Ovarian cancer is cancer that starts in your ovaries or at the end of the fallopian tubes next to the ovary. Fallopian tubes are a pair of tubes connecting your ovaries to the uterus. There are no regular screening tests for ovarian cancer, but regular pelvic exams with a gynecologist are important.

Our gynecologic oncologist, Dr. Nadim Bou Zgheib, leads the gynecologic oncology program at Edwards Comprehensive Cancer Center. He and his team work together to diagnose and treat your specific condition. 

Risk factors for ovarian cancer

• Older age
• Obesity
• Never carried a pregnancy to term
• Infertility
• Use of estrogen hormone therapy after menopause
• Family history of ovarian and breast cancer
• Family history of certain genetic cancer syndromes, such as Lynch syndrome
• Personal history of breast, uterine, rectum or colon cancer
• Endometriosis

If you’re at high risk, talk with your gynecologist about your concerns. He or she may suggest an ultrasound to check your ovaries for changes or a blood test for the antigen CA-125, a protein found in the cells of some kinds of ovarian cancer. 

Symptoms of ovarian cancer

Ovarian cancer often doesn’t cause any symptoms until it has spread outside the ovary. However, symptoms may include:

• Indigestion or upset stomach
• Belly swelling or discomfort
• Pelvic pain or cramping
• Bloating or a sense of fullness, especially after eating
• Backache
• Painful, frequent or burning urination with no infection
• Constipation
• Feeling tired all the time
• No desire to eat
• Vaginal discharge, bleeding or irregular periods
• Pain during sex

Talk with your gynecologist if you have symptoms that last for more than a few weeks.