You may have several reasons not to have the test:

• You may face difficult emotions. You may be afraid and anxious if you test positive. You may feel guilty if you test negative and someone in your family tests positive.
• You are concerned about how the results might affect your relationships. You have to decide if you would tell a family member-a sister or daughter, for example-who then has to decide if he or she wants to have the test.
• Your insurance does not cover the testing, or covers only some of it. Genetic testing can be very expensive (several hundred to several thousand dollars).
• You are concerned about how the information might affect your employment or your health, life, and disability insurance.
• You would not take preventive steps-such as regular exams and tests, taking medicine, or having your breasts or ovaries removed-no matter what the test results are.