CORONAVIRUS ALERT: Any symptoms of fever, cough, difficulty breathing AND travel to high risk areas(China, Italy, Iran and South Korea) in last 14 days or if you have been in close contact with someone who has traveled to these areas. NOTIFY YOUR PHYSICIAN IMMEDIATELY! 

After much consideration, and in an effort to protect the well-being of our community, we have made a decision to implement caregiver and visitor limitations at all MOH clinics that include:

  • No Visitors are allowed in the clinics
  • Only 1 caregiver can accompany a patient in the practice if they have no upper respiratory symptoms - upper respiratory symptoms include: a cough, fever of 101.1 and above, nasal congestion, runny nose or sore throat
  • Children age 15 or younger are not allowed in the clinic until further notice 

The health and safety of our MOH patients and staff is our top priority. We recognize that these visitor limitations may cause concerns, so if you feel you have a special circumstance, please notify the front desk so a manager can discuss your situation.Visitors with flu-like symptoms are not permitted to visit our offices in order to protect patients and staff.

The following offices, Wheaton and Germantown have consolidated to our Rockville & Bethesda locations. In addition, our Mt. Airy office has consolidated to our Frederick location.

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Ovarian Cancer Treatment Options

Your doctor can describe your treatment choices and the expected results. Most women have surgery and chemotherapy. Rarely, radiation therapy is used.

Cancer treatment can affect cancer cells in the pelvis, in the abdomen, or throughout the body:

  • Local therapy: Surgery and radiation therapy are local therapies. They remove or destroy ovarian cancer in the pelvis. When ovarian cancer has spread to other parts of the body, local therapy may be used to control the disease in those specific areas.
  • Intraperitoneal chemotherapy: Chemotherapy can be given directly into the abdomen and pelvis through a thin tube. The drugs destroy or control cancer in the abdomen and pelvis.
  • Systemic chemotherapy: When chemotherapy is taken by mouth or injected into a vein, the drugs enter the bloodstream and destroy or control cancer throughout the body.

You may want to know how treatment may change your normal activities. You and your doctor can work together to develop a treatment plan that meets your medical and personal needs.

Surgery
The surgeon makes a long cut in the wall of the abdomen. This type of surgery is called a laparotomy. If ovarian cancer is found, the surgeon removes:

  • both ovaries and fallopian tubes (salpingo-oophorectomy)
  • the uterus (hysterectomy)
  • the omentum (the thin, fatty pad of tissue that covers the intestines)
  • nearby lymph nodes
  • samples of tissue from the pelvis and abdomen

If the cancer has spread, the surgeon removes as much cancer as possible. This is called “debulking” surgery.

If you have early Stage I ovarian cancer, the extent of surgery may depend on whether you want to get pregnant and have children. Some women with very early ovarian cancer may decide with their doctor to have only one ovary, one fallopian tube, and the omentum removed.

Chemotherapy
Chemotherapy uses anticancer drugs to kill cancer cells. Most women have chemotherapy for ovarian cancer after surgery. Some women have chemotherapy before surgery.

Usually, more than one drug is given. Drugs for ovarian cancer can be given in different ways:

  • By vein (IV): The drugs can be given through a thin tube inserted into a vein.
  • By vein and directly into the abdomen: Some women get IV chemotherapy along with intraperitoneal (IP) chemotherapy. For IP chemotherapy, the drugs are given through a thin tube inserted into the abdomen.
  • By mouth: Some drugs for ovarian cancer can be given by mouth.

Chemotherapy is given in cycles. Each treatment period is followed by a rest period. The length of the rest period and the number of cycles depend on the anticancer drugs used.

You may have your treatment in a clinic, at the doctor’s office, or at home. Some women may need to stay in the hospital during treatment.

Radiation Therapy

Radiation therapy is rarely used in the initial treatment of ovarian cancer, but it may be used to relieve pain and other problems caused by the disease. The treatment is given at a hospital or clinic. Each treatment takes only a few minutes.