The frequency of exams, imaging, and blood tests varies due to many factors, but typically you will be followed every 3 to 6 months for the first 2 years with at least an examination of the vagina and rectal examination to hope to detect recurrences early at the most curable stage. These examinations will occur less frequently thereafter. In addition, imaging studies such as x-rays, CT scans or MRIs may be periodically performed, especially if you have any new pains or symptoms. The top of the vagina is the most common site of recurrent endometrial cancer and patients will typically present with vaginal bleeding.