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Advanced Ovarian cancer treatment in India

Ovarian cancer treatment in India with cutting-edge technologies with the highest survival rate.

The most dangerous gynecological cancer is ovarian cancer because of its asymptomatic nature. Ovarian cancer couldn’t be found early due to a lack of active screening, and early detection techniques.

Detection of cancer itself is a matter of great concern. However, with the advanced ovarian cancer treatment in India, the survival rates are also increasing. 

Let me introduce you to Tiffany, a 45-year-old from Kampala, Uganda, an ovarian cancer patient who survived it, and now she wants other women around the world to learn from her experience. 

Tiffany is a mother of two daughters and works in the insurance industry. Tiffany’s husband Ted is a caring husband. She is a very active and fun-loving woman.

Three years back, Tiffany started having some bloating and unexplained weight gain. She went to a couple of doctors and had an X-ray and EGD (also called upper endoscopy, a test to examine the lining of the esophagus, stomach, and first part of the small intestine). Tests could not find anything.

Next month, she went on a vacation with her best friend on her birthday. She had amazing food and drinks on the beach and took a nap. She began to vomit while she was asleep. She knew that something was wrong and she decided to see the gastroenterologist back who had done the EGD.

Ovarian cancer patient image
Ovarian cancer patient image 2

The doctor said that she had a disorder that didn’t allow food to properly digest in her body. Tiffany didn’t get convinced with the doctor’s advice and decided to meet another Gastroenterologist doctor who examined her stomach and suggested she do a CT scan. 

The next day the test report came and the doctor called Tiffany to come to the hospital and informed her that she had ovarian cancer. She was in shock and became uncontrollable.

Ted supported her and they both came back to home. Luckily Ted’s aunt is a nurse in the hospital and advised Ted to not to take any risk and visit India for treatment and Ted’s aunt already knew about MedicoExperts as MedicoExperts visit regularly in their hospital for conducting medical and surgical camps. Ted’s aunt forwarded the MedicoExperts number to Ted.

Ted contacted MedicoExperts and forwarded all the reports. The MedicoExperts team explained the tumor board approach for the treatment and also arranged online video consultation with the gynec oncologist.

Tiffany and Ted had so many doubts regarding the treatment. All of them were cleared during the online consultations. After understanding all the aspects of the treatment protocol, they decided to come to India for the treatment.

After landing, she was admitted to the hospital and the evaluation test was performed to check the spread of cancer. After analyzing the reports the doctor decided to perform surgery and chemotherapy and explained to Ted and Tiffany regarding the treatment approach and the reasons behind the approach. 

The doctor performed a radical hysterectomy and six rounds of chemotherapy. After her treatment was finished reevaluation tests were performed to check the outcome of the treatment. The result came and no cancer was detected. 

Tiffany and Ted were very happy with the outcome and thanked the MedicoExperts doctors for the treatment and MedicoExperts team for support.

This could be your story as well to defeat ovarian cancer.

Before we start our discussion on different options to treat ovarian cancer, Let’s first understand what Ovarian cancer is.

ovarian cancer treatment in india

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What is Ovarian Cancer?

Ovarian cancer refers to unusual growth appearing in different parts of the ovaries.

The ovary is a part of a woman’s reproductive system where eggs are developed.

Most ovarian cancers start from the surface of the ovary called ‘epithelial cancer’. 

what is ovarian cancer
types_of_ovarian_cancer

What are the different types of Ovarian Cancer?

The type of cell where cancer starts determines the type of ovarian cancer that include:

  • Epithelial cancer – This is the most common ovarian cancer. It starts on the top of the ovary.
  • Stromal tumors – These tumors are diagnosed at an earlier stage. It starts to grow in the hormone-producing cells.
  • Germ cell tumors – These are rare tumors that occur at a younger age. These develop in the egg-producing cells.

stages

What are the different stages of Ovarian Cancer?

The stage of ovarian cancer is determined based on how far cancer has spread and is divided into four stages and their substages:

This is the least advanced stage of ovary cancer, and the cancer is within the ovaries.

Stage IA – Cancer is confined inside one ovary.

Stage IB – Cancer is inside both the ovaries.

Stage IC – Cancer is present in both the ovaries and includes one of the below:

  • Stage IC1 – Cancer cells have leaked to the belly area during surgery.
  • Stage IC2 – Fluid-filled tumor has burst, and cancer cells have spilled your belly before surgery.
  • Stage IC3 – Lab tests find cancer cells in fluid in your abdomen.

