ROMA Ovarian Cancer Risk Test in English
Quick answer: The ROMA test is a blood test that combines two markers, CA-125 and HE4, with menopausal status to estimate the risk that an ovarian mass is cancerous. At Eunice Women's Clinic near Seongsu Station, Dr. Eun Mi-na explains when the test is useful and what the result means, in English. The non-covered price is 60,000 KRW.
What is the ROMA test?
ROMA stands for Risk of Ovarian Malignancy Algorithm. It is a blood test that measures two proteins:
- CA-125: a marker that can be raised in ovarian cancer, but also in benign conditions such as endometriosis, fibroids, pelvic infection, or even during a period.
- HE4: a marker that is less affected by many benign gynecologic conditions.
A formula combines both values with whether you are before or after menopause. The result is a risk estimate, usually reported as "low risk" or "high risk". It is a tool to support decisions. It does not diagnose or rule out cancer on its own.
Who is the ROMA test for?
- Women with an ovarian cyst or mass found on ultrasound, to help decide follow-up
- Women with a family history of ovarian cancer who want additional information, together with other checks
- Women who want to add it to a women's health checkup after discussing its limits with the doctor
The ROMA test is not a stand-alone screening test for women without symptoms. The doctor usually interprets it together with a pelvic ultrasound.
How does the ROMA test work at the clinic?
- Consultation: Dr. Eun asks about symptoms, your menopausal status and family history, and explains what the test can and cannot tell you.
- Ultrasound if needed: a pelvic or transvaginal ultrasound may be done to look at the ovaries.
- Blood draw: a small blood sample is taken from your arm.
- Lab analysis: the sample is sent to a laboratory.
- Follow-up: the doctor explains the result and whether more tests or referral are needed.
How should I prepare?
- Fasting is usually not required. Ask the clinic if other blood tests will be done at the same time.
- CA-125 can rise during your period, so the doctor may suggest a day when you are not menstruating.
- Tell the doctor if you are pregnant, as pregnancy can affect CA-125.
When will I get my results?
Results usually come within a few days; the clinic will tell you how you will receive them. If the result shows higher risk, the doctor explains next steps, which may include referral to a partner hospital for further evaluation.
How much does the ROMA test cost in Seoul?
| Item (non-covered price) | KRW |
|---|---|
| ROMA (ovarian cancer risk) test | 60,000 |
| Gynecologic ultrasound | 70,000 |
When the test is medically indicated, for example to evaluate an ovarian mass, NHIS coverage may apply to some or all of the test. Prices were last checked on January 1, 2026. Prices may change; confirm with the clinic.
Can I have this done in English?
Yes. Dr. Eun Mi-na, the director of Eunice Women's Clinic, is a female, board-certified OB-GYN who speaks English and sees patients in English. Tumor marker results can be confusing. The doctor explains in English what your number means and what it does not mean.
- Booking: Naver Booking, the clinic's KakaoTalk channel (search "유니스산부인과" or Eunice), or phone at +82-2-467-3100 (02-467-3100 in Korea). Booking is recommended; call or message to check same-day availability.
- Consultation: the medical discussion is with an English-speaking doctor. Front-desk and booking steps may be in Korean, so a short written message on KakaoTalk can help.
- Documents: an English medical certificate with diagnosis is available for 20,000 KRW if you need one for insurance or work.
See how English-language care works and how to book.
Book an appointment in English
Eunice Women's Clinic · 8F Bethel Place, 120 Achasan-ro, Seongdong-gu, Seoul · Seongsu Station (Line 2) Exit 3
Phone: +82-2-467-3100 · KakaoTalk channel · Naver Booking
Mon, Wed, Fri 10:00–19:00 · Tue & Thu 10:00–20:00 · Sat 10:00–14:00 · Lunch 13:30–14:30 · Closed Sundays & public holidays
Frequently asked questions
Can the ROMA test tell me if I have ovarian cancer?
No single blood test can diagnose ovarian cancer. ROMA estimates risk when an ovarian mass is present. Diagnosis needs further evaluation, such as imaging and, when needed, surgery at a hospital.
Why is ROMA used instead of CA-125 alone?
CA-125 can rise for many benign reasons, such as endometriosis or menstruation. Adding HE4 and menopausal status helps give a more balanced risk estimate than CA-125 alone. The doctor explains your result in English.
Should I take the ROMA test every year?
It is not recommended as routine screening for women without symptoms or known risk. Talk with the doctor about your personal and family history to decide if it is useful for you.
How much is the ROMA test at Eunice Women's Clinic?
The posted non-covered price is 60,000 KRW. NHIS coverage may apply when medically indicated. Prices may change; confirm with the clinic when you book. An ultrasound may be advised at the same visit.
Related pages
This page provides general health information for patients and does not replace a consultation with a doctor. Individual results vary. If you have severe pain, heavy bleeding, fainting or other urgent symptoms, call 119 or go to the nearest emergency room. Page updated September 2026.