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Ovarian Cancer: Symptoms of Ovarian Cancer

March 15, 2005

Ovarian cancer is difficult to detect, especially, in the early stages.




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Symptoms of Ovarian Cancer



Ovarian cancer is difficult to detect, especially, in the early stages. This is partly due to the fact that these two small, almond shaped organs are deep within the abdominal cavity, one on each side of the uterus. These are some of the potential signs and symptoms of ovarian cancer:

· Unexplained change in bowel and/or bladder habits such as constipation urinary frequency, and/or incontinence

· Gastrointestinal upset such as gas, indigestion, and/or nausea

· Unexplained weight loss or weight gain

· Pelvic and/or abdominal pain or discomfort

· Pelvic and/or abdominal bloating or swelling

· A constant feeling of fullness

· Fatigue

· Abnormal or postmenopausal bleeding

· Pain during intercourse



Persistence of Symptoms



When the symptoms are persistent, when they do not resolve with normal interventions (like diet change, exercise, laxatives, rest) it is imperative for a woman to see her doctor. Persistence of symptoms is key.



Because these signs and symptoms of ovarian cancer have been described as vague or silent, only around 10% of ovarian cancer is found in the early stages. Symptoms typically occur in advanced stages when tumor growth creates pressure on the bladder and rectum, and fluid begins to form.


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.




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