Cancer has reached organs near the ovaries but has not spread to lymph nodes or distant organs.

Stage IIA – Cancer is in the uterus, fallopian tubes, or both.

Stage IIB – Cancer has scattered to organs in your pelves like the bladder, colon, or rectum.

Cancer is in your stomach lining, lymph nodes, or both.

Stage IIIA1 – Cancer is in lymph nodes and might be growing to nearby organs. Cancer in the lymph nodes is either less than 10mm or bigger than 10mm.

Stage IIIA2 – Cancer in your stomach lining which can only be seen through a microscope and might have also spread to nearby lymph nodes.

Stage IIIB – Cancer in your belly which is less than 2cm across. They may also have spread outside your liver and spleen and in your lymph nodes.

Stage IIIC – Cancer has increased by more than 2cm.

This is the most advanced stage which shows that cancer has spread to distant organs.

Stage IVA – Cancer cells are in the lung but haven’t spread to areas outside your abdomen.

Stage IVB – Cancer has been found in lymph nodes, as well as tissues and organs.

symptoms

What are the sign and symptoms of Ovarian Cancer?

Ovarian Cancer often does not show symptoms but as cancer grows, the following symptoms can be seen:

  • Abdominal bloating or swelling
  • Weight loss
  • Pain the abdomen, pelvis, back, or legs
  • Fatigue
  • Back pain
  • Nausea, Constipation, Indigestion, or diarrhea
  • Frequent urination
  • Shortness of breath
sign and symptoms of ovarian cancer
risk-factor-for-ovarian-cancer

Causes

What Causes Ovarian Cancer?

The risk factors for ovarian cancer include:

  • Age – The risk of ovary cancer rises with age. It is most often detected in older adults.
  • Never had children – If you’ve never been pregnant, you may have increased chances of getting ovarian cancer.
  • Family record of ovarian cancer – If you have relatives who have been diagnosed with ovarian cancer, then you may have an increased risk of having it.
  • Early or late start of menstruation – Beginning menstruation in the early stage or later stage increases the risk of ovarian cancer.
  • Overweight – Being overweight or obese also increases the chances of ovarian cancer.
  • Endometriosis – It is often a painful illness in which tissue inside of the uterus starts growing outside the uterus.

Most cases of ovarian cancer develop after menopause. It is possible to have ovarian cancer without having any risk factors. Similarly, any of these factors doesn’t necessarily mean that you will develop ovarian cancer

diagnosis

How Ovarian Cancer is diagnosed?

If you have any symptoms of ovarian cancer, then the doctor will ask you to get any of the following tests:

In this test, the doctor checks general signs of health. Your doctor may press your abdomen to check for tumors or abnormal fluid buildup. A sample of fluid can be taken to check for ovarian cancer cells.

The doctor can inspect the genitals, vagina, uterus, and ovaries for any changes.

In blood tests, the lab may check the level of several substances, including CA-125. CA-125 is an ingredient found on the surface of ovarian cancer cells and on some other normal tissues. This test alone is not enough for a diagnosis of ovarian cancer.

It uses sound waves and creates pictures from the echoes. The picture might show ovarian cancer. There are two types of ultrasounds, one is internal ultrasound, where an ultrasound probe is inserted into the vagina. Another one is external ultrasound, where the probe is put next to your stomach.

It is the removal of tissue or fluid to check for cancer cells. Based on the blood test and ultrasound results, your doctor may suggest surgery to remove tissue and fluid from the pelvis and abdomen. Surgery is usually necessary to diagnose ovarian cancer.

The doctor inserts a light tube called a laparoscope in the abdomen. It may be used to remove a small cyst or early ovarian cancer.

It takes the images of the abdomen, chest, and pelvis and combines them to form a 3D picture to help doctors find the signs of cancer in the body.

It uses radiation that takes images of the inside of the body. It is useful to find out if ovarian cancer has spread to other parts of the body.

treatment

Options for ovarian cancer treatment in India

Your doctor will determine the treatment plan based on how far cancer has spread and most likely to involve a combination of two or more treatments.

This is the main treatment of ovarian cancer. The goal of surgery is to remove the tumor, but complete removal of the uterus is often necessary, called hysterectomy. The doctor might also recommend removing both ovaries and fallopian tubes, nearby lymph nodes, and other pelvic tissue.

Targeted therapy attacks the cancer cells while doing little damage to the normal cells. Your doctor may test your cancer cells to determine which targeted therapy will have more effect on your cancer.

