At Home with Dr Christian Jessen - 150

or the side-effects of hormone
replacement therapy (HRT).
SYMPTOMS INCLUDE:

Constant or persistent pelvic
or stomach pain
Persistent bloating in the
abdomen and a possible increase
in the size of the abdomen
Difficulty eating and a feeling
of getting full quickly
The desire to pass urine more
frequently than usual
Changes in bowel habit, such
as constipation or diarrhoea
Tiredness
Back pain
Cancer Research UK advises
that you seek medical attention
if symptoms are present on most
days of the month, or if any of
the symptoms appear suddenly.
Ovacome, the ovarian cancer
support network, has launched
BEAT (www.beatonline.info), with
an online symptom tracker, which
generates a report you can take to
your doctor to help him or her
decide if tests are needed.

WORDS: LIGIA WILLIAMS | PHOTOGRAPHS: GETTY IMAGES, SHUTTERSTOCK

Factors that
influence risk

AGE Some 75% of new cases
occur in those aged over 55,
although women in their 20s and
30s can also be affected. In
younger women, however, the
symptoms can be mistaken for
fibroids and endometriosis.
GENETICS You have a greater
chance of developing the disease
if you have two or more close
relatives who have had ovarian or
breast cancer. Risk factors are also
increased if you are of Jewish,
Icelandic, Norwegian, Dutch,
Pakistani and Polish descent.
However, 90% of all cases of
ovarian cancer have nothing to do
with genetic predisposition.
LIFESTYLE Losing excess weight
will help to reduce your risk
- research shows premenopausal
women with a body mass index
(BMI) of 30-plus are more likely
to contract the disease.
Taking the combined oral
contraceptive pill reduces the risk
by 20% for every five years, with
the benefits lasting up to 30 years
afterwards, according to a review
of worldwide data by the US
National Institute of Health.
The reason for this is that the
Pill prevents ovulation, which is

150 | MARCH 2015

thought may damage the lining of the
ovaries. Similarly other factors such as
having children, breastfeeding for
longer and hitting the menopause
earlier - all of which reduce the
number of times a woman ovulates
- can lower the likelihood of you
developing ovarian cancer.

EV ERY YE AR

Diagnose it

GLOBALLY

If you suspect you have ovarian
cancer, you are likely to need the
following tests in order for an accurate
diagnosis to be made:
An examination by a doctor, where
he or she may be able to feel an
enlarged ovary or other abnormality
The CA125 blood test
A pelvic ultrasound scan, where a
scanner is placed on your stomach or
inside your vagina, and soundwaves
used to create images of your ovaries.
If your scan results indicate you need
further tests, your GP will refer you
to a gynaecological oncologist

Treat it

Options for managing cancer include
surgery, chemotherapy and, possibly,
radiotherapy. The decision depends
on the stage and grade of the cancer,
as well as your general health.
SURGERY Most women with
ovarian cancer will need to have
surgery. If the tumour is at a very
early stage and just confined to the
ovary, an operation to remove the
affected ovary and associated fallopian
tube may be all that is needed. But if
the cells have grown into other nearby
structures or spread, a more extensive
operation to remove the womb and
affected areas may be necessary.
CHEMOTHERAPY A course
of drugs used to kill ovarian cancer
cells are administered, usually via
a drip into a vein in your arm or
possibly your chest.
RADIOTHERAPY This treatment
is not often used for ovarian cancer,
but may be used when the cancer
has spread to both ovaries, or onto
the surface of the ovaries. In advanced
stages, it is used to shrink tumours
and reduce symptoms. The procedure
involves using high-energy beams of
radiation from a scanner to kill cancer
cells or stop them from multiplying.
Radiotherapy is administered to
cancer patients once a day Monday
to Friday, over a three-to-four week
period, usually. The procedure lasts
around five minutes and as it's
painless, you don't feel anything.

ONE MILLION

WOMEN

ARE DIAGNOSED WITH A
GYNAECOLOGICAL

CANCER
IN THE UK ALONE

20,000
WOMEN
ARE DIAGNOSED WITH A

GYNAECOLOGICAL CANCER

TEN-YEAR

SURVIVAL

FROM OVARIAN

CANCER

HAS ALMOST

DOUBLED
OVER THE LAST

40 YEARS


http://www.beatonline.info

At Home with Dr Christian Jessen

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