What to know about ovarian cancer

As there is no reliable screening test for ovarian cancer, it's especially important to pay attention to your body and discuss any unusual symptoms with your primary care provider.

If you are at high risk for ovarian cancer because of a significant family history of breast or ovarian cancer or an inherited genetic syndrome, or if you are experiencing persistent or severe symptoms, your provider may recommend a pelvic exam or order imaging or lab tests. During a pelvic exam, your provider will press down on your abdomen to assess the size and shape of your ovaries and uterus. Your provider may also order a transvaginal ultrasound or a blood test known as a CA-125. A transvaginal ultrasound uses sound waves to create an image of the ovary and detect tumors. It cannot, however, determine whether a tumor is cancerous. Meanwhile, a CA-125 test measures the levels of the protein, CA-125, that's often found on the surface of cancer cells. Some people with ovarian cancer have higher-levels of CA-125, although other conditions can cause high levels as well.

If an ovarian cancer diagnosis has been made, other tests will be ordered to determine if the cancer cells have spread to other parts of the body and what stage it is. Your provider will likely refer you to a gynecologic oncologist who specializes in treatment of cancer in the female reproductive system. Treatment will largely depend on your age, health history, and the type and stage of the cancer. Treatment for ovarian cancer typically includes a combination of surgery, chemotherapy, targeted therapy or hormone therapy.

While the thought of ovarian cancer may be scary or overwhelming, it's important to remember that you are not alone. Your primary care provider is there to guide you, answer any questions you may have, and support you through any necessary treatment or follow-up care. At One Medical, we will work with you to develop a care plan based on your unique health needs and goals. Schedule a visit with one of our primary care providers today if you think you are at risk for ovarian cancer or have any other questions about your health.

Originally published September 23, 2020