The nurse has educated a community group of risk factors for ovarian cancer. Which statement by a participant shows the need for reviewing the information?

Rationale: A. Endometriosis, a condition in which endometrial tissue grows outside the uterus, has been associated with an increased risk of developing ovarian cancer, particularly endometrioid and clear cell ovarian carcinomas. B. This statement shows a need for further teaching. Ovarian cancer most commonly occurs in older, postmenopausal women, typically between the ages of 50 and 70. It is rare in young women, except in certain genetic conditions such as BRCA1/BRCA2 mutations or a strong family history of ovarian or breast cancer. C. Nulliparity (never having been pregnant) increases the risk of ovarian cancer because it is associated with more lifetime ovulatory cycles, which may contribute to malignant changes in ovarian epithelial cells. D. Infertility and the use of fertility drugs may increase the risk of ovarian cancer, possibly due to repeated ovulation and hormonal influences.