CA 125 Test: A Screening Test For Ovarian Cancer? - Mayo Clinic

Should I ask my doctor for a CA 125 blood test to check for ovarian cancer?

The cancer antigen 125 (CA 125) blood test generally isn't recommended if you have an average risk of ovarian cancer.

Sometimes ovarian cancer causes a higher level of CA 125 in the blood. But that doesn't happen in everyone with ovarian cancer. Having a high level of CA 125 doesn't mean that you have ovarian cancer.

Many other conditions can raise your CA 125 level, including:

  • Endometriosis
  • Liver cirrhosis
  • Menstruation
  • Pelvic inflammatory disease
  • Uterine fibroids

For these reasons, health care providers don't recommend CA 125 testing in those with an average risk of ovarian cancer.

Providers sometimes recommend CA 125 testing if you have a high risk of ovarian cancer. But not all providers agree on this advice. Your risk might be high if the genes that increase the risk of breast and ovarian cancers run in your family. These genes include BRCA1 and BRCA2.

If you're concerned about your risk of ovarian cancer, ask your provider about screening options and ways to lower your risk.

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  • Ovarian cancer: Still possible after hysterectomy?
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Aug. 06, 2025 Show references
  1. AskMayoExpert. BRCA pathogenic variants (mutations) (adult). Mayo Clinic; 2019.
  2. Screening for ovarian cancer. U.S. Preventive Services Task Force. https://www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/ovarian-cancer-screening. Accessed June 25, 2022.
  3. Smith RA, et al. Cancer screening in the United States, 2019: A review of current American Cancer Society guidelines and current issues in cancer screening. CA: A Cancer Journal for Clinicians. 2019; doi:10.3322/caac.21557.
  4. Carlson KJ. Screening for ovarian cancer. https://www.uptodate.com/contents/search. Accessed June 25, 2022.
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See also

  1. Abdominal hysterectomy
  2. Alternative cancer treatments: 11 options to consider
  3. Beating Ovarian Cancer
  4. Belching, intestinal gas, gas pains and bloating
  5. Bleeding after hysterectomy: What can I expect?
  6. BRCA gene test
  7. CA 125 test
  8. Cancer treatment
  9. Chemo targets
  10. Chemotherapy
  11. Chemotherapy and hair loss: What to expect during treatment
  12. Chemotherapy and sex: Is sexual activity OK during treatment?
  13. Chemotherapy nausea and vomiting: Prevention is best defense
  14. Doppler ultrasound: What is it used for?
  15. Fertility preservation
  16. Gas and gas pains
  17. Hyperthermic intraperitoneal chemotherapy (HIPEC)
  18. Magic mouthwash
  19. Mouth sores caused by cancer treatment: How to cope
  20. Oophorectomy (ovary removal surgery)
  21. Ovarian cancer
  22. Ovarian cancer: Still possible after hysterectomy?
  23. Pap test: Can it detect ovarian cancer?
  24. Pelvic exam
  25. Pressurized intraperitoneal aerosol chemotherapy (PIPAC)
  26. Ultrasound
  27. Vaginal hysterectomy
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