Possible Ovarian Cancer diagnosis - advice re procedures

Hi All. Not coping very well at the moment as really struggling with the time it is taking to reach a diagnosis and start treatment. Background is I went through a really tough time which had a huge psychological impact on me and about the same time starting having issues with really heavy bleeding - constant flooding and would last months at a time. I dismissed it as stress and also my age (I'm 55) After a year my circumstances improved but the bleeding didn't. At that point I finally went to my GP. They put me on tranexamic acid. After a few months I went back as I couldn't cope any more with the constant anxiety around flooding, cramping and exhaustion. My GP booked me for an ultrasound. A week later I received a call to say I had a large multi-locular pelvic cyst on my ovary (9x8 cms) and features suggestive of adenomyosis. I was given a two-week referral to  gynaecology. I had bloods which came back fine. Finally saw a consultant but was utterly useless as he hadn't even reviewed my ultrasound. Had an internal exam and told me he would call to advise on next steps. Two weeks later I called them as had heard nothing - his secretary advised me he wanted me to have an MRI - letter was in the post but had consulted with him and he said it needed to be sooner so they got me a cancellation the following week. That was two weeks ago. Today I have received a call from his secretary saying I need to go and have a biopsy in a couple of weeks. I'm really not coping with this at all. I have no support network. My partner has mental health issues and is reacting really badly. Have been bleeding for three weeks now and am just totally exhausted and cry all the time. I don't understand why I have to go through a biopsy as well. It's just delaying treatment even longer. Why don't they just remove everything?  I feel like nobody is telling me anything and all I ever seem to speak to are secretarys... Have now been off work for a month and have the added worry about how I manage financially if sick pay runs out. Would really appreciate any advice/support. 

  • I had what turned out to be a non cancerous cyst but I was offered a hysterectomy before they even knew that it wasn't cancer. I opted to have the ovary and another cyst removed because I wasn't ready to go through menopause without the definite diagnosis. I wasn't bleeding as heavily as you and I was less than 40 so I don't understand why they haven't offered you similar.

  • Exactly this - it just doesn't make sense to do any more tests. They can see what is there so I don't understand why they don't just remove the lot and do a biopsy from that. The most frustrating thing is no one is talking to me so I'm not getting any opportunity to ask anything. I tried asking the secretary what a biopsy involved and all she knew was it was a 30 minute appointment...

  • Try hang on to the fact your bloods were clear, I think that’s a real positive that you can hopefully feel better from. Lots of people in here have raised levels and it’s still benign but I do think that’s good yours are clear. 

    the waiting is awful, I am in the same boat. A physio told me a week ago that there was a mass on my mri 7cm ovary area, that’s it, that’s all the info I have, gynae referral yet to be picked up and not one person to speak to. GP can’t see anything else on the report and no answer from gynae either. The week of hell! 

  • I remember well how horrible the fear is and the waiting. Good luck to both of you x

  • Yes google is not my friend because I googled and what seemed good wasn't uncommon to still not be good. I'm definitely a glass half empty type of person.. Doesn't help that I have history with that hospital either. Had botched surgery that resulted in PTSD and a formal complaint. Huge amount of anxiety having to go there again and this consultant isn't filling me with faith. 

    I'm sorry you are in a similar position. I believe you are supposed to have an appointment within two weeks - mine was two weeks and a day. Definitely ask your GP to follow up if you exceed that.

  • Thank you. Helps to vent. 

  • Hello there. My wife had gone to a similar process at the start of 2024 when she had bleeding and unfortunately, she was later diagnosed with ovarian cancer but the treatment that she had received have been successful and it had inactivated all of it after a couple of months. However, her mental health has hit an all-time low since she had been told that her prognosis was treatable but incurable but had also been told that she could have many years to live with some monitoring and maybe more treatment in the future. She has been told that the cancer was not caused by any faulty genes so we are in the dark about how it occurred in the first place. Although my wife has not followed the advice given by the mental health team and her doctors that she needs to keep her mind occupied, her physical health is good and the important thing to do is the try and keep your mind occupied however hard it is with this on the back of your mind. There are plenty of support groups out there including MacMillan and the oncology team that would be treating you but one thing you should avoid is trying to diagnose and look for possible treatments and cures on the internet. The important thing is to listen to your doctor that would be treating you as he or she would know your case and how it is progressing. I hope that everything does work out for yourself.

  • Offline in reply to cjb2

    "doctors know best" isn't always the best approach. Yes, they have medical degrees and experience but if you are careful not to believe everything Dr Google says it doesn't hurt to arm yourself with information. Things do get missed where there's tight resources, people are short on time and any other problems so I say fight to be heard and have your input listened to. Not feeling like you're in the loop is a problem in itself.

    My partner's cancer journey involved unnecessarily time delays and a missed tumour that my partner tried to flag but was dismissed as a cyst. I don't like to alarm people but we have to remember that all humans are fallible and we are our own eyes and ears so an important part in the process of getting good care.

    I'm so sorry that your partner is receiving palliative care too. Once people are told they're living with cancer it's horrid. It does make people vulnerable to all sorts of exploitative advice. You have to keep your critical thinking cap on every time and be wary of so much. And mentally it's so difficult to process. My partner has had so many ups and downs since he was told it was incurable.