To know more please visit the Targetted drug therapy page.

It is a drug treatment that uses chemicals to kill the growing cancer cells in the body. It can be injected into the vein or taken by mouth. It is often used after surgery to kill the remaining cancer cells. Chemotherapy for ovarian cancer can also be used ahead of surgery.

It uses drugs to block the effects of ovary cancer cells. Some ovarian cancer cells use estrogen to help them grow up hence blocking them can help control ovarian cancer. It can be a treatment option for slow-growing ovarian cancer and can be a treatment of cancer that comes back after initial treatments.

It uses the immune system to fight against cancer. The body’s disease-fighting immune system might not attack cancer cells because they produce a protein that helps cancer cells to hide from immune system cells. Hence immunotherapy interferes with this process.

To know more please visit the Immunotherapy page.

It is specialized medical care that focuses on providing relief from pain and other symptoms of serious illness. They offer an extra layer of support that adds to your continuing care. It can be used while undergoing aggressive treatment, such as chemotherapy or surgery. When this is used along with other appropriate treatments, people feel better and live longer.

It is provided by a team of doctors, nurses, and other trained professionals. It aims to improve the quality of life for people with cancer and their families.

Treatments like chemotherapy, radiation therapy, and surgery can damage your reproductive organs, which makes it difficult to become pregnant in the future. There are possible fertility preservations that include:

  • Embryo Freezing – This requires freezing a fertilized egg.
  • Oocyte Freezing – This requires freezing an unfertilized egg.
  • Surgery to preserve fertility – Here, only one ovary with cancer is removed which is only possible during early-stage ovarian cancer.
  • Ovarian tissue preservation – This involves removing and freezing the ovarian tissue for the future.
  • Ovarian suppression – Taking hormones to suppress ovarian function temporarily.

OVARIAN CANCER

What are the common approaches of doctors to treat different stages of ovarian cancer?

Typically the primary approach of your doctor while treating your ovarian cancer is to manage the symptoms caused by ovarian cancer. Although it is not uncommon to experience symptoms in the initial stage, however, it can be painful for one to live with advanced cancer.

Once your doctor confirms ovarian cancer, your doctor may prescribe you medication to slow down the progression of the disease. 

Also, your doctor may advise you for some tests to determine the extent of the spread of cancer. Based on the spread of cancer, your doctor will choose the best treatment suitable for you.  

Generally, during the early stage of ovarian cancer, the cancer is localised inside the uterus and has not spread anywhere else in the body. Therefore, to avoid the growth of cancer cells, your doctor may suggest you get your cancer removed surgically. 

The surgery can be done either using the laparoscopic technique that involves the removal of the cancerous cells through small holes that your surgeon had made.

Sometimes your doctor can use traditional open surgery to remove the cancer cells.

During stage 2 of ovarian cancer, there is a risk that cancer can spread to the neighbouring structures in the pelvic region, like the fallopian tubes. But during this stage, cancer does not spread beyond the pelvis. 

For treating stage 2 cancer, your doctor might advise surgical removal of your uterus, or sometimes just the ovaries with the fallopian tubes (BSO surgery).

Chemotherapy has also helped many women with stage 2 ovarian cancer recover from it.

The treatment for stage 3 ovarian cancer is similar to stage 2 ovarian cancer. However, for treating stage 3 cancer, your doctor may advise you of some additional doses of chemotherapy. 

Sometimes based on the spread and severity of symptoms, your doctor may advise you on additional treatment.

During the 4th stage of cancer, the cancerous cells begin to spread to other parts of the body, thereby, making it difficult for doctors to check cancer growth. 

Generally, doctors use chemotherapy, to shrink cancer, followed by surgery. 

Alternatively, your doctor may recommend combination treatments, like mixing targeted therapy with immunotherapy for people who have not responded well to other treatment methods.

ovarian cancer treatment

Which country is best for ovarian cancer treatment?

Living with ovarian cancer can be depressing and painful. While we all look for the best treatment options to reverse this condition, we also consider world-class services.

It is humane to look for treatment facilities that provide world-class treatment at an affordable price.

But while you are choosing a country for ovarian cancer treatment, you ensure:

  • Health care facilities and other advanced technologies offered by that country for the treatment.
  • The success rate of ovarian cancer treatment in India
  • Survival ratios of the people who underwent ovarian cancer
  • Cost of treatment, and stay in that country

Apart from ensuring the following factors, you must consider logistic factors like connecting flights, transportation and safety for the chosen country.

