The U.S. Preventive Services Task Force (USPSTF) recommends against routine genetic counseling or BRCA testing in women whose family history is not associated with an increased risk for potentially harmful mutations in the BRCA1 or BRCA2 genes. This is a D recommendation, which means the USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits.