How can I effectively counsel patients about the potential side effects and benefits of treatment options for endometrial cancer?

Effective counselling for patients with endometrial cancer should include clear communication about the benefits and potential side effects of treatment options.

Explain the treatment modalities available, such as surgery (including hysterectomy), radiotherapy, and systemic therapies, tailored to the stage and individual patient factors.

Discuss the benefits of surgery, which may be curative especially in early-stage disease, but also cover the implications such as loss of fertility, impact on sexual function, bladder function, and potential psychological effects.

Inform patients about the risks and side effects of treatments, including surgical complications and the possibility of needing further treatment.

For women considering hormonal treatments (e.g., tamoxifen if relevant), advise on the small but significant risks such as endometrial cancer and thromboembolic events, and the importance of reporting symptoms like abnormal vaginal bleeding promptly.

Highlight the importance of shared decision-making, ensuring patients understand the balance between treatment benefits and risks, and provide written information and support resources.

Encourage discussion about fertility preservation if relevant, and the need for contraception during certain treatments.

Refer patients to specialist care for detailed management and monitoring of adverse effects.

This approach aligns with NICE guidance on patient information, shared decision-making, and management of endometrial and related cancers.