Ovarian cancer
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Factors that affect your risk

Risk factors are what doctors call things that increase your chance of getting a disease.

Most women who get ovarian cancer don't have any risk factors.
 
 
 
 
 
Source:
Whittemore AS, Harris R, Itnyre J
Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case-control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group.

 
 
 
 
 
1
 
 
 
 
 
Source:
Yancik R.
Ovarian cancer: age contrasts in incidence, histology, disease stage at diagnosis, and mortality.
Cancer. 1993; 71: 517-523.
 
 
 
 
 
2
 
 
 
 
 
Source:
Adami HO, Hsieh CC, Lambe M, et al.
Parity, age at first childbirth, and risk of ovarian cancer.
Lancet. 1994; 44: 1250-1254.
 
 
 
 
 
3
 
 
 
 
 
Source:
Rossing MA, Daling JR, Weiss NS, et al.
Ovarian tumors in a cohort of infertile women.
New England Journal of Medicine. 1994; 331: 771-776.
 
 
 
 
 
4
 
 
 
 
 
Source:
Venn A, Watson L, Bruinsma F, et al.
Risk of cancer after use of fertility drugs with in-vitro fertilisation [comment].
Lancet. 1999; 354: 1586-1590.
 
 
 
 
 
5 And even if you have a risk factor for this cancer, it doesn't mean you'll get it for sure. Most people with risk factors don't get ovarian cancer.

Here's what we know about factors that affect your risk of ovarian cancer. Some of them increase your risk, while others decrease it.

Factors that increase your risk
Having ovarian cancer in your family
Having someone in your family who's had ovarian cancer is the strongest risk factor.

  • The average woman in the United States has a 1 in 60 chance of getting ovarian cancer.
  • But if you have one close family member (such as a sister or mother) who's had it, your chance of getting it is about 1 in 20.
     
     
     
     
     
    Source:
    Kerlikowske K, Brown JS, Grady DG.
    Should women with familial ovarian cancer undergo prophylactic oophorectomy?
    Obstetrics and Gynecology. 1992; 80: 700-707.
     
     
     
     
     
    6
  • If you have two or three close family members who've had ovarian cancer, your chance of getting it is about 1 in 14.
     
     
     
     
     
    Source:
    Kerlikowske K, Brown JS, Grady DG.
    Should women with familial ovarian cancer undergo prophylactic oophorectomy?
    Obstetrics and Gynecology. 1992; 80: 700-707.
     
     
     
     
     
    6
  • If you have other family members (aunts, cousins, grandmothers) with ovarian cancer, your risk may be higher than average, but less than if a close family member has it.
     
     
     
     
     
    Source:
    Wilson PC.
    Genital cancer. Ovarian cancer.
    In: Wilson PC. Common gynaecological conditions. Blackwell science, Oxford, UK; 1999.
     
     
     
     
     
    7
  • If any of your close family members have had breast cancer or colon cancer, you may also be at higher risk of getting ovarian cancer.
     
     
     
     
     
    Source:
    Wilson PC.
    Genital cancer. Ovarian cancer.
    In: Wilson PC. Common gynaecological conditions. Blackwell science, Oxford, UK; 1999.
     
     
     
     
     
    7 (To learn more about these conditions, see our sections on breast cancer and colon cancer.)
For more information about what you can do if ovarian cancer runs in your family, see Ovarian cancer and your family.

Getting older
Getting older increases your risk. Most women who get ovarian cancer are older than 50, but younger women can get it, too.
 
 
 
 
 
Source:
Centers for Disease Control and Prevention.
Ovarian cancer: reducing the burden.
2003. Available at http://www.cdc.gov (accessed on 25 July 2007).
 
 
 
 
 
8

Never having been pregnant
If you've never had children or been pregnant, you're more likely to get ovarian cancer. Your risk of getting it is about 1 in 50.
 
 
 
 
 
Source:
Weiss NL, Cook LS, Farrow DC, et al.
Ovarian cancer.
In: Shottenfeld D,Fraumeni JF (editors). 2nd edition. Cancer prevention and epidemiology and prevention. Oxford University Press, New York; 1996.
 
 
 
 
 
9 Breaks from your
 
 
 
 
 
menstrual cycle
A woman's periods are part of her menstrual cycle. This is the regular monthly pattern of events that causes an egg to be released from the ovaries so a woman can get pregnant and causes the bleeding that happens if she does not get pregnant.
 
