That would change things, but most people don't choose to do it before they have children as breast cancer before, say, even 35 is still very rare and no, not everyone, but most people have their children before 35. Maybe I don't know what you mean.
Sorry, I'm confusing things and talking solely about having a hysterectomy if you haven't already had children.
Having a masectomy would not bother me as much if I was kidless because there is the option to bottle feed other than breast feed.
I hope I'm making sense.
Most breast cancer under the age of 35 is hereditary. Most types of ovarian cancer under the age of 60 are hereditary.
Telling a 40 year old woman that she should have a mastectomy and hysterectomy is not as big a deal as telling a 21 year old. Most 20 year old only get the mastectomy and I have seen lots who still get ovarian cancer in their 30-40s. Usually once a family member is diagnosed as carrying one of those gene mutations, all (adult) members of the family can get tested if they choose. That means you have many under 25y women being told that they have an 80% chance of breast/ovarian cancer before they are 80. That means some will get it at 30, some at 50 and some will never get it. It is a hard decision to make when you have no symptoms.
At this point in my life, I would tell them to take everything. If I were 10-15 years younger, I would do the mastectomy and try to have my kids ASAP and then do the hysterectomy. However, I was with my husband then and I am now so the child aspect is fairly straightforward. I'm not sure what I'd do as a 35y who wants kids and is not in a relationship yet.
She has ticking time bombs in her belly, too, although the ovarian cancer is not quite as high a risk as the breast cancer. I wonder if she & Brad are hoping to have more children and that's why she didn't also address having her ovaries removed. Or maybe she's just waiting a bit longer before dealing with surgically-induced early menopause.
I can't even thing about weighing the decision if I found out I had that gene before having kids. I was sooooo not ready to be a mom when I was in my 20s or even early 30s, but maybe knowing it was a now or never situation I might have made a different decision.