Hello, Dr Rynne, My girlfriend is experiencing several symptoms, many that interfere with her quality of life. I will list them below: -Increase in the frequency and urgency of urination -Change in faecal composition- similar to diarrhoea -Feeling of fullness and no appetite -Feelings of nausea after eating (eating only small amounts of vegetables and other foods) -Difficulty sleeping (not unusual) -Reoccurring and consistent pelvic pain, including feelings of pressure -Irregular periods (missing two or more cycles, sometimes even 4 months without any period) -Increase in bloating of stomach (no significant visual change) -Back pain, particularly lower -Lethargy, feeling tired frequently. She has seen doctors before, and a cyst on one of her ovaries has been detected. She has also had a trans-vaginal ultrasound and typical colonoscopy within the last year, but some of these symptoms have developed since. Her thyroids have been checked, and she has been checked for diabetes with no issues there. I am wondering about the likeliness of this being some form of ovarian cancer. Her symptoms present very similarly to the symptoms of ovarian cancer, but her age (19, almost 20) definitely reduces the likelihood of this risk. I ve recommended she has an additional ultrasound and has that cyst checked again because the pain and pressure seem to be concentrated in her pelvic region, close to her ovaries and uterus. Until then, are there any other possible diagnoses for these symptoms? I d like to clarify that these symptoms have been increasing in severity and have occurred every one or two days for more than two weeks. I would sincerely appreciate any advice or concerns you might have to offer! This has been a source of constant worry for the both of us, particularly with her family history of bowel cancer. Kind Regards, Extremely concerned.