Why
do this test?
Ovarian cancer screening is done to identify ovarian cancer, hopefully
in the early stages when treatment has a high rate of success.
Screening
has been shown to be useful in women with strong family histories of ovarian
cancer, in certain women with other tumors such as borderline cancers
in one ovary, and for women who wish to avail themselves of screening
tests even when not strictly indicated.
What
about the blood test I've heard about?
The blood test known as CA-125 level has been used for ovarian cancer
screening but there are many problems with it. A large percentage of ovarian
cancer tests negative on the blood test. Furthermore, many other non-cancer
problems will test positive. A positive test therefore can lead to unnecessary
worry and sometimes unnecessary surgery. Ultrasound has a higher degree
of sensitivity of picking up tumors as well as giving reassurance of normal
findings. CA-125 levels are very useful in the management of known ovarian
cancer.
What
will happen during the procedure?
A narrow ultrasound probe is placed in the vagina. The procedure is painless
and takes only a few minutes. Close
evaluation of the ovaries is done to reveal any unusual findings. The
uterus is also examined to find any other related problems.
What
should I do to prepare for this procedure?
Timing is very important for this test.
If
you are not on oral contraceptives, and are still having regular menstrual
cycles, it is very important that you schedule this test about 5 to 10
days from the start of your menstrual period. Women past menopause or
on oral contraceptives can have the test done at any time.
Your
ultrasound test does not require a full bladder.
We
ask that you come to your appointment a bit ahead of scheduled ultrasound
to fill out the appropriate paperwork.
If
you anticipate insurance covering this procedure, you may need a referral
from your primary physician, and/or an authorization number for the test
to be eligible for coverage.
Many
insurance programs do not cover this test, and you should be prepared
to pay at the time of service if this is true.
When
will I get results from the testing?
The findings of the ultrasound study will be discussed with you during
your visit. You will be given the opportunity to discuss the ultrasound
and screening in general. Should there be any abnormalities, these will
be discussed with you. However, your referring physician will discuss
with you any follow-up studies or treatments necessary.
Does
a positive test mean I have cancer?
Screening
tests identify problems that may mean cancer. Many abnormal findings turn
out not to be cancer.