Ovarian cancer

How much each factor raises, or lowers, the odds of dying of ovarian cancer. Tap a pill, answer yours. Green pills lower the risk, red raise it; a star marks an estimate, not a published number. All causes ›

What raises ovarian cancer death risk

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What raises ovarian cancer death risk

75%50%25%0%25%50%75%100%← more risk · % change in risk · less risk →Factors, ranked by biggest effect618%#1205%#2≈6%≈48%#354%#4≈50%#549%#637%#733%#832%#930%#1011%#11Everythingelseno single number

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Tap a pill to answer yours.

Where you sit

0 of 11 answered

Answer the 11 factors above to see which ones raise your own risk, which sit at the reference, and which the studies have no number for.

Relative risk versus each factor’s reference group; above the line is lower risk, below it higher.

Sources (11)Stratton et al., Br J Obstet Gynaecol 1998 · Sutcliffe et al., Int J Cancer 2000 · Collaborative Group on Epidemiological Studies of Ovarian Cancer, PLoS Med 2012 and 8 moreShow all
  1. [1]J. F. Stratton et al. A systematic review and meta-analysis of family history and risk of ovarian cancer. Br J Obstet Gynaecol, 105(5):493-9, 1998. doi:10.1111/j.1471-0528.1998.tb10148.x Evidence: High
  2. [2]S. Sutcliffe et al. Ovarian and breast cancer risks to women in families with two or more cases of ovarian cancer. Int J Cancer, 87(1):110-7, 2000. doi:10.1002/1097-0215(20000701)87:1<110::aid-ijc16>3.0.co;2-6 Evidence: Low
  3. [3]C. L. Pearce et al. Association between endometriosis and risk of histological subtypes of ovarian cancer: a pooled analysis of case-control studies. Lancet Oncol, 13(4):385-94, 2012. doi:10.1016/S1470-2045(11)70404-1 Evidence: Moderate
  4. [4]Collaborative Group on Epidemiological Studies of Ovarian Cancer. Ovarian cancer and body size: individual participant meta-analysis including 25,157 women with ovarian cancer from 47 epidemiological studies. PLoS Med, 9(4):e1001200, 2012. doi:10.1371/journal.pmed.1001200 Evidence: High
  5. [5]H. K. Sung et al. The Effect of Breastfeeding Duration and Parity on the Risk of Epithelial Ovarian Cancer: A Systematic Review and Meta-analysis. J Prev Med Public Health, 49(6):349-366, 2016. doi:10.3961/jpmph.16.066 Evidence: High
  6. [6]Collaborative Group on Epidemiological Studies of Ovarian Cancer et al. Ovarian cancer and oral contraceptives: collaborative reanalysis of data from 45 epidemiological studies including 23,257 women with ovarian cancer and 87,303 controls. Lancet, 371(9609):303-14, 2008. doi:10.1016/S0140-6736(08)60167-1 Evidence: High
  7. [7]Collaborative Group on Epidemiological Studies of Ovarian Cancer et al. Ovarian cancer and smoking: individual participant meta-analysis including 28,114 women with ovarian cancer from 51 epidemiological studies. Lancet Oncol, 13(9):946-56, 2012. doi:10.1016/S1470-2045(12)70322-4 Evidence: High
  8. [8]Collaborative Group On Epidemiological Studies Of Ovarian Cancer et al. Menopausal hormone use and ovarian cancer risk: individual participant meta-analysis of 52 epidemiological studies. Lancet, 385(9980):1835-42, 2015. doi:10.1016/S0140-6736(14)61687-1 Evidence: High
  9. [9]D. Zhang et al. Diabetes mellitus and risk of ovarian cancer. A systematic review and meta-analysis of 15 cohort studies. Diabetes Res Clin Pract, 130:43-52, 2017. doi:10.1016/j.diabres.2017.04.005 Evidence: Moderate
  10. [10]M. S. Rice, M. A. Murphy, and S. S. Tworoger. Tubal ligation, hysterectomy and ovarian cancer: A meta-analysis. J Ovarian Res, 5(1):13, 2012. doi:10.1186/1757-2215-5-13 Evidence: High
  11. [11]S. Zhong et al. Nonoccupational physical activity and risk of ovarian cancer: a meta-analysis. Tumour Biol, 35(11):11065-73, 2014. doi:10.1007/s13277-014-2385-z Evidence: Low

Every factor, one by one

One quick question each. The charts above follow your answers, and so does every other What Matters page that asks the same question.

