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Symptoms of ovarian cancer

Ovarian cancer is the fourth most common cancer in women, but to put this in perspective, the average GP sees only one case of ovarian cancer every five years.

The good news about ovarian cancer is that if diagnosed at an early stage, the outcome is good. However, because some of the symptoms of ovarian cancer are similar to those seen in more common conditions, it can be difficult to diagnose. Most women are not diagnosed until the disease has spread, which is why it is important that women know about the symptoms, so that they can seek advice as early as possible.

Ovarian cancer was once known as a 'silent' disease in that the symptoms can be vague. Ovacome in collaboration convened the UK's first symptoms consensus conference. Leading clinicians and researchers alongside cancer charities and women affected by the disease debated the evidence and experiences of ovarian cancer. This resulted in agreement that the following three symptoms are more frequent in women diagnosed with ovarian cancer.

• Persistent pelvic and abdominal pain
• Increased abdominal size/persistent bloating - not bloating that comes and goes
• Difficulty eating and feeling full quickly

These symptoms are frequently experienced by women, however when they are experienced frequently, persistantly and severely the likelihood of ovarian cancer increases.

Occasionally other symptoms such as urinary symptoms, changes in bowel habit, extreme fatigue or back pain may also be experienced on their own or at the same time as those listed above. Again, it is most likely that these symptoms are not ovarian cancer, but may be present in some women with the disease.

If you regularly experience any of these symptoms, which are not normal for you, it is important that you see your GP. It is unlikely that your symptoms are caused by a serious problem, but it is important to be checked out. You should also mention if there are two or more cases of ovarian or breast cancer in your close family, as ovarian cancer can sometimes run in families.

To learn more about the signs and symptoms of ovarian cancer you can download the signs and symptoms consensus statement here (pdf).

If you have already visited your GP and the symptoms continue or worsen, it is important to return and explain this to your doctor - you know your body better than anyone.