Hi, I'm Dr. Joshua Vogel with Carolina OBGYN, a division of Wilmington Health Associates. I'm going to talk to you today about ovarian cancer warning signs. This is the holy grail of the gynecologic cancer community. Ovarian cancer, unfortunately, is extremely difficult to detect early and despite repeated reports in the media about CA125, there is still no effective screening test for ovarian cancer, except, generally through good luck, it is extremely difficult to diagnose ovarian cancer early in its stages. However, there are some signs that while common, should prompt you to have a discussion with your doctor about whether it might be ovarian cancer. These common symptoms are primarily gastrointestinal and bladder. Just about any gastrointestinal or bladder symptoms can potentially signal a diagnoses of ovarian cancer and merit an evaluation. These would include: gas, diarrhea, constipation, abdominal bloating and extension, getting full when eating much earlier than you're used to. Bladder symptoms can include increased frequency, urgency, or other symptoms similar to a bladder or urinary tract infection. So if you're having one or more of these symptoms and you don't seem to have a urinary tract infection, there doesn't seem to be anything wrong with your gastrointestinal tract, talk to your doctor about whether it's worth exploring for the possibility of ovarian cancer. This has been a discussion of ovarian cancer symptoms.