While many of us may consider western nations for the treatment of ovarian cancer, India has emerged as one of the leading countries that provide the best healthcare facilities with high success and survival ratios.

The availability of world-class treatment and the dedicated post-care facility has attracted many women to India to get their ovarian cancer treatment done in India at an affordable price which is almost half of what it would have cost you in western countries.

ovarian cancer treatment cost
ovarian cancer treatment cost

How to choose the best hospital for ovarian cancer treatment in India?

Selecting a hospital for cancer treatment can be overwhelming. When choosing a hospital for cancer treatment, you must ascertain that the hospital you have chosen is equipped with the latest cancer treatment technologies and has a multidisciplinary approach.

The multidisciplinary approach provided by the hospital enables you to get access to specialists including, cancer surgeons, medical oncologists, radiation oncologists, well-trained nurses and social workers. These specialists work together to ensure the best treatment plan for you.

Apart from selecting a hospital with world-class facilities, you must ensure that the selected hospital has a dedicated unit for cancer treatment and a well-trained post-care team.

Also, check the cancer treatment success and survival rate of the hospital you have selected.

treatment Cost

Ovarian cancer treatment cost in India

The cost of ovarian cancer treatment in India depends upon the type of treatment carried out. Private hospitals may charge 675.75 –  2027 USD (Rs 50,000 to Rs 1,50,000 INR) for one cycle of chemotherapy.

Radiotherapy can cost up to 2702 USD (Rs 2,00,000 INR) and surgery may cost up to 4324 USD (Rs 3,20,000 INR).

The treatment of ovarian cancer involves a combination of these treatments hence the total cost might go up to 13514 USD (Rs 10,00,000 INR).

ovarian cancer treatment cost
ovarian cancer treatment cost

How to choose the best oncologist for your ovarian cancer treatment in India?

Choosing an oncologist is crucial, and a big decision for you to make. While you make this difficult decision here, are a few tips that can help you select the best doctor for you:

  • Ensure that your doctor is board-certified.
  • Check for your doctor’s experience and expertise in ovarian cancer treatment
  • Ask your doctor if he has a team of specialists for treating ovarian cancer
  • Choose a doctor whom you trust and are comfortable with

If you are not sure about the doctor, please seek a second opinion because treatment for ovarian cancer needs the expertise and experience of a skilled and well-trained cancer specialist.

Survival Rate

Survival Rate of Ovarian Cancer in India

The five-year survival rate of ovarian cancer found at an early stage (stage I) is very good i.e., 93%.

However, the five-year survival rate of ovarian cancer treatment in India for all women diagnosed with ovarian cancer is only 48% since it is often found at an advanced stage in which the disease has already spread within the abdomen.

ovarian cancer survival rate

Frequently Asked Questions and patient concerns:

Is Ovarian Cancer curable?

All types of ovarian cancer are treatable if diagnosed at an early stage.

Does Ovarian Cancer spread quickly?

Ovarian cancer grows faster and can progress from early-stage to advanced-stage within a year.

How to check for Ovarian Cancer at home?

It is not possible to diagnose ovarian cancer at home, but if you are aware of the symptoms then you can ask the doctor for medical advice.

At what age can you get Ovarian Cancer?

The risk of ovarian cancer increases with age. Most ovarian cancer develops after menopause and half of them are found in women 65 years or above. It is rare in women below the age of 40. Women over the age of 50 have a higher risk of ovarian cancer.

When should you be screened for Ovarian Cancer?

The screening may be recommended starting at the age of 30 to 35, or 5 to 10 years earlier than the age at which a family member was diagnosed. Screening may include a blood test for CA-125 and a pelvic ultrasound.

How to detect Ovarian Cancer?

Only about 20% of ovarian cancers are found at an early stage which has a great five-year survival rate (93%). Hence it is recommended for below to detect ovarian cancer early.

  • Have regular health exams
  • See a doctor if you find any symptoms
  • Screening tests for ovarian cancer

How to Prevent Ovarian Cancer?

There are no proven ways to prevention of ovarian cancer, but the below steps can lower the risk:

  • Taking contraceptive pills
  • Breastfeeding
  • Pregnancy
  • Surgery on reproductive organs like hysterectomy

How to prevent recurrence of Ovarian Cancer?

There is no way to prevent ovarian cancer from coming back. No specific diet can be prescribed as a proven method for ovarian cancer prevention. However, it is recommended to have a healthy diet, exercise, and see your cancer care team for follow-up visits.

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