Objective: To compare serum and peritoneal fluid concentrations of inhibin A, B, and pro-aC in women with ovarian tumors. Methods: Serum and peritoneal fluid samples were taken from 41 postmenopausal women operated on for an ovarian tumor. Twenty-one patients with endometrial cancer formed a control group. Serum and peritoneal fluid inhibin A, B, and pro-aC concentrations, and serum FSH and tumor marker CA 125 (study group only) concentrations were analyzed. Results: Inhibin A was found in low concentrations (median 4.1 pg/ml, range < 2-29 pg/ml) in serum in most postmenopausal patients with epithelial ovarian carcinoma, whereas inhibin B was not measurable. Inhibin pro-aC circulated in high concentrations (median 125 pg/ml, range 37->1000 pg/ml). All inhibins were found in clearly greater concentrations in the peritoneal fluid than in serum. International Federation of Gynecology and Obstetrics (FIGO) stage III-IV and poor differentiation grade were associated with significantly lower concentrations of inhibin A and proaC in the peritoneal fluid compared with stages I-II or low grade. This correlation was not found in the serum concentrations of inhibin A or pro-aC. In the control group, no dimeric inhibins were found in serum, and pro-aC circulated in median concentrations of 47 pg/ml (range 12-174 pg/ml). Conclusions: Postmenopausal patients with epithelial ovarian tumors had low concentrations of inhibin A and relatively high concentrations of inhibin pro-aC in serum. The peritoneal fluid concentrations of all inhibins far exceeded those in the serum. Relatively low concentrations of inhibin A and pro-aC in the peritoneal fluid of patients with ovarian cancer seem to be associated with high stage and grade and, to a lesser degree, with positive peritoneal cytology.