How To Detect Ovarian Cancer?

I am an Ovarian Cancer survivor of 21 years this month. Usually there are no symptoms, but sometimes a false pregnancy can occur. That may be what happened in my case. I felt pregnant, had a positive pregnancy test and then a subsequent miscarriage. Went to the ER where they did an ultrasound, saw what they thought was an ectopic (tubal) pregnancy and scheduled an emergency D&C. As we were filling out the paperwork I asked the doctor about the possibility of it being cancer. He responded that it would be very rare in a woman of my age (I was only 30 at the time), as ovarian cancer is much more common in women closer to, or even beyond, menopause. While filling out the surgical release forms I noticed the typist had indicated the tubal was on the left side when it was actually on the right, so the doctor made a handwritten correction to the form and did not remove the typing about the left side. Once he got in there that turned out to be a total blessing b/c not only was my right ovary totally encapsulated in a tumor but there was also a wedge of tumor on the left side. Had he removed that typing he would have had to close me up without removing that tumor. Pathology came back that I had EXACTLY the kind of cancer I asked him about. Six weeks later I went back in for a radical hysterectomy, which includes the omentum, both fallopian tubes, uterus, the remaining piece of the left ovary and the cervix. By the grace of the Lord I never had to have a bit of chemo or radiation and I'm here answering this question all these years later!!

These are the usual diagnostic examinations for ovarian cancer:
1.  Pelvic examination: To detect enlargement, nodularity, & immobility of the ovaries
2.  Pelvic sonography & CT scan: Helpful only for late manifestations
3.  Paracentesis or thoracentesis: If there is ascites & pleural effusion present
4. Laparotomy: For staging of the disease & determine the effectiveness of the treatment
5.  Increasing CA125: To determine progression of the disease

Note: Ovarian cancer is difficult to diagnose at the early stage because early manifestations are not so clear.