There can be no doubt that oestrogen can alter the behaviour of this tumour but there is still a question about oestrogen as a primary causal agent Approximately 75%of cases of endometrial cancer occur in the postmenopausal period when estrogen values are low and progesterone is absent. Nulliparity and Pco syndrome(with defective progesterone synthesis ) carry an increased risk 2003-10-27 Carcinoma of the endometrium 52003-10-27 Carcinoma of the Endometrium 5 There can be no doubt that oestrogen can alter the behaviour of this tumour but there is still a question about oestrogen as a primary causal agent. Approximately 75%of cases of endometrial cancer occur in the postmenopausal period when estrogen values are low and progesterone is absent.Nulliparity and PCO syndrome(with defective progesterone synthesis)carry an increased risk.