Dr. Heidi Gray describes ovarian cancer symptoms and risk factors. Ovarian cancer is the 2nd most common gynecologic cancer in the United States. Unfortunately the symptoms are nonspecific, such as bloating, mild abdominal pain, or changes with bladder, which are often attributed to other factors before discovering they may have ovarian cancer. As a result most ovarian cancers are diagnosed at a later stage. There is also not a successful screening strategy as few risk factors are known. The most common risk factor is genetics, which causes only 15-20% of ovarian cancer cases. All women diagnosed with ovarian cancer should undergo genetic counseling and testing for known genetic mutations, as they can have a higher risk for other disease such as breast cancer, and to alter family members to be screened.