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What are the symptoms of ovarian cancer?

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Posted on Mon, 4 May 2015
Question: Hi, 1.5 years ago I had a pelvic and abdominal ultrasound and the results were normal. A few days before my period I get a bit of a blood discharge and a dull ache on the right hand side of my abdomen. For the last 4 days i have been urinating every 45 mins. No pain, no odour, no burning sensation. As Im having my period in 2 days I also have the dull ache. I googled the symptoms and all that shows up is ovarian cancer. Should I be concerned about ovarian cancer? Can it develop simce I had my ultrasound? Im freaking out. Im 30 years old. Super active and healthy.
doctor
Answered by Dr. Ramadevi Wani (1 hour later)
Brief Answer:
The symptoms you have are definitely not suggestive of ovarian cancer.

Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
Being a young healthy lady, I don’t understand why you are thinking of extreme diagnosis. The symptoms you have are not suggestive of ovarian cancer.
Since when you have this pain? What do you do to get rid of pain? Does it subside with stopping of period bleeding? Do you have any intrauterine devise fitted?
There are several causes for such type of pain. Few common causes that can cause such pain in your age group are pelvic infection, endometriosis, benign ovarian cyst or endometrial polyp.
The increased frequency of urination that you have can still be due to urinary tract infection.
For a patient with similar complaints in my clinic,
I would first do an internal examination to see if there is any tenderness in the fornices. If present it would strongly suggest endometritis (infection). It will also allow me to evaluate for the presence of endometriotic teder nodules in the fornices and ovarian cyst.
I would do Complete blood count with ESR, urine analysis, vaginal swabs for culture and pelvic ultrasound. Ultrasound would help me find out if endometrial polyp or ovarian cyst are present.
My treatment plan will depend on the results of examination and investigations. If these do not provide any answer and if the pain persists, I would do laparoscopy to look for evidence of endometriosis. Rarely pelvic congestion can also cause such symptoms.
I hope this helps.
If you have any further queries, do contact me through Healthcare Magic. I will be happy to answer
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Ramadevi Wani (24 minutes later)
The pain goes away after I get my period. I have been having this pain for 8+ years and have had two intra vaginal ultrasound one in 2009 and another one in November 2013. The results were normal. The doctors ruled out as ovulation pain. I went for a check up a month ago and everything was normal. No bloating, no loss of appetite. Blood test attached. This frequent urination is the reason why Im so concerned about.
And my concern about ovarian cancer is that I was diagnosed with CIN 3 last September and have had a LEEP surgery. My 6 month 12/3/15 check up colposcopy and Pap smear were NORMal.
doctor
Answered by Dr. Ramadevi Wani (5 hours later)
Brief Answer:
Urinary symptoms are most likely due to infection.

Detailed Answer:

Hi Miss Christiane,
Welcome back to Healthcare Magic.
I do appreciate your concerns.
From your notes it appears that you probably have endometriosis. That must be causing the pain. The second most likely possibility is infection. Get the above mentioned investigations done. If the ultrasound is normal and swabs are negative take oral contraceptive pills. If the pain vanishes while on pills it indicates the possibility of endometriosis.
I cannot figure out why you are worrying so much about cancer ovary. You do not have any symptoms suggestive of cancer. Urinary symptoms are most likely due to infection. Get a pelvic ultrasound done. That will put you at ease.
I am happy to know that your six months follow up pap smear and colposcopy are normal. I advise you to be regular with those follow ups. This is extremely important.
I hope this helps.
If you have any further queries, do contact me through Healthcare Magic. I will be happy to answer.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ramadevi Wani

OBGYN

Practicing since :1985

Answered : 1357 Questions

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What are the symptoms of ovarian cancer?

Brief Answer: The symptoms you have are definitely not suggestive of ovarian cancer. Detailed Answer: Hi, Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns today. Being a young healthy lady, I don’t understand why you are thinking of extreme diagnosis. The symptoms you have are not suggestive of ovarian cancer. Since when you have this pain? What do you do to get rid of pain? Does it subside with stopping of period bleeding? Do you have any intrauterine devise fitted? There are several causes for such type of pain. Few common causes that can cause such pain in your age group are pelvic infection, endometriosis, benign ovarian cyst or endometrial polyp. The increased frequency of urination that you have can still be due to urinary tract infection. For a patient with similar complaints in my clinic, I would first do an internal examination to see if there is any tenderness in the fornices. If present it would strongly suggest endometritis (infection). It will also allow me to evaluate for the presence of endometriotic teder nodules in the fornices and ovarian cyst. I would do Complete blood count with ESR, urine analysis, vaginal swabs for culture and pelvic ultrasound. Ultrasound would help me find out if endometrial polyp or ovarian cyst are present. My treatment plan will depend on the results of examination and investigations. If these do not provide any answer and if the pain persists, I would do laparoscopy to look for evidence of endometriosis. Rarely pelvic congestion can also cause such symptoms. I hope this helps. If you have any further queries, do contact me through Healthcare Magic. I will be happy to answer