Ovarian Cancer: Symptoms, Complaints, Signs

Ovarian cancer (ovarian cancer) usually does not cause early symptoms. In advanced stages, the following symptoms and discomfort may occur:

  • Abdominal tightness1
  • Ascites (abdominal dropsy)
  • Increase in the circumference of the abdomen (abdominal circumference increase).
  • Loss of appetite*
  • Unintentional weight loss1
  • Cachexia
  • Meteorism2 (bloated abdomen)
  • Micturition discomfort (discomfort during urination); increase in micturition frequency (frequency of bladder emptying).
  • Resistance in the lower abdomen
  • Abdominal pain1 + 2 (abdominal pain)
  • Stool changes such as constipation (constipation).
  • Vaginal bleeding (bleeding from the vagina); also postmenopausal bleeding1
  • Rectal bleeding1 (bleeding from the rectum).
  • Virilization symptoms (masculinization).
  • Feeling of fullness, nausea
  • Hemoglobin (blood pigment) < 110 g/l1

1Independent and age-adjusted risk factors2Irritable bowel syndrome symptoms (see below).

Warning signs (red flags)

  • In approximately 85% of ovarian cancer patients, typical irritable bowel syndrome symptoms occur newly and as the first symptom before cancer diagnosis! (Approximately 6 months before diagnosis).
  • Further investigation should be initiated if the following symptoms occur repeatedly and persistently, especially in women over 50 years of age:
    • Abdominal girth increase
    • Feeling of fullness
    • Flatulence
    • Unclear abdominal pain (abdominal pain) or discomfort.
    • Increase in micturition frequency (frequency of urination).