Angelina Jolie has revealed that she underwent preventative surgery last week to remove her ovaries and fallopian tubes.

Angelina Jolie, who underwent a preventative double mastectomy in 2013, wrote an op-ed piece for the New York Times, entitled Angelina Jolie Pitt: Diary of a Surgery, explaining her decision to have her ovaries and fallopian tubes after doctors allegedly detected a possible sign of early cancer.

Angelina Jolie, who will now be unable to have more children, wrote that she was recently told by doctors that “a number of inflammatory markers” were elevated, which could indicate early cancer.

Angelina Jolie’s fears are merited as she carries the BRCA1 gene, which brings an estimated 87 percent risk of breast cancer and a 50 percent risk of ovarian cancer. Her family has a history of cancer — her mom was diagnosed with breast cancer and died of ovarian cancer.

Angelina Jolie reveals that she underwent surgery to have ovaries removed: http://t.co/7GkOTIecc8 pic.twitter.com/G77hFpXOH2

— ABC News (@ABC) March 24, 2015

Angelina Jolie said in her op-ed that a PET/CT scan came back clear, but she chose to remove her ovaries and tubes preventatively.

“In my case, the Eastern and Western doctors I met agreed that surgery to remove my tubes and ovaries was the best option, because on top of the BRCA gene, three women in my family have died from cancer,” she wrote. “My doctors indicated I should have preventive surgery about a decade before the earliest onset of cancer in my female relatives. My mother’s ovarian cancer was diagnosed when she was 49. I’m 39.”

Angelina Jolie: I had my ovaries removed, preventively http://t.co/e9fR30YiVj pic.twitter.com/TvZmsN6ktp

— CBS This Morning (@CBSThisMorning) March 24, 2015

“Regardless of the hormone replacements I’m taking, I am now in menopause,” she continued. “I will not be able to have any more children, and I expect some physical changes. But I feel at ease with whatever will come, not because I am strong but because this is a part of life. It is nothing to be feared.”

Angelina Jolie, who was much affected by her mother’s death, wrote that her kids now “will never have to say, ‘Mom died of ovarian cancer.'”