It is good that you do not have the BRCA gene. Absent a genetic predisposition, the average woman's LIFETIME risk of ovarian cancer is less than 2% (1.3% per U.S. government stats). Since you tested BRCA negative, it would seem this very low percentage would apply to you in which case medical studies clearly show that bilateral oophorectomy (ovary removal) does more harm than good. (There are some other genetic links to ovarian cancer besides BRCA1 and BRCA2 but I believe BRCA1 and 2 are the most common ones. I assume you have already researched this.)
The ovaries, uterus, and tubes have lifelong functions. The ovaries in a woman with an intact "reproductive" system will produce hormones up to age 80. These hormones are essential for every aspect of health and well-being. Do a web search for "pubmed bilateral oophorectomy long term health." You will see there are lots of studies showing the importance of the ovaries.
I had an unwarranted hysterectomy and ovary removal at age 49 and, frankly, I would not wish it on my worst enemy. I aged horrifically fast in a matter of months post-surgery. My hair has never grown back in and continues to fall out (it has been 9 years). My skin looks much older than my peers' even though I am on HRT which I will likely need to take the rest of my life to feel half-way normal. But HRT cannot truly replace the hormones the ovaries produced.
I am not sure I understand your "second option" of tubal ligation. I have heard that removing the Fallopian tubes may reduce risk of ovarian cancer as they think it starts in the tubes. But I have not heard of ligation reducing the risk. But removing or tying the tubes can also have some negative effects on ovarian function and can cause disruptive menstrual cycle changes, typically heavier and longer periods. And being BRCA negative, you should not need to reduce your already VERY LOW risk.
Hope this helps!
I agree with Old_before_my_time....I have had lots of surgery thanks to endometriosis....the one I regret is the hysterectomy/bso and would not recommend for anyone as it's life altering to say the least....if I could go back...I would have kept my female organs as it has really messed up my body in ways it can never recover...I take hrt but it is no where near as good as what our wonderful ovaries do...even with the state of disease on mine they still did a significant better job then these hormone replacements do...only you can decide but I know if it were me...I would keep my ovaries...less then 2% is pretty insignificant in comparison to what happens when they remove your ovaries...
Anything is possible in the future...
But please don't live your life to WHAT MAY OR MAY NOT HAPPEN in the future....I could die in a car wreck driving home from work this afternoon, but I still get up every morning enjoying life....
Not sure why you want you tubes tide? As in not to get pregnant?
Hysterectomy is something you really must research. I had one done 2.5 yrs. ago...I don't regret it. I am on HRT patch, but I don't have any issues from the patch or the hysterectomy itself.
My husband comes from a the strong cancer gene on his fathers side. All 5 uncles, and his father died from one sort of cancer (brain, stomach, liver, throat) or another by the age of 55 (ALL).
He still chose to get married and have a child. I am not sure what your trying to convey with your cancer gene & the surgery.