Provide structured, evidence-based post-treatment follow-up, including schedules, clinical assessment and imaging, to monitor treatment response and support ongoing care.
A gynaecological oncologist and/or radiation oncologist should lead follow-up care. They should conduct symptom review and clinical examination, including speculum and pelvic examination, at each visit. Alternating care between 2 subspecialists is recommended to support comprehensive care management.
Schedule follow-up every:
- 3 months for the first 2 years
- 6 months between years 3 and 5
- 12 months, thereafter.
Perform positron emission tomography–computed tomography (PET-CT) at 3 and 12 months after radiotherapy to assess treatment response.
Undertake additional imaging at the treating clinician's discretion based on clinical findings or symptoms. Perform abdomino-pelvic CT scans or PET imaging if recurrence is suspected and reviewed all findings at a multidisciplinary team meeting to guide management.
Aim for follow-up to detect recurrence early. Identify and manage late treatment-related toxicity and support survivor care, including sexual, urinary and bowel health. Individualise follow-up based on disease stage, treatment modality, comorbidities and risk of recurrence.