Hello, good question. I have no family history of ovca. I had lots of cyst issues and endometriosis. I opted at 42 to have a TOH because we decided years before that we did not want children. I was very lucky--my cancer was discovered Stage 1.... none of my doctors or I suspected anything. If you get 2nd, 3rd opinions and the option seems like a good prophylactic decision.... you must decide what is best for you. Blessings!