Ovarian Cancer

When To Call a Doctor

Ovarian cancer does not cause many symptoms in its early stages. And having symptoms does not always mean you have cancer. These symptoms may be caused by other problems. It is important to talk to your doctor if you have any new symptoms, such as:

• Ongoing cramps or pain in your belly.
• Ongoing pain in your pelvis or lower back.
• Abnormal bleeding from your vagina, especially after menopause if you are not using any hormonal medicines.
• Abnormal discharge from your vagina, containing mucus that may be tinged with blood.
• Pain or bleeding during sex.
• Nausea or loss of appetite or you cannot eat normally.
• Ongoing bloating or intestinal gas that is not relieved by home treatment measures.
• Bigger belly size or a lump that can be felt in your belly.
• Decreased energy level.
• A change in your bowel habits, such as constipation or diarrhea.
• A change in your bladder habits, such as urinary frequency or urgency.
• Weight loss.

Watchful Waiting

Watchful waiting is a period of time during which you and your doctor observe your condition or symptoms without using medical treatment. Watchful waiting is not appropriate if you have symptoms that do not go away. If you are concerned about your symptoms and you have a higher risk for ovarian cancer, call and make an appointment with your doctor.

Who To See

Health professionals who can evaluate your symptoms and your risk for ovarian cancer include:

• Nurse practitioner.
• Physician assistant.
• Internist.
• Gynecologist.
• Obstetrician.
• Family medicine physician.

Doctors who can manage your cancer treatment include:

• Gynecologic oncologist. Your long-term outcome (prognosis) is improved if you are under the care of an experienced gynecologic oncologist. His or her expertise can help determine the best treatment choices at the time of the initial surgery.¹²
• Medical oncologist (often called an "oncologist").

To prepare for your appointment, see the topic Making the Most of Your Appointment

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Author:	Shannon Erstad, MBA/MPH	Last Updated: July 10, 2007
Medical Review:	Anne C. Poinier, MD - Internal Medicine Ross Berkowitz, MD - Obstetrics and Gynecology
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