 
 
 
 
menstrual cycle seem to protect you, but we don't know why.

Having certain other cancers
If you've had breast cancer or colon cancer, or cancer of the uterus (womb) or rectum, you may be more likely to get ovarian cancer.
 
 
 
 
 
Source:
National Cancer Institute.
What you need to know about ovarian cancer.
Available at http://www.cancer.gov/cancertopics/wyntk/ovary/page4 (last accessed on 18 November 2008).
 
 
 
 
 
10

Taking fertility drugs
Doctors aren't sure if taking fertility drugs to help you get pregnant affects your chance of getting ovarian cancer. Some studies say that it increases your risk, but others say that it doesn't.
 
 
 
 
 
Source:
Whittemore AS, Harris R, Itnyre J
Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case-control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group.

 
 
 
 
 
1
 
 
 
 
 
Source:
Venn A, Watson L, Bruinsma F, et al.
Risk of cancer after use of fertility drugs with in-vitro fertilisation [comment].
Lancet. 1999; 354: 1586-1590.
 
 
 
 
 
5 If you're taking these drugs and you're worried, talk to your doctor.

Using talcum powder
It's not clear whether using talcum powder around your genitals increases your risk of ovarian cancer. There's some evidence that it might, but we need more research to say for sure.
 
 
 
 
 
Source:
Booth M, Beral V, Smith P.
Risk factors for ovarian cancer: a case-control study.
British Journal of Cancer. 1989; 60: 592-598.
 
 
 
 
 
11

Factors that decrease your risk
Being pregnant, breastfeeding
The more children you have, the less likely you are to get ovarian cancer.
 
 
 
 
 
Source:
National Cancer Institute.
What you need to know about ovarian cancer.
Available at http://www.cancer.gov/cancertopics/wyntk/ovary/page4 (last accessed on 18 November 2008).
 
 
 
 
 
10 Breaks from your
 
 
 
 
 
menstrual cycle
A woman's periods are part of her menstrual cycle. This is the regular monthly pattern of events that causes an egg to be released from the ovaries so a woman can get pregnant and causes the bleeding that happens if she does not get pregnant.
 
 
 
 
 
menstrual cycle seem to protect you, but we don't know why. Your cycle also often stops when you breastfeed, so the longer you do this, the less likely you are to get ovarian cancer.

Taking birth control pills
If you take birth control pills, you're less likely to get ovarian cancer. All the research is on older types of pills, which had more of the
 
 
 
 
 
hormones
Hormones are chemicals that are made in certain parts of the body. They travel through the bloodstream and have an effect on other parts of the body. For example, the female sex hormone estrogen is made in a woman's ovaries. Estrogen has many different effects on a woman's body. It makes the breasts grow at puberty and helps control periods. It is also needed to get pregnant.
 
 
 
 
 
hormone estrogen in them. But it's probably also true of birth control pills used today, which have much less estrogen in them.

Taking the pill for five years cuts your chance of getting ovarian cancer by about half.
 
 
 
 
 
Source:
Booth M, Beral V, Smith P.
Risk factors for ovarian cancer: a case-control study.
British Journal of Cancer. 1989; 60: 592-598.
 
 
 
 
 
11
 
 
 
 
 
Source:
Whittemore AS, Harris R, Itnyre J.
Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case-control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group.
American Journal of Epidemiology. 1992; 136:1184-1203.
 
 
 
 
 
12
 
 
 
 
 
Source:
Banks E, Beral V, Reeves G.
The epidemiology of epithelial ovarian cancer: a review.
International Journal of Gynecological Cancer. 1997; 7: 425-438.
 
 
 
 
 
13
 
 
 
 
 
Source:
Mant JWF, Vessey MP.
Ovarian and endometrial cancers.
In: Doll R, Fraumeni JF Jr, Muir CS (editors). Trends in cancer incidence and mortality. Cold Spring Harbor Laboratory Press, Plainview, NY; 1994: 287-307.
 
 
 
 
 
14 But if you take the pill for longer than five years, your risk won't continue to get lower. So whether you take it for five years or 10 years, you have the same protection.

Having surgery to remove your ovaries
If you have a hysterectomy (an operation to remove your womb), your ovaries may be taken out at the same time. You can also have an operation to take out just your ovaries.

Having your ovaries taken out greatly reduces your chance of getting ovarian cancer.
 
