Proven benefits of RRSO in premenopausal BRCA mutation carriers against both breast and ovarian cancer must be weighed carefully against the sequelae of surgically induced menopause, including risks of cardiovascular disease, osteoporosis, dementia, and impaired quality of life.
Current models of pelvic serous carcinogenesis suggest that interval salpingectomy is a logical option to reduce cancer risk. The procedure should be discussed with young BRCA mutation carriers, taking into consideration a patient’s individual risks and priorities.39
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