How do you know if you should have prophylactic oophorectomy?

Risk vs. Benefit: If you are at high risk of ovarian cancer, such as carriers of a brca or lynch mutation, or women whose mothers have ovarian cancer, the surgery is your best risk reducer. If you are at average risk of ovarian cancer and having a hysterectomy, the risks of estrogen deprivation in premenopausal women must be carefully weighed. Most postmenopausal women have more benefits than risk with bso.