 
 
 
 
Source:
Kennedy RD, Quinn JE, Johnston PG, et al.
BRCA1: mechanisms of inactivation and implications for management of patients.
Lancet. 2002; 360: 1007-1014.
 
 
 
 
 
15 But removing your ovaries doesn't take away all the risk of getting this type of cancer. This is because there may be some cells left behind after surgery. These cells could turn into cancer in the place where your ovaries used to be. They could also spread to other areas. But the chance of these things happening is very small.
 
 
 
 
 
Source:
Kennedy RD, Quinn JE, Johnston PG, et al.
BRCA1: mechanisms of inactivation and implications for management of patients.
Lancet. 2002; 360: 1007-1014.
 
 
 
 
 
15

If you have your ovaries taken out, there are some things you should know.

  • You can't get pregnant naturally after having your ovaries removed. But you may be able to get pregnant by having fertility treatments.
  • If you haven't reached
     
     
     
     
     
    menopause
    When a woman stops having periods, it is called menopause. This usually happens around the age of 50.
     
     
     
     
     
    menopause yet, having your ovaries taken out may cause symptoms of menopause, such as hot flashes, sweating at night and a dry vagina, as well as thinning of your bones (called
     
     
     
     
     
    osteoporosis
    Osteoporosis is when your bones get too brittle. It happens if not enough new bone tissue is growing to keep bones strong. If you have osteoporosis, the bones in your body may break easily.
     
     
     
     
     
    osteoporosis). You can take treatments to ease some of these problems. For more information, see our section on menopause.
If you're thinking about this surgery because ovarian cancer runs in your family, see Ovarian cancer and your family.

Sources for the information on this page:
  1. Whittemore AS, Harris R, Itnyre JCharacteristics relating to ovarian cancer risk: collaborative analysis of 12 US case-control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group.
  2. Yancik R.Ovarian cancer: age contrasts in incidence, histology, disease stage at diagnosis, and mortality.Cancer. 1993; 71: 517-523.
  3. Adami HO, Hsieh CC, Lambe M, et al.Parity, age at first childbirth, and risk of ovarian cancer.Lancet. 1994; 44: 1250-1254.
  4. Rossing MA, Daling JR, Weiss NS, et al.Ovarian tumors in a cohort of infertile women.New England Journal of Medicine. 1994; 331: 771-776.
  5. Venn A, Watson L, Bruinsma F, et al.Risk of cancer after use of fertility drugs with in-vitro fertilisation [comment].Lancet. 1999; 354: 1586-1590.
  6. Kerlikowske K, Brown JS, Grady DG.Should women with familial ovarian cancer undergo prophylactic oophorectomy?Obstetrics and Gynecology. 1992; 80: 700-707.
  7. Wilson PC.Genital cancer. Ovarian cancer.In: Wilson PC. Common gynaecological conditions. Blackwell science, Oxford, UK; 1999.
  8. Centers for Disease Control and Prevention.Ovarian cancer: reducing the burden.2003. Available at http://www.cdc.gov (accessed on 25 July 2007).
  9. Weiss NL, Cook LS, Farrow DC, et al.Ovarian cancer.In: Shottenfeld D,Fraumeni JF (editors). 2nd edition. Cancer prevention and epidemiology and prevention. Oxford University Press, New York; 1996.
  10. National Cancer Institute.What you need to know about ovarian cancer.Available at http://www.cancer.gov/cancertopics/wyntk/ovary/page4 (last accessed on 18 November 2008).
  11. Booth M, Beral V, Smith P.Risk factors for ovarian cancer: a case-control study.British Journal of Cancer. 1989; 60: 592-598.
  12. Whittemore AS, Harris R, Itnyre J.Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case-control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group.American Journal of Epidemiology. 1992; 136:1184-1203.
  13. Banks E, Beral V, Reeves G.The epidemiology of epithelial ovarian cancer: a review.International Journal of Gynecological Cancer. 1997; 7: 425-438.
  14. Mant JWF, Vessey MP.Ovarian and endometrial cancers.In: Doll R, Fraumeni JF Jr, Muir CS (editors). Trends in cancer incidence and mortality. Cold Spring Harbor Laboratory Press, Plainview, NY; 1994: 287-307.
  15. Kennedy RD, Quinn JE, Johnston PG, et al.BRCA1: mechanisms of inactivation and implications for management of patients.Lancet. 2002; 360: 1007-1014.
This information was last updated on May 12, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.