Ovarian cancer, often called the “silent killer”, claims the lives of many women because it develops quietly with vague symptoms that are easily mistaken for everyday issues. Experts stress the importance of awareness, as early consultation can save lives.
Unlike cervical cancer, there is no effective blood test, scan, or screening program for early detection. Pap smears do not detect ovarian cancer. Awareness of symptoms is the first line of defense.
Symptoms Not to Ignore:
Women should see a doctor if they experience these symptoms frequently (12+ times a month):
Persistent bloating or swollen abdomen
Pelvic or lower abdominal pain
Feeling full quickly
Loss of appetite
Frequent or urgent urination
Unexplained weight loss
Extreme tiredness
Back pain or indigestion that doesn’t improve
Risk Factors:
Age over 50
Family history of ovarian or breast cancer
BRCA gene mutations
Not having children
Diagnosis & Monitoring:
Physical exams, CA125 blood tests, transvaginal ultrasounds, CT scans, and modern risk tools like ROMA or IOTA ADNEX help detect potential cancer.
High-risk women may undergo more frequent testing, though preventive surgery remains the most effective protection.
Why Early Detection Matters:
Stage I detection: high survival rates, less aggressive treatment, better quality of life.
Stage III-IV detection: survival drops sharply; treatment is longer, more complex, and more costly.
Call to Action:
Sri Lankan women are urged to listen to their bodies, recognize persistent symptoms, and consult a doctor early. Families should encourage mothers, daughters, sisters, and wives to seek timely medical advice, as one early visit can save a life.

