care provider before using garlic on a regular basis if you are on an anticoagulant drug, such as warfarin (Coumadin). Discuss the use of garlic with your health care provider before having any type of surgery.
Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps
Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz
Every Day Garlic Supplement, Kwai, 30 Tabs - Kwai Every Day contains all the constituents of naturally grown Chinese garlic cloves the most potent form of garlic in an enteric coated tablet to ensure odor control and tolerability. Each concentrated Kwai tablet is equivalent to 1350 mg of fresh high grade garlic yielding 2700 mcg of allicin, a primary active constituent of garlic.
Green Tea: Green tea contains polyphenols, which block estrogen from tumors. Use as tea bag form, prepared with 1 cup of hot water. Take 1 cup 3 times daily, To avoid dilution, do not use within one hour of taking other medications.
Green Tea Extract, Standardized Green Tea Supplement, Nature's Way, 170 mg, 60 Vcaps
Green Tea, 100% Darjeeling Green Tea, NOW Foods, 30 Tea Bags
Green Tea, Premium Chinese, 100 Tea Bags
Coriolus Mushroom PSP Extract, 400 mg, 90 Vcaps - Rich in polysaccharides and other immune boosting compounds, the high potency extract contains both PSK and PSP, the most active components in Coriolus, and some of the first all natural extracts used in Traditional Chinese Medicine to be fully backed by modern clinical research. Clinical Research: The research suggests that the polysaccharide portion of the extract may enhance the cell-mediated immune response. Although the mechanism of action is not clearly understood, the 1-4, 1-3 proteoglycans act as a biological response modifier and have been found to support and enhance Natural Killer cell function, to stimulate depressed lymphocyte proliferation, and to support the healthy growth of white blood cells. Also, the research shows these constituents to be effective in supporting normal cell growth, improving cell-mediated cytotoxicity, and increasing interleukin-2 production and T-cell proliferation. Polysaccharide kureha (PSK) is shown to increase 3 and 5 year survival rates. Take 6,000 mg daily or follow direction on the label.
Soy Isoflavones with Digestive Enzymes, NON-GMO SoyLife, 500 mg, 100 Caps - Soy isoflavones provide gentle estrogen-like activity. This product contains special digestive enzymes to prevent discomforts often associated with consuming soy. Contains genistein, which inhibits growth of estrogen-dependent cancers. Tablets: Take about 3,000 mg once daily or follow label instructions.
Anti-Cancer Formula, 100% Organic, 16 fl. oz. - The Anti Cancer Formula builds the immune system and adds many anti-tumor constituents to help fight cancer. Suggested Dosage or Use: Start with 1 and 1/2 teaspoons in juice or water, 3 times daily. Dosage may be increased to 1 tablespoon plus 1 teaspoon 3 times a day. Shake well. Store in cool, dark place. Keep out of reach of children.
HERBS TO AVOID
Individuals who have endometrial cancer should avoid the following herbs: cordyceps, dan shen, fennel seed, licorice, peony.
Mountain Rose Bulk Herbs
Mountain Rose Aromatherapy Oils
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Mountain Rose Herbs, Aromatherapy Oils C-E
Mountain Rose Herbs, Aromatherapy Oils F-L
Mountain Rose Herbs, Aromatherapy Oils M-P
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Mountain Rose Herbs, Aromatherapy Oils: Oil Blends & Resins
Mountain Rose Herbs, Aromatherapy Oils: Diffusers, Nebulizers, & Burners
Mountain Rose Herbs, Aromatherapy Oils: Oil Kits
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NOTIFY YOUR HEALTH CARE PROVIDER IF...
You or a family member has symptoms of uterine cancer.
The following occur at the treatment site after surgery:
- Signs of infection, such as increasing pain, muscle aches, fever, headache and swelling.
- Excessive bleeding (soaking a pad or tampon at least once an hour).
- New, unexplained symptoms develop. Drugs used in treatment may produce side effects.
