QUESTION: What are the symptoms of ovarian cancer?
RESPONSE:There are no obvious symptoms until the disease has advanced. Then the symptoms may include:
- Vague but persistent gastrointestinal complaints such as gas, nausea, indigestion.
- Frequency and/or urgency of urination.
- Any unexplained change in bowel habits.
- Abnormal postmenopausal bleeding.
- Weight gain or loss.
- Abdominal swelling and/or pain; bloating and/or a feeling of fullness.
- Pain during intercourse.
If vague symptoms persist longer than 4-6 weeks, insist on a thorough rectovaginal examination.
- A Rectovaginal pelvic examination is when the doctor simultaneously inserts one finger in the rectum and one in the vagina.
- It is helpful to take a mild laxative or enema before the pelvic exam.
- Have a comprehensive family history taken by a physician knowledgeable in the risks associated with ovarian cancer. 5% to 10% of ovarian cancer has a familial link.
Every woman should undergo a regular rectal and vaginal pelvic examination. If an irregularity of the ovary is found, alternatives to evaluation include transvaginal sonography and/or tumor markers. The most common tumor marker is a blood test called the CA-125.