Reply to Is a yearly pelvic ultrasound sufficient to protect against uterine/ ovarian cancer?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]There’s also removing the Fallopian tubes to reduce ovarian cancer risk. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/salpingectomy

I asked about this since I have PCOS and history of complex cysts, I worry about ovarian cancer. my OB was supportive about tubal removal, I asked to have it done during my last birth (planned C). Insurance wouldn’t pay for it at the same time as a C-section bc of unspecified risks but would pay if I went back separately.  So that is kind of disappointing.

Anyone out here  had a salpingectomy for preventative reasons? [/quote]

My SIL is BRCA positive and had her tubes removed preventatively in addition to a mastectomy. But then a few years later she had her ovaries out as well. I’m not close with her so I don’t know the reason why it was spaced out like that. [/quote]

Probably because a mastectomy is a big surgery. Did she just have her tubes removed or did she have her ovaries removed? Ovary removal is also a big surgery in terms of outcome as it is pretty dramatic to immediately enter menopause. [/quote]

There is some fairly strong research that many "ovarian" cancers actually originate in the fallopian tubes. Removing the ovaries before menopause can increase one's risk of heart disease and osteoporosis. So the current thinking is that in younger women at high risk of "ovarian" cancer, removing the tubes before menopause and waiting until after menopause to remove the ovaries could be the most effective approach--reducing the risk of cancer without increasing risk of other bad outcomes.
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