Hi. I am a 48 year old woman and have been experiences irregular periods (e.g., two recent cycles together seemingly), and a missed cycle altogether. However, while I m aware that I may be experiencing premenopausal symptoms, I have been also experiencing consistent pain in my abdomen and very uncomfortable bloating. My appetite has reduced (I have slim build naturally), and I am often feeling fatigued. I have recently gone for an ultrasound as I have a 5cm fibroid (measured 6 months ago). I m wondering if these symptoms may be due to the fibroid or if I should be concerned that another possibility is ovarian cancer? Thanks.