When ovarian cancer starts, there may be no symptoms (signs that there is something wrong.) Symptoms may be noticed more as the cancer progresses. For ovarian cancer, the signs may be bloating (feeling swollen with fluid or gas), vaginal bleeding, pelvic pain, back pain, abdominal swelling, constipation, a frequent need to urinate, feeling tired, and loss of appetite (not feeling hungry.) Since most of those symptoms can be caused by many different and more common problems, ovarian cancer is usually not the first thing people think of as the cause. It is difficult for anyone, even a doctor who knows a lot about this type of cancer, to tell from the symptoms if the problem is ovarian cancer. A doctor who knows a lot about finding and treating ovarian cancer is called a gynecologic oncologist. A gynecologic oncologist usually has done seven more years of extra study and training after becoming a doctor.
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