Ovarian cancer is often labeled the "silent killer," but the American Cancer Society, the Gynecologic Cancer Foundation and the Society of Gynecologic Oncologists agree early warning signs of ovarian cancer do exist. Delayed diagnosis occurs because warning signs are similar to other diseases and may be overlooked. Symptoms are often recognized only when the cancer spreads, according to the National Cancer Institute. Recognizing early warning signs and seeing a doctor promptly increase the chance of survival from ovarian cancer.
Pressure or Pain
Feelings of fullness, pressure or pain in the abdomen, back, pelvis or legs are early warning signs of ovarian cancer. Pain may be felt during sexual relations. Low back and leg pain can limit activities normally enjoyed such as walking or exercise. Climbing stairs may be difficult.
Abdominal Changes
Bloating or swelling in the abdominal area with a feeling of tightness is common. Unlike stomach problems and constipation that cause bloating that comes and goes, abdominal changes as a warning sign for ovarian cancer are constant and last for a few weeks. Fluid buildup in the abdominal cavity can increase the waistline making clothes feel tighter. If the abdomen becomes excessively enlarged, shortness of breath or difficulty in breathing may occur as the diaphragm and lungs are pushed upward so that lungs can not fully expand.
Changes in Eating
Early signs of ovarian cancer include eating problems. A loss of appetite, nausea and indigestion occur frequently and regularly. Discomfort does not usually improve with antacids or other measures. Weight loss is common as a feeling of fullness limits the amount of food comfortably eaten.
Bowel and Bladder Changes
Changes in normal patterns of bowel movements and urination are early signs of many diseases, including ovarian cancer. Constipation and diarrhea are common as is the need to urinate frequently. An urgent need to go to the bathroom often occurs, and accidents may happen. Burning with urination or bladder spasms may also be warning signs.
Fatigue
Patients may feel tired and unable to carry out normal activities. Sleep may be difficult and interrupted by pain or the frequent need to go to the bathroom. The lack of energy is persistent and does not get better with rest.
Bleeding
Irregular menstrual periods may be an early warning sign of ovarian cancer. Periods may be heavier than normal or last longer than usual. Abnormal bleeding between periods or after menopause can occur.
