Your gift is 100% tax deductible.
After Treatment for Uterine Sarcoma
For some people with uterine sarcoma, treatment can remove or destroy the cancer. Completing treatment can be both stressful and exciting. People might be relieved to finish treatment but find it hard not to worry about cancer coming back.
For other people, the cancer might never go away completely. They might get regular treatments to help keep the cancer in check. Learning to live with cancer that does not go away can be difficult, but many people find ways to manage their health and maintain a good quality of life.
Follow-up care
During and after treatment, it’s very important to go to all your follow-up appointments. During these visits, your cancer care team will watch for signs of uterine sarcoma coming back (recurrence), as well as any side effects of the treatments you’ve had.
Talk with your doctor about developing a survivorship care plan for you. This plan can guide your next steps after treatment, including follow-up appointments and ways to stay healthy.
What’s usually in a survivorship care plan
A survivorship care plan might include:
- A summary of the diagnosis, tests done, and treatments given
- A suggested schedule for follow-up exams and tests
- A schedule for other tests you might need in the future, such as tests to look for long-term health effects from your cancer or its treatment
- A list of possible late or long-term side effects from your treatment, including what to watch for and when you should contact your healthcare team
- Diet and physical activity suggestions
- Reminders to see your primary care provider (PCP) for routine healthcare and cancer screening
What to expect
Follow-up visits often include careful physical exams and tests such as blood work or imaging. How often you follow up with your care team will depend on your cancer, its response to treatment, and other factors.
For example, almost any cancer treatment can have side effects. Some might last only a short time, but others can last longer or might not show up until months or years later. It’s important to report any new symptoms to your cancer care team right away, so that they can find a cause and treat it if needed.
Questions to ask your care team
- Do I need a special diet after treatment?
- Are there any limits on what I can do?
- What other symptoms should I watch for?
- What kind of exercise should I do now?
- What type of follow-up will I need after treatment?
- How often will I need to have follow-up exams and imaging tests?
- Will I need any blood tests?
- How will we know if the cancer has come back? What should I watch for?
- What will my options be if the cancer comes back?
Staying prepared and organized
Even after treatment, it’s very important to stay organized and on top of your health. Keeping your records and health insurance coverage in order makes it easier to manage your follow-up care, future checkups, and any new concerns that might come up.
Keep your health insurance
It’s very important to keep your health insurance. Insurance can help cover the cost of follow-up visits, tests, and any care you might need in the future. No one wants to think about their cancer coming back, but it’s best to be prepared.
Save your medical records
At some point after your treatment, you might see a new doctor who doesn’t know your cancer history. Keep copies of your medical records so you can easily share the details of your diagnosis and treatment.
Late and long-term effects of treatment
People who are treated for uterine sarcoma can be at risk for several health problems after treatment.
It’s important to ask your cancer care team what health problems you might have, so you know what to watch for. The earlier problems are recognized, the more likely they can be treated. Your risk will depend on a few factors, including the types and doses of treatments you received.
Adopting healthy behaviors such as not smoking, eating well, getting regular physical activity, and staying at a healthy weight might help prevent long-term health problems.
Many people with uterine sarcoma have a bilateral salpingo-oophorectomy or BSO, which is a procedure to remove the ovaries and fallopian tubes. If this procedure occurs prior to menopause, it can cause infertility and early menopause.
Certain chemo medicines, such as ifosfamide and dacarbazine, can also affect ovarian health if the ovaries are not removed as a part of treatment.
Symptoms
Common symptoms include fatigue, hot flashes, night sweats, vaginal dryness, reduced sex drive and pleasure, bone loss, and changes in mood. These symptoms can also occur if you are taking hormone-blocking therapy to treat your cancer after surgery, which is often the case for people with low-grade ESS.
Treatment
Being physically active, maintaining a healthy weight, and avoiding certain things, such as caffeine, in your diet might help with some of the symptoms related to changes in hormones.
Menopausal hormone therapy (MHT) prescribed for treating these symptoms might increase your risk of cancer, depending on your type of uterine sarcoma and its hormone receptor status. Talk with your cancer care team before trying any hormone treatments.
Cancer treatments such as chemo and radiation can be an important part of treating cancer, but they can also increase your chance of developing another cancer later in life.
