I was 50 and hadn't yet begun menopause. One day I saw a spotting of blood, nothing much, on my underwear. I mentioned it to older siblings and they said it's probably perimenopause symptoms. Then I didn't get it again for several weeks. The next time there was a bit more blood so I called the insurance company nurse. She said maybe go get it checked out but maybe it was perimenopausal symptoms. So I didn't go. At that time I had a sinus infection so I went to get it checked and the nurse practitioner asked me questions about whether I had begun menopause yet because of my age. I then told her about the spotting and said it's probably perimenopause...she said maybe not. You should go to the gynecologist. I thought she was being overly cautious so didn't go. Shortly after, my sister, three years older, was diagnosed with stage IV breast cancer, metastasized in her bones and liver. It was too advanced by this time to do much. That was my wake up call. I went to my gynecologist who seem perturbed that I came for a biopsy for just some spotting. But he had to do it. About 5 days later he called and said it came out positive for endometrial cancer. I then had a radical hysterectomy, no chemo or radiation. I send you my best wishes .