Ovarian Cancer Awareness Month: Protecting the Health of Native American Women
Every September, health organizations nationwide observe Ovarian Cancer Awareness Month to draw attention to a disease often called the “silent killer.” Unlike other cancers that have clear early warning signs, ovarian cancer frequently goes undetected until advanced stages, making awareness and education critical. For Native American women—especially those living in urban centers like New York City—understanding ovarian cancer, its risks, and the importance of early recognition is a vital step toward saving lives.
Why Ovarian Cancer Is So Serious
Ovarian cancer is the fifth leading cause of cancer-related deaths among women in the United States. According to the American Cancer Society (ACS):
About 19,700 women in the U.S. will be diagnosed with ovarian cancer in 2025.
Roughly 13,000 women will die from the disease this year.
The lifetime risk for women is about 1 in 78.
The disease is dangerous because symptoms—such as bloating, pelvic pain, feeling full quickly, and frequent urination—are subtle and often mistaken for normal digestive or urinary issues. As a result, about 70% of cases are diagnosed at Stage III or later, when treatment is less effective.
Native American Women and Cancer Disparities
Native American and Alaska Native women face unique health challenges:
Studies from the Indian Health Service (IHS) show that Native women are less likely to receive regular OB/GYN care, leading to later diagnoses of reproductive cancers.
Poverty, lack of insurance, and limited culturally competent care increase barriers.
In urban areas like New York City, Native women may also struggle with navigating a complex healthcare system, language barriers for some, and mistrust of medical institutions due to historical trauma.
Although ovarian cancer data for Native women is limited, the disparities in women’s health outcomes suggest that Native women may face higher risks of delayed diagnosis and poorer survival outcomes.
A Community Story
One story shared within Native women’s health networks is that of a Lakota mother who ignored ongoing bloating and abdominal discomfort, assuming it was a stomach issue. Months later, she was diagnosed with Stage III ovarian cancer. After treatment and community support, she became an advocate—urging other Native women to listen to their bodies and seek medical advice when symptoms persist. Stories like hers highlight the importance of awareness campaigns in saving lives.
Signs and Symptoms to Watch For
Ovarian cancer does not have a reliable screening test like mammograms for breast cancer or Pap smears for cervical cancer. That’s why symptom awareness is crucial:
Persistent bloating or abdominal swelling
Pelvic or abdominal pain
Feeling full quickly when eating
Frequent or urgent urination
Unexplained fatigue or back pain
Changes in menstrual cycles (for premenopausal women)
If these symptoms occur almost daily for two weeks or more, women should see a doctor promptly.
Risk Factors and Prevention
Risk factors for ovarian cancer include:
Age: Most cases occur in women over 50.
Family history: Having a mother, sister, or daughter with ovarian or breast cancer raises risk.
Genetic mutations (BRCA1/BRCA2): Significantly increase lifetime risk.
Reproductive history: Women who never carried a pregnancy to term may face higher risk.
Lifestyle factors: Obesity, smoking, and lack of physical activity may also contribute.
Prevention and Risk Reduction:
Genetic counseling and testing for women with a strong family history.
Oral contraceptives (long-term use reduces ovarian cancer risk).
Regular OB/GYN visits for pelvic exams.
Healthy lifestyle: Maintaining a balanced diet and active lifestyle.
Recommendations for Native Women
Know your family history and talk with your doctor about genetic testing if relatives have had ovarian or breast cancer.
Pay attention to symptoms and don’t dismiss persistent bloating or pelvic pain.
Seek annual women’s health check-ups even if you feel healthy.
Adopt protective habits like regular physical activity and a diet rich in vegetables and lean proteins.
Advocate for yourself in healthcare settings—ask questions, request second opinions, and bring a family member or trusted person for support.
New York Indian Council is playing a key role in raising awareness and supporting Native women’s health in the city:
Education Workshops: Hosting community sessions to teach women about ovarian cancer symptoms, risks, and the importance of regular care.
Connection to Services: Partnering with NYC health clinics and cancer screening programs to help Native women access affordable OB/GYN services.
Culturally Competent Support: Creating safe spaces for women to talk openly about reproductive health, breaking stigma and silence.
Advocacy: Working with city health departments to ensure Native women’s voices are included in cancer awareness and prevention initiatives.
By focusing on culturally relevant education and navigation, NYIC can help ensure Native women do not face ovarian cancer alone.
Conclusion
Ovarian Cancer Awareness Month reminds us of the urgent need to listen to women’s voices and bodies. For Native American women, addressing ovarian cancer is part of the larger fight for equitable healthcare and survival. Early recognition of symptoms, family history awareness, and regular women’s health visits can save lives. With support from families, communities, and organizations like the New York Indian Council, Native women in New York City can gain the knowledge, confidence, and access needed to protect their health and continue to lead their families and communities with strength.
