That’s a million dollar question unfortunately all you can do is be proactive and make sure you get all your check ups. I had uterus cancer 2009 recurrence in 2016 after being told I was cancer free and there was only a 1% chance of recurrence. It never occurred to me that I would be in the 1%. I had my hysterectomy in Texas and we moved back to California. I went to 3 gynecologists but not one of them would use a speculum because of my low risk, fourth doctor I insisted and she said ok but I doubt you will have anything, WRONG.. recurrence. I had to have radiation and brachytherapy. If you learn anything from this don’t rely on your doctors they don’t always know what the right thing is for you? Just be PROACTIVE it will save your life. My new gynecologist oncologist is very through but at my last visit she mentioned a doctor that would be joining her group I said he was one of the doctors who wouldn’t use a speculum…..what could she say?