These recommendations apply to asymptomatic women. They do not apply to women with known genetic mutations that put them at high risk for ovarian cancer, such as BRCA mutations. Doctors and patients should also be aware of family history patterns associated with an increased risk for ovarian cancer. Increased-risk family history means having 2 or more first- or second-degree relatives with ovarian cancer or a combination of breast and ovarian cancer, or for those who are of Ashkenazi (Eastern European) Jewish descent, having a first-degree relative (mother, daughter, or sister) or 2 second-degree relatives (grandmother, aunt, niece, or half-sister) on the same side of the family with breast or ovarian cancer. These women should be considered for genetic counseling to further evaluate potential risks.