What should you know about ovarian cancer after hysterectomy?

A hysterectomy removes the uterus. Depending on the operation, the cervix, fallopian tubes, one ovary, or both ovaries may also have been removed. Your operation record is therefore useful when discussing later symptoms. Removing the ovaries lowers the amount of ovarian tissue present, but it does not turn every future pelvic symptom into a cancer warning or eliminate every possible related cancer.

Ovarian cancer may cause persistent bloating, pelvic or abdominal discomfort, early fullness, or changes in bowel or bladder habits. These symptoms are common and often have other causes. A clinician may use examination, imaging, and tissue sampling to work out what is happening.

Check whether your ovaries and fallopian tubes were removed, then share that information with your clinician. Keep your operation note, pathology report, and family history available. Report symptoms that persist, recur, or interfere with eating, sleep, or daily activity. Assessment may include [Pelvic Ultrasound](/treatments/diagnostics-and-imaging/pelvic-ultrasound/) and, when appropriate, genetic or tumour testing. Treatment can involve [Oophorectomy](/treatments/gynaecological-surgery/oophorectomy/), debulking surgery, or [Chemotherapy](/treatments/systemic-therapy/chemotherapy/) depending on findings.

Arrange prompt medical advice for persistent abdominal swelling, pelvic pressure, unexplained appetite change, repeated vomiting, or a new change in bowel or bladder function. Seek emergency help for severe sudden pain, fainting, heavy bleeding, inability to pass urine or stool, or breathing difficulty. The urgency comes from the symptom pattern and severity, not simply from having had a hysterectomy.

Ask: Which organs did my hysterectomy remove? Could my symptoms have a non-cancer cause? Which examination or scan is appropriate? Do I need genetic counselling? If a mass is found, how will biopsy and staging guide treatment?