  1. #1Family history of ovarian cancer[1, 2]+618%

    The clearest single flag on this chart, and the one most worth acting on.

    Any strong family history of cancer?

    reference
    +210%
    +618%

    Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.

  2. #2Endometriosis[3]Women+205%

    Another subtype story.

    Have you been diagnosed with endometriosis?

    reference
    +205%
    no number

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  3. #3Body weight[4]≈+48%

    Across 25,157 women with ovarian cancer from 47 studies, every 5 kg/m² of BMI went with 10% more ovarian cancer in women who had never used hormone therapy (the association was weaker in ever-users).

    How would you describe your weight?

    ≈+48%
    ≈+28%
    ≈+11%
    reference
    ≈−6%

    Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.

  4. #4Number of births[5]Women; protective−54%

    Pregnancy suppresses ovulation for months at a time, and fewer lifetime ovulations tracks with less ovarian cancer.

    How many children have you given birth to?

    reference
    −28%
    −43%
    −54%

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  5. #5Oral contraceptive use[6]Women; protective≈−50%

    The biggest protective pill on this page, and one every reader can answer about her own past.

    Have you ever used oral contraceptives (the pill)?

    reference
    −29%
    ≈−50%

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  6. #6Smoking[7]+49%

    A subtype story, not an overall one.

    Do you smoke?

    reference
    +8%
    +49%
    +49%

    Same number, 2 answers: The study compared current smokers with never smokers and did not split by cigarettes a day.

    Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.

  7. #7Menopausal hormone therapy[8]Women; current or recent use+37%

    Pooling 52 studies, women currently or recently (within 5 years) using menopausal hormone therapy had 1.37 times the ovarian cancer risk, rising for both serous and endometrioid tumours; risk fell after stopping but stayed slightly raised for years after.

    Have you used hormone therapy (HRT) for the menopause?

    reference
    +37%
    +37%
    no number

    Same number, 2 answers: The quiz asks the age hormone therapy was started; the ovarian cancer meta-analysis grouped users by how recently and how long they had used it instead, not by age started, so both start-age answers share its current-or-recent-use figure.

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  8. #8Breastfeeding[5]Women; protective−33%

    Breastfeeding suppresses ovulation the same way pregnancy does, on top of parity’s own protection.

    Have you breastfed, and for how long in total?

    reference
    −21%
    −28%
    −33%

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  9. #9Diabetes[9]+32%

    Across 15 cohort studies, diabetes went with 32% more ovarian cancer; type 2 diabetes alone carried a smaller 24% excess.

    What’s your blood sugar like?

    reference
    ≈+10%
    +32%
    +32%
    no number

    Same number, 2 answers: The meta-analysis compared diabetes with no diabetes; it did not split by how well it was controlled.

    Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.

  10. #10Tubal ligation or hysterectomy[10]Women; protective−30%

    Both procedures change how the fallopian tubes and ovaries connect to the rest of the reproductive tract, and both track with meaningfully less ovarian cancer: a meta-analysis of 30 studies on tubal ligation found 30% less ovarian cancer, and 24 studies on hysterectomy found 26% less.

    Have you had a tubal ligation (“tubes tied”) or a hysterectomy?

    reference
    −30%
    −26%
    no number

    Not answered yet. Tap an option to save your answer. This answer does not change your life estimate.

  11. #11Physical inactivity[11]−11%

    A weaker, less consistent pill than on the other cancer pages.

    How many days a week do you get 30+ minutes of exercise?

    reference
    −8%
    −9%
    −11%

    Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.

Cancer, site by site

Share of cancer deaths by site, SEER/NCHS (National Cancer Institute SEER Program, National Cancer Institute Evidence: Not graded (statistics)). Most sites have their own pills chart now — tap one — the smallest are still listed with their share alone.

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