Radiation treatments to the pelvis can increase the risk of developing a cancer in the pelvic area, such as colorectal or bladder cancer. Doctors use the least amount of treatment needed to avoid this when possible. However, if you develop changes in bowel habits, blood in the urine or stool, or other symptoms after treatment, it is important to find a cause and treat these symptoms, if needed.
Survivors of uterine sarcoma can get any type of second cancer, but they have an increased risk of:
- Breast cancer
- Colon cancer
- Rectal cancer
- Small intestine cancer
- Bladder cancer
- Vaginal cancer
- Soft tissue cancer
- Acute leukemia
Colon and breast cancers are the second cancers seen most often.
Adopting healthy behaviors such as not smoking, eating well, getting regular physical activity, and staying at a healthy weight can help you stay healthy and lower your risk of getting another cancer. These habits might also lower the risk of other health problems.
Anthracycline chemo drugs (epirubicin, doxorubicin, liposomal doxorubicin) can cause heart problems. If your treatment includes anthracyclines, echocardiograms to look at the strength of the heart muscle are recommended to catch and treat problems early.
People treated with platinum chemotherapy, such as cisplatin, are at increased risk of developing hearing problems.
During and after treatment, you might have a test called an audiogram to assess any damage from chemo. If hearing has been affected by chemotherapy, your cancer team might recommend seeing a hearing specialist, called an audiologist, to discuss hearing aids.
Your kidneys can be affected by:
- Chemo drugs like cisplatin or ifosfamide
- Radiation to the abdomen
Your cancer care team might recommend regular kidney function testing to find and manage any problems after treatment.
Some people can develop neuropathy (damage to the nerves that control how the body moves and feels) after treatment with drugs like cisplatin. Symptoms of neuropathy, like numbness, pain, or tingling, might get better once treatment is stopped, but sometimes they can be permanent.
If the cancer comes back
If the cancer does return at some point, your treatment options will depend on where the cancer is, what treatments you’ve had before, and your health. For more information on how recurrent cancer is treated, see Treatment for Uterine Sarcoma by Type.
For more general information, see Understanding Recurrence.
Social and emotional health after cancer
Some amount of feeling depressed, anxious, or worried is normal when cancer is a part of your life. Changes in hormones after cancer treatment can make these feelings more intense.
Some feelings might last a long time and can include:
- Dealing with any physical changes that happen because of treatment
- Worrying about the cancer returning or new health problems developing
- Being treated differently or discriminated against by friends, partners, coworkers, employers, and others
You might also feel:
- Resentful for having had cancer
- Resentful for going through treatment when others didn’t have to
- Guilty for surviving cancer when other friends with cancer did not
If your feelings are getting in the way of your daily life, consider reaching out for support. The American Cancer Society is here to help. The National Cancer Information Center is available 24/7 at 1-800-227-2345 to discuss support resources in your community.
- Written by
- References
Developed by the American Cancer Society medical and editorial content team with medical review and contribution by the American Society of Clinical Oncology (ASCO).
Carter J, Chi DS, Brown CL, et al. Cancer-related infertility in survivorship. Int J Gynecol Cancer. 2010;20(1):2-8.
Gaillard S, Secord A. Endometrial stromal sarcomas, related tumors, and uterine adenosarcoma. UpToDate. 2026. Accessed at https://www.uptodate.com/contents/endometrial-stromal-sarcomas-related-tumors-and-uterine-adenosarcoma on February 17, 2026.
Hensley M, Leitao M. Treatment and prognosis of uterine leiomyosarcoma. UpToDate. 2026. Accessed at https://www.uptodate.com/contents/treatment-and-prognosis-of-uterine-leiomyosarcoma on February 17, 2026.
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Survivorship 3.2025 – February 2, 2026. Accessed at https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf on March 17, 2026.
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Uterine Neoplasms Version 2.2026 – November 14, 2025. Accessed at https://www.nccn.org/professionals/physician_gls/pdf/uterine.pdf on February 17, 2026.
Last Revised: June 9, 2026
American Cancer Society medical information is copyrighted material. For reprint requests, please see our Content Usage Policy.
American Cancer Society Emails
Sign up to stay up-to-date with news, valuable information, and ways to get involved with the American Cancer Society.