Could Your Ultrasound Miss Cancer? What Every Woman Needs to Know.

Could Your Ultrasound Miss Cancer? What Every Woman Needs to Know.

From Lady Parts Doctor by Dr. Stephanie Hack, MD/MPH, FACOG

April 28, 2026 · 25 min

About this episode

Dr. Stephanie Hack discusses the limitations of ultrasound in detecting uterine cancer and the new ACOG guidelines.

What if the test meant to reassure you… could actually miss cancer? Bleeding after menopause is often the first—and sometimes only—warning sign of uterine cancer, yet new evidence shows the way we’ve been evaluating it may not be enough. In this must-listen episode, Dr. Stephanie Hack, MD, MPH breaks down the latest ACOG guidelines that are reshaping care, explaining why ultrasound alone can miss serious disease and what should happen instead. If you’ve ever been told “everything looks normal,” or you care about a woman who has—this episode could change what happens next. REFERENCES ACOG Clinical Practice Update (2026): Updated Guidance Regarding the Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Individuals With Postmenopausal Bleeding American Cancer Society: Endometrial Cancer Statistics https://www.cancer.org/cancer/types/endometrial-cancer/about/key-statistics.html AACR (American Association for Cancer Research): Uterine Cancer Projections https://www.aacr.org/about-the-aacr/newsroom/news-releases/u-s-uterine-cancer-incidence-and-mortality-rates-expected-to-significantly-increase-by-2050/ NCBI/StatPearls: Endometrial Cancer Overview…

People in this episode

Host: Dr. Stephanie Hack

Topics covered

  • ultrasound
  • cancer detection
  • uterine cancer
  • postmenopausal bleeding
  • ACOG guidelines

Keywords

  • ultrasound
  • uterine cancer
  • postmenopausal bleeding
  • ACOG guidelines
  • cancer detection

Mentioned in this episode

Organizations: ACOG, American Cancer Society, AACR, NCBI

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