instruction: hello doctor my grandmother had a big goiter that she did not get it removed later she got a large cyst on the ovary I mean keg when she removed it she found out she had ovarian cancer she removed it and is healthy today now I am terrified that this is hereditary what do you think I am so scared for my mother the doctor told my grandmother to remove the goiter a lot of times it was huge and she had hyperthyearoidism I have read somewhere that there might be a link to hyperthyearoidism and ovarian cancer I think that the body is trying to tell something when she got all this stuff my grandmother was smoking for almost 30 years before she got this and was when she was diagnosed do you think it is hereditary she is the only one in the family with this type of cancer no breast cancer known in the family my mother was on a check before a few days but she is and has irregular bleeding and has an appointment with a specialist next month I am terrified my grandmother had an early menopause and the doctor thinks the same is going on with my mother if she got the menopause from my mother I think she also can get the cancer but it is very normal to get the menopause on the same age as your mother is it my mother is years has kids never tried a smoke do you think she is in danger I also have ocd and terrifying thoughts all the time
output: hello first it is perfectly normal if your grandmother had and now your mother is started having premenopausal irregular cycles at age of there is no harm in having menopause at this age and studies have concluded that early menopause protects from breast and ovarian cancers second since your grandmother had ovarian cancer then here are a few questions what was the age of your grandmother when it was diagnosed what was the histological type and grade of the tumor has she underwent screening for other cancers that are common in this age group and your complete family history with cancer history in family members the use of hormonal replacement therapy or other erogenous hormones third thing is that being concerned sometimes over concerned about the health of family member should not be considered as ocd or any other disorder until and unless the thoughts makes you sick one suggestion that I can give to you to relieve of your anxiety is that you should take advice of a medic if in doubt rather than ruminating on thoughts of impending doom and last thyearoid swelling can be tackled with a simple surgery so convince your go