Endometrial cancer is cancer which occur on the inner lining of the uterine cavity. It commonly occur in elderly women who had their menopause. They clinically present as per vaginal bleeding or else if they are still having their menstrual cycle they can have heavily menstrual bleeding but most common thing is bleeding after having the menopause. There are several risk factors like obesity, polycystic ovarian syndrome, subfertility, late menopause.And there is association with metabolic syndrome with endometrial cancer. If an elderly women present with per vaginal bleeding it is vital to carry out investigations to exclude this.Here treatment is based on the stage of the cancer.