What are the symptoms of ovarian cancer?

In the early stages, ovarian cancer usually has vague symptoms which are not easy to recognize. In fact, doctors used to think that ovarian cancer had no symptoms (unfortunately, many still do). Even though healthcare professionals are much better at identifying ovarian cancer symptoms these days, patients often attribute their symptoms to other conditions, such as pre-menstrual syndrome, irritable bowel syndrome, or a temporary bladder problem.

The main difference between ovarian cancer and other possible disorders is the persistence and gradual worsening of symptoms. While most digestive disorders have fluctuating symptoms, those of ovarian cancer are more constant and steadily advancing.

The following are examples of possible early symptoms of ovarian cancer:

• Pain in the pelvis
• Pain on the lower side of the body
• Pain in the lower stomach
• Back pain
• Indigestion or heartburn
• Feeling full rapidly when eating
• More frequent and urgent urination
• Pain during sexual intercourse
• Changes in bowel habits, such as constipation

As ovarian cancer progresses these symptoms are also possible:

• Nausea
• Weight loss
• Breathlessness
• Fatigue (tiredness)
• Loss of appetite

Ovarian cancer is not a silent killer. A study by the National Breast and Ovarian Cancer Centre, Australia, found that 83% of women experience at least one symptom of ovarian cancer in the year prior to their diagnosis. The researchers also found that 17% of women waited more than three months after the onset of their symptoms before visiting their doctor, with 8% waiting more than six months. The most common symptoms, experienced by half of the study participants, were abdominal symptoms such as fullness and pain. Bloating, bowel or urinary symptoms were reported by approximately one third of participants.

If you experience bloating, pressure or pain in the abdomen or pelvis that persists for more than a few weeks you should see your doctor immediately. If you have already been to the doctor and ovarian cancer was not diagnosed, but treatment is not relieving symptoms, either see your doctor again or get a second opinion. It is important that the evaluation includes a pelvic examination.

People with close family members who have/had ovarian or breast cancer should see a doctor who is trained to detect ovarian cancer.