Ovarian cancer is often referred to as a ‘silent killer’ because its symptoms can be so subtle and easily mistaken for less serious conditions. This is particularly concerning as ovarian cancer is a formidable adversary in women’s health, claiming the lives of thousands each year.
This is why it’s crucial to be aware of the signs and symptoms of ovarian cancer, as early detection can significantly improve outcomes. According to a recent survey, a staggering number of people are unaware of the symptoms of this disease, which is why we’re here to shed light on the 10 subtle signs that every woman must watch out for.
1. Increased urge to urinate: If you find yourself needing to go more often without a clear reason, it could be a sign that a tumour is pressing against your bladder.
2. Changes in bowel habits: Any persistent alteration in bowel movements, such as constipation or diarrhoea, could be a warning sign.
3. Changes in appetite: A sudden loss of appetite or feeling full quickly can be caused by a tumour or the presence of fluid in the abdomen, known as ascites.
4. Indigestion: Persistent indigestion or acid reflux that doesn’t resolve with usual treatments can be a potential symptom of ovarian cancer.
5. Lower back pain: Ongoing pain in the lower back, hips, or pelvis can be a symptom, especially if it’s not related to physical activity. The pain could be similar to period pain cramps.
6. Unexplained weight loss: Losing weight without trying can be a sign of many cancers, including ovarian cancer, but it could also be a symptom of other conditions.
7. Fatigue: Excessive tiredness that doesn’t improve with rest should not be ignored.
8. Pain during sex: Discomfort or pain during intercourse can be a symptom if a tumour is present in the pelvis. However, this could also be caused by other factors such as infections, pelvic issues, or vaginal dryness.
9. Bleeding between periods: Any unusual bleeding, particularly after menopause, warrants a visit to the doctor.
10. Nausea: Persistent nausea, especially when combined with other symptoms, should be investigated.
In addition, bloating is perhaps the most well-known symptom of ovarian cancer, but it’s often dismissed as a digestive issue or even mistaken for pregnancy. However, it’s important to note that bloating can also be a result of ascites, which is a buildup of fluid caused by cancer cells spreading to the lining of the abdomen.

Dr Susanna Unsworth, a women’s health expert, emphasises the importance of seeking medical help if any of these symptoms persist for more than two to three weeks. She also points out that those with a family history of ovarian or related cancers, such as breast, pancreatic, or prostate cancer, should discuss genetic assessments with their doctor.
Unfortunately, there is ‘currently no good screening tool’ for ovarian cancer, per Dr Unsworth. She adds that the Ca125 blood test, often used when ovarian cancer is suspected, ‘lacks specificity’ and can be elevated due to other conditions like fibroids or endometriosis.
Aside from lifestyle factors such as smoking, being overweight, and not maintaining a healthy diet, genetic factors also play a role in increasing the risk of this type of cancer. Women carrying faulty BRCA genes are more susceptible.
Additionally, a history of endometriosis or a higher number of lifetime ovulations can elevate the risk.
Awareness is key. If you or someone you know is experiencing any of these symptoms, it’s essential to consult a healthcare professional. Early detection can make a significant difference in the fight against ovarian cancer. Share this information with the women in your life, and let’s work together to raise awareness and save lives.
We invite you to share your thoughts and experiences in the comments below. Have you or someone you know been affected by ovarian cancer? What advice would you give to others about recognising the signs? Your insights could be invaluable to the YourLifeChoices community.
Also read: 5 early signs of colorectal cancer you should not ignore