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The first sign is most often vaginal bleeding not associated with a menstrual period. Other symptoms include pain with urination or sexual intercourse, or pelvic pain. Endometrial cancer occurs most commonly after menopause. The signs and symptoms of endometrial cancer include: Vaginal bleeding after menopause Bleeding between periods An abnormal, watery or blood-tinged discharge from your vagina Pelvic pain Pain during intercourse Approximately 40% of cases are related to obesity.