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Ovarian Cancer  (Expert Forum)
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Could I have ovarian cancer at age 33 yrs?
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center Boston - MA
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This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy,Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.

Could I have ovarian cancer at age 33 yrs?

by Lizelou, Apr 25, 2008 09:24PM
I have had heavy bleeding after/during sex for almost 2 years. Not time for my period. Only happens every couple months. Sometimes there is a sharp pain, deep inside during intercourse. Went to doc and pap was normal. Had utrine bisopy and that was normal, too. My periods have also become longer and very irregular. (Used to be like clockwork). I also have horrible adominal pains and indigestion for the past nine months (Never had this before.) I've gained 5 lbs and it seems to be all in my belly (HPT negative). I normally have a very flat stomach.

I am 33 years old, married, with two children ages 2 & 3. I am worried because my mom & grandma died from ovarian cancer. My gyno can't find anything wrong, and says that I might just be prone to bleeding from my cervix being more sensitive from having kids. The bleeding is quite heavy (looks like someone stabbed me) and this is affecting our sex life. (The sex is not "rough") Can bleeding like this ever be normal? Thanks for your help! Liz

by Annekathryn Goodman, M.D., May 08, 2008 07:23AM
Dear Liz,
You have had a good evaluation. It is reassuring that your pap smear and biopsy of the uterus are normal. It is important to be sure that there are no lesions in the vagina. Sometimes lesions can be hidden under the speculum. the other reasons for abnormal bleeding include vaginal or cervical infection. Some women have chronic inflammation of the cervix (cervicitis) without a particular infection.  There are also certain dermatological conditions that include ulcers in the vagina (such as lichen sclerosis, lichen planus)

you should:
-ask your doctor for a repeat examination of the vagina and cervix. Be sure that she/he turns the speculum sideways to see all the surfaces of the vagina. Also makes sure your doctor palpates the whole vagina to be sure there are no nodules or irregularities that could be missed by visual inspection
-ask your doctor to check you for infections (chlamydia, gonorrhea, yeast)
-if you use tampons, stop .It is possible that you may be causing chronic irritation or even an allergic reaction in the vagina

As far as your family history - you may be at risk for ovarian cancer. You should ask your doctor for a referral to a genetic counselor. You may want to consider genetic testing for the genes associated with breast and ovarian cancer BRCA1/2. If you are at high risk, you should consider the prophylactic removal of your ovaries and fallopian tubes after you have competed your family
take care
Member Comments (2)

by Lizelou, May 09, 2008 05:44PM
Thank you so much for taking the time to answer my post. I really appreciate it!
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