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Genetic testing

BRCA1 and BRCA2 testing

Testing for the best-known breast and ovarian cancer genes - who qualifies, what results mean, and the support around the decision.

Key facts

At a glance

  • Who is tested: people with strong family histories of breast, ovarian, prostate or pancreatic cancer, and many patients newly diagnosed with these cancers.

  • The test: a blood or saliva sample analysed for harmful variants in BRCA1 and BRCA2, usually within a wider gene panel.

  • Genetic counselling: offered before and after testing - the decision, the result and the family implications all deserve proper discussion.

  • Results: typically two to eight weeks; outcomes are positive, negative or a variant of uncertain significance.

  • Insurance note: under the UK Code on Genetic Testing and Insurance, insurers do not ask about predictive test results for BRCA when you apply for most policies.

The full picture

What this test involves, and how to get it

BRCA1 and BRCA2 are repair genes; inherited harmful variants substantially raise lifetime risks of breast and ovarian cancer, and more modestly prostate, pancreatic and male breast cancer. Testing analyses blood or saliva, today usually as part of a panel of several breast cancer genes. Genetic counselling before testing is not a formality: it clarifies what each possible result would mean for you and your relatives, since a positive result opens real choices - enhanced MRI screening, risk-reducing medication, preventive surgery - while a negative result in a family with a known variant can be genuinely liberating. Uncertain variants (VUS) occur and should be treated as neither positive nor negative, a point counselling prepares you for.

NHS testing is available through clinical genetics and, increasingly, directly via oncology teams for newly diagnosed patients, but eligibility rests on family history criteria and waits for genetics appointments can stretch to months. Private pathways - consultant-led genetics clinics and accredited laboratories - offer counselling and testing within weeks for people who fall outside NHS criteria or want a faster answer, with an indicative cost confirmed before booking. On insurance: the UK Code on Genetic Testing and Insurance means insurers do not ask for predictive genetic test results for BRCA when you apply for standard levels of cover, and a test taken after a policy starts does not have to be disclosed to that insurer - facts worth having straight from a counsellor rather than a search engine.

A quiet reminder

This guide is for information, not medical advice.

Your own clinician knows your history and can tell you which parts apply to you. Next review of this page: 2027-09-27.

Frequently asked

Common questions about BRCA1 and BRCA2 testing.

Quick, plain-English answers to what people ask us most.

  • What does the BRCA1 and BRCA2 testing measure?

    The BRCA1 and BRCA2 testing measures a specific substance or marker in your blood that helps doctors assess how a particular organ or system in your body is functioning. It's usually interpreted alongside your symptoms, medical history and other results rather than in isolation. Your GP or specialist can explain exactly what your individual result means for you.

  • Why would a doctor request BRCA1 and BRCA2 testing?

    BRCA1 and BRCA2 testing is typically requested when a doctor wants to investigate specific symptoms, monitor an existing condition, or check for an underlying imbalance that could explain how you're feeling. It may also be included as part of a broader health check or a more targeted diagnostic panel. Your clinician will explain why it's relevant to your particular situation before requesting it.

  • Do I need to prepare for BRCA1 and BRCA2 testing?

    Some blood tests require fasting, a specific time of day, or a pause in certain medications, while others need no preparation at all. Because requirements vary and we don't want to guess incorrectly for this specific test, always check the preparation instructions given at booking or ask the clinic directly. Turning up prepared, if preparation is needed, avoids having to rebook and wait again.

  • What happens when I have BRCA1 and BRCA2 testing?

    Most blood tests involve a short, straightforward appointment where a trained phlebotomist takes a small sample from a vein in your arm. The process usually takes only a few minutes and most people experience nothing more than a brief pinch. You can typically resume normal activities straight away.

  • Does BRCA1 and BRCA2 testing hurt or carry any risk?

    A standard blood draw causes only brief discomfort at the needle site, with a small risk of bruising or light-headedness afterwards. Serious complications are rare, and staff are trained to make the process as comfortable as possible. Let the phlebotomist know if you've had problems with blood tests before, such as fainting, so they can take extra care.

  • How long does it take to get results?

    Private laboratories generally turn results around within a few working days, though some specialised tests take longer to process. You'll usually be told an expected timeframe when you book, and results are typically reviewed by a doctor before being shared with you. If a result needs urgent attention, the clinic will usually contact you sooner rather than making you wait for a routine follow-up.

  • What does an abnormal BRCA1 and BRCA2 testing result mean?

    An abnormal result doesn't automatically mean something serious is wrong — levels can be affected by hydration, medication, recent illness, timing of the sample, or normal individual variation. A doctor will look at the size and pattern of any abnormality alongside your symptoms and other results before deciding whether further tests, monitoring, or treatment are needed. It's always worth discussing an abnormal result with a doctor rather than trying to interpret it alone.

  • Can I get BRCA1 and BRCA2 testing on the NHS, or is it better to go private?

    Many blood tests are available on the NHS, but routine, non-urgent testing can involve a wait for a GP appointment and then for the sample and results. Private testing is typically available within days, often with same-week appointments and results reviewed by a specialist, which can be useful if you want reassurance quickly or your GP hasn't recommended the test. Cost for private testing varies by clinic and whether it's a standalone test or part of a wider panel.

  • How accurate and reliable is BRCA1 and BRCA2 testing?

    When carried out by an accredited laboratory, this type of blood test is generally considered a reliable way to measure the substance in question. As with any single blood test, results can vary slightly from day to day and are best interpreted in the context of a full clinical picture rather than as a one-off number. If a result seems unexpected, doctors will often recommend repeating the test to confirm it before acting on it.

  • How do I book BRCA1 and BRCA2 testing privately?

    You can typically book a private blood test online or by phone, often without needing a GP referral, and be seen within a few days. Results are usually reviewed by a doctor who can explain what they mean and recommend any next steps or further investigations. Get in touch with the clinic to check current availability and what's included with the test.