What should you know about ovarian cancer abdominal pain?

Pain related to an ovarian problem may feel like pressure, aching, cramping or a sharper discomfort in the lower abdomen or pelvis. Ovarian cancer can also be associated with ongoing bloating, feeling full quickly, changes in bowel habit, urinary frequency, unusual vaginal bleeding, tiredness or unexplained weight change.

These symptoms have many other explanations, including Acid Reflux, Coeliac Disease, Crohn's Disease, gallstones, gastritis, gastroenteritis and other digestive or gynaecological conditions. A symptom does not establish a diagnosis.

Keep a brief record of where the pain is, how often it occurs, what affects it, and whether it relates to meals, bowel movements or menstrual cycles. Arrange a medical appointment if the symptom is new, keeps returning, or is affecting eating, sleep or daily activities.

The clinician may ask about menstrual and pregnancy history, medicines, bowel and urinary symptoms, and family history. Examination and investigations are chosen according to the pattern; avoid self-diagnosing from an internet symptom list.

Seek urgent care for sudden severe abdominal or pelvic pain, fainting, a rigid or very tender abdomen, repeated vomiting, heavy vaginal bleeding, fever with deterioration, or possible pregnancy with pain or bleeding.

Book prompt review for pain that persists, steadily worsens, repeatedly returns, or occurs with ongoing bloating, early fullness, bowel changes, urinary changes or bleeding after menopause. These features need assessment even though they can arise from non-cancerous causes.

Ask what causes fit your pain pattern, which examination or tests are appropriate, and which changes should prompt earlier review. Mention family history of ovarian or breast cancer, menstrual changes, pregnancy possibility and all associated symptoms.