Ca 125 can get elevated when an ovarian cancer develops, but for other reasons as well, such as endometriosis or any inflammation in the pelvis. It is only a marker to interpret depending on the clinical context; so no, an elevated Ca125 isn't always a synonym of ovarian cancer.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.