Debunking the Myths of Ovarian Cancer

“I notice that ovarian cancer, known as the ‘silent killer,’ is often misunderstood. This can lead to improper care. By clearing up some misconceptions, we can help women better understand the disease and take proactive steps for early detection and treatment”, says Consultant Obstetrician & Gynecologist from Columbia Asia Hospital – Setapak, Dr Chong Wen Kiat.

According to Dr Chong, some of the popular myths making its rounds among women of various ages are:

• Ovarian cancer only affects older women: Although it is more frequently diagnosed in older women, ovarian cancer can affect women of any age, including those in their 20s and 30s. In Malaysia, it ranks as the fourth most common cancer among women.
• Ovarian cancer has specific symptoms: In its initial stages, ovarian cancer may not exhibit any noticeable symptoms, or it may only present with vague symptoms that are frequently misinterpreted as signs of less severe ailments.
• Pap smears can detect ovarian cancer: Pap smears are effective for detecting cervical cancer, but they do not screen for ovarian cancer.
• You will definitely get ovarian cancer if you have a family history of it: Up to 90 to 95 per cent of ovarian cancer cases occur in women with no family history of the disease.
• Ovarian cancer is a death sentence: While serious, ovarian cancer is not always fatal. Early-stage diagnoses, like Stage I or II, can have survival rates of 85 to 90 per cent. Advances in treatments, like surgery and chemotherapy, have also improved survival rates.

• Consider surgery if high risk: Women at higher risk, like BRCA gene carriers, may opt for risk-reducing surgery, which includes fallopian tubes and ovary removal after family planning.
• Stop smoking entirely: Smoking increases ovarian cancer risk, so avoid it and minimise exposure to secondhand smoke.
• Reconsider hormone therapy: Long-term use of Menopausal Hormone Therapy (MHT) may slightly elevate ovarian cancer risk; discuss its pros and cons with your healthcare provider.
• Analyse family history: Seek genetic counselling and testing, particularly if there is a family history of ovarian, breast, or bowel cancer, or if other risk factors are present. This will help tailor a personalised screening and risk management strategy.