Spurs playmaker admits he may need to leave White Hart Lane
O’Hara has yet to feature for Spurs this season due to a spinal injury picked up while on loan at Portsmouth last year, but returned to light training earlier this week.
However, the 24-year-old knows he faces a fight to earn a regular place in the centre of midfield for Harry Redknapp’s side, with the likes of Tom Huddlestone, Luka Modric, Jerrmaine Jenas, Wilson Palacios, Niko Kranjcar and Sandro already ahead of him in the pecking order.
O’Hara has targeted the FA Cup clash with Charlton Athletic to make his return from injury, but knows he may need to join another club on a permanent basis if Redknapp cannot promise regular time on the pitch.
“I've never wanted to leave Tottenham but there comes a point in your career if you're not playing games you've got to look at yourself and think 'well this is my career',” O’Hara told talkSPORT.
“I want to be playing football, I'm not one of these people that want to sit in the bench and play one in four.
"I want to go to a club where I can put some roots down and hopefully become a fan favourite and stay at a club for a few years.
“I don't want to be coming into clubs playing for three months, coming back.
"If I do go and things don't work out here at Tottenham then I'm going to be looking for somewhere where I'm going to stay for four or five years. That's something I want to do now, I don't want to be moving around all the time."
O’Hara played under current Hammers boss Avram Grant when the Israeli was in charge of Portsmouth last year but has denied any talk of him heading to Upton Park.
"I've heard all these rumours going around about West Ham but to be honest I haven't had any conversations with them at all so I don't know where it's coming from,” he continued.
"I always had a great relationship with Avram. I see him as a philosopher of football, he wasn't the sort of guy who gets up off the bench screaming and shouting - he's not that type of person.
"He took a calmer approach to it, kind of like Arsene Wenger in a way. It just hasn't worked out for him [at West Ham]. Hopefully he'll stay in the job."