In the attempts to detect the possibility of endometrial cancer, you will be asked to discuss your symptoms with the doctor. You will also be inquired about your medical history and the prevalence of endometrial cancer in your family. You will then undergo a physical examination including a pelvic exam to assess for any unusual swelling in the pelvic region. For further investigations, you may be asked to undertake either a pelvic ultrasound and/or a transvaginal ultrasound. If any irregularities are noticed in the ultrasound, the doctor will obtain a sample of your endometrial tissue through endometrial biopsy, hysteroscopy or dilation and curettage (D&C). If the diagnosis reports the presence of cancerous cells, the cancer is then graded on a scale of 1 to 3, a lower grade signifying a less advanced disease. In the case of cancer spread, the doctor will ask you to undergo additional tests to assess the spread to the body tissues.