Ovarian disease: how to safeguard yourself


May eighth is World Ovarian Cancer Day. Ovarian growths are the eighth most normal disease in ladies. In 2020, around 314 thousand cases were enlisted on the planet, of which north of 13 thousand were in Russia.
We comprehend the reason why ovarian disease is many times identified exclusively in the later stages, who might be at expanded chance and what counteraction is.

Kinds of ovarian malignant growth

The ovaries are matched female sex organs situated in the pelvic region. They create and develop eggs. Also, the ovaries produce the sex chemicals estrogen and progesterone.

Ovarian disease frequently slips by everyone's notice until it spreads past the organ into the stomach hole and little pelvis. Just 20% of patients are determined to have ovarian disease in the beginning phases. For this situation, the treatment is considerably more powerful.



The sort of threatening ovarian growth relies upon which cell it started from:


Epithelial ovarian growth. In 90% of cases, ovarian malignant growth creates from the epithelium of the fallopian tube.
Sex line stromal cancers. They foster in the ovarian tissue, which contains chemical creating cells, and happens in around 7% of cases. These growths are typically analyzed at a beginning phase.
Germinogenic growths of the ovaries. An uncommon kind of dangerous cancer that happens in the eggs. More normal in young ladies.

Side effects of ovarian malignant growth

Beginning phase ovarian malignant growth is hard to analyze on the grounds that it seldom causes side effects. In cutting edge stages, ovarian malignant growth can cause vague side effects, for example,

Sensation of substantialness in the mid-region
Vibe of mass in the mid-region
Vaginal dying (particularly after menopause) or uncommon vaginal release
Feeling distress or torment in the pelvic region
Inside issues (like blockage)
Incessant pee
Quick satiety while eating
Weight reduction for reasons unknown.


Risk factors

The specific reasons for ovarian disease are obscure. Nonetheless, there are factors that increment the gamble:

Mature more than 50 years. Ovarian malignant growth can happen at whatever stage in life, yet it most frequently creates in ladies between the ages of 50 and 60.
Overweight (BMI > 25) or corpulent (BMI > 30).
The primary labor following 35 years or the shortfall of labor.
Chemical substitution treatment (HRT) after menopause. Ladies taking estrogen or joined HRT after menopause have an expanded gamble of creating ovarian malignant growth.
A past filled with bosom malignant growth (BC) or bosom disease and ovarian malignant growth in direct relations.
Change in the BRCA1 and BRCA2 qualities. Ladies with a change in the BRCA1 quality have a 39-44% possibility creating ovarian malignant growth by the age of 70-80. With a change in the BRCA2 quality - 11%-17%.
Lynch condition, otherwise called innate non-polyposis colorectal malignant growth. Ladies with this condition have an expanded gamble of creating malignant growths of the ovaries, colon, and uterus (endometrial disease).

Anticipation of ovarian malignant growth

Since the specific reasons for ovarian malignant growth are obscure, there are no unmistakable rules for counteraction. Nonetheless, there are various variables that are related with decreased risk:

Taking anti-conception medication pills. The utilization of oral contraceptives for quite some time or more decreases the gamble of creating ovarian malignant growth. In any case, taking contraceptives, particularly such a long one, is likewise connected with gambles. For instance, it improves the probability of creating bosom disease or cervical malignant growth. Prior to beginning oral contraceptives, a lady ought to counsel a specialist. Exclusively for the avoidance of ovarian malignant growth, this strategy is typically not suggested.
Pregnancy. A first full-term pregnancy before the age of 26 diminishes the gamble of ovarian disease. With each new full-term pregnancy, the gamble diminishes.
Lactation. Reads up show that breastfeeding for a year or more decreases the gamble by 34%.
Opportune visit to the specialist. In the event that the side effects irritate you day to day for a very long time or more, you ought to counsel a trained professional.
Preventive oophorectomy (evacuation of the ovaries). The activity is suggested exclusively at a high gamble of ovarian malignant growth and after the introduction of kids. Right now, in Russia, such an activity as a preventive measure isn't plainly directed. It isn't possible in a public medical clinic.

Logical proofreader of the text: Pavel Sorokin, oncogynecologist, occupant of the Higher School of Oncology.

The material was first distributed in December 2022.