A 42-year-old woman visits your gynecology clinic after receiving genetic testing results that confirm she carries a BRCA1 mutation. Her family history is concerning—her mother was diagnosed with ovarian cancer at age 58 and her maternal aunt developed breast cancer at age 50. Despite having no personal history of cancer or significant medical issues and being asymptomatic, she is understandably anxious about her risk. She is seeking advice on evidence-based strategies to reduce her risk of developing ovarian cancer. Question: Which of the following strategies is most effective at reducing ovarian cancer risk in high-risk women with BRCA mutations?
