New study shows link between female castration and lung cancer

Ovary Removal May Play a

Role in Lung Cancer

A new Canadian study reports that castration (removal of the female gonads, the ovaries) almost doubles a younger woman's risk for developing lung cancer. "It's possible that vulnerability to lung cancer is caused by early and sudden decrease in estrogen levels or potentially long-term use of hormone replacement therapy, and further research is needed to explore these hypotheses." said study co-author Jack Siemiatycki, a professor at the University of Montreal's Department of Social and Preventive Medicine.

The report was published online in the International Journal of Cancer in May 2009. It is based on a study of 999 patients from hospitals in Montreal including 422 women with lung cancer. "A major strength of this study was the detailed smoking information which we obtained from all study participants," said study co-author Anita Koushik. "This is important because of the role of smoking in lung cancer and because smokers generally have lower estrogen levels than non-smokers."

"Although smoking is the dominant cause of lung cancer, we know other factors can play an important role in enhancing the impact of tobacco carcinogens." Koushik added "This research suggests that, in women, hormonal factors may play such a role."

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A note from Nora W. Coffey

This important discovery should alert every woman and man to the fact that removal of the female organs creates a higher risk of life threatening health problems including but not limited to heart disease, stroke, dementia and lung cancer. Although not considered a "health" or life threatening problem, the loss of sexual feeling and loss of vitality associated with sexual energy are serious adverse effects of hysterectomy and/or castration. There are many more permanent consequences that have either not been discovered, or if known, they have been denied or not reported.

HERS Honored With Women's Way Award

Amid the applause of 1,100 guests, the Women's Way 32nd Annual Powerful Voice Awards were presented in Philadelphia on May 6, 2009. The awards honored the accomplishments of Women Organized Against Rape (WOAR) Director Teresa White, community organizer and HIV/AIDS awareness advocate Waheedah Shabazz-El, and women's rights advocate and activist, Hysterectomy Educational Resources and Services (HERS) Foundation President Nora W. Coffey.

Women's Way Executive Director Melissa Weiler Gerber says of the award, it "serves as a call to action to women everywhere, encouraging us to increase women's influence in the media and make a difference in the community."

Women's Way is the first major women's organization to publicly acknowledge the importance of educating women about the damaging effects of hysterectomy and the lifelong functions of the female organs. The award is recognition that hysterectomy is one of the most serious health issues facing women today. As demonstrated in Nora's book THE H WORD, co-authored by Rick Schweikert, the hysterectomy rate is on the rise, and every woman with a uterus is at risk.

Women's Way presented HERS with an excellent opportunity to talk about the issues, but the award presenter was a pharmaceutical company representative. Nora's first thought was, "I can't accept an award presented by someone from the industry." HERS is an independent women's health education organization with a policy of not accepting support from the medical industry.

"Because there was no opportunity to address this issue publicly at the banquet," Nora said, "in keeping with HERS' mandate of education, I presented a copy of THE H WORD to the pharmaceutical rep as she handed me the award. That way, she could educate herself and her pharma colleagues about these issues."

Since 1977, Women's Way has been the country's oldest and largest women's funding federation. This award brings into focus the imperative to provide women with the information required for hysterectomy informed consent.

We welcome any ideas you might have about getting exposure for HERS and THE H WORD. Each time someone reads the book, it's another person who has been educated about these issues and someone who may educate others and join us in changing the law. Each time the book is in the media, in a bookstore, on a blog, or on a library shelf, the number of people who have access to this vital information is magnified many times over.

This is an opportunity to put hysterectomy information into the hands of those who need it...to save a girl, to save a woman, to save a family. To prevent hysterectomy from becoming the legacy of another generation of women and girls.

Hysterectomy Causes Heart Disease

The American Heart Disassociation     

Heart disease was once thought to be less of a problem for women than for men. Research now indicates that heart disease is the No. 1 cause of death among women in the US (Centers for Disease Control and Prevention, Heart Disease Facts and Statistics, 2008), while confirming that women with an intact uterus have a lower incidence of heart disease because they benefit from the uterine advantage.

     In his article, "Prostacyclin From The Uterus And Woman's Cardiovascular Advantage," James D. Shelton writes, "Prostacyclin emanating from the uterus is proposed as a major contributor to the reduced risk of coronary disease among women." He refers to the uterus as a "systemically active organ whose removal significantly increases subsequent risk of myocardial infarction" (Prostaglandins Leukotrienes and medicine, 1982). 

     The American Heart Association reports that in 2006 there were 16.8 million cases of coronary heart disease in the US. About one in 18 Americans suffers from heart disease. This number would be much lower, if not for hysterectomy.

     Studies reveal that premenopausal removal of the uterus is associated with a three-times-greater incidence and prevalence of heart disease (Brandon S. Centerwall, "Premenopausal Hysterectomy and Cardiovascular Disease," American Journal of Obstetrics and Gynecology, 1981) and that women who undergo a bilateral oophorectomy (surgical removal of the ovaries, castration) have a 5.5 times greater cardiovascular risk (Jacqueline C.M. Witteman et al, "Increased Risk of Atherosclerosis in Women After The Menopause," British Medical Journal, 1989). Other studies demonstrate that women who are castrated before age 35 are hospitalized for myocardial infarction 7.2 times more often than women with intact uterus and ovaries (Lynn Rosenberg et al, "Early Menopause and the Risk of Myocardial Infarction," American Journal of Obstetrics and Gynecology, 1981).

     Hysterectomy is the most commonly performed non-obstetric surgery in the US, and there is general consensus even among the medical community that a majority of hysterectomies are unnecessary. Hysterectomy rates are subject to variations that do not necessarily correlate with health factors. Statistics from the Centers for Disease Control and Prevention (CDC), for example, tell us that women in the South are 50 percent more likely to be hysterectomized than in the Northeast. And the hysterectomy rate among black women is 20 percent higher than among white women.

     Some researchers and medical writers attempt to explain the higher incidence of hysterectomy and removal of the ovaries in black women by demonstrating that they have a higher incidence of fibroids. As the Hysterectomy Educational Resources and Services (HERS) Foundation makes clear in the online educational video, "Female Anatomy: the Functions of the Female Organs," fibroids are benign growths that rarely cause symptoms or problems, until a doctor spots them incidentally during a routine exam.

     Although less than 1 percent of fibroids are cancer (William Parker et al, Obstetrics and Gynecology, 1994), fibroids are the leading reason doctors perform hysterectomy. But women who are told they need a hysterectomy for fibroids may merely have the wrong doctor. Not surprisingly, not only are black women more likely to be hysterectomized, heart disease is the No. 1 cause of death among black women.

     The CDC's Division for Heart Disease and Stroke Prevention reports that 870,000 people died in 2008 - 2,400 each day - from heart disease. "The cost of heart disease and stroke in the United States," the CDC concluded, "is projected to be more than $448 billion in 2008, including health care expenditures and lost productivity from death and disability." The financial burden and tragedy of heart disease as a result of hysterectomy is largely avoidable.

     According to the US Department of Health and Human Services, one of every three women is hysterectomized before the age of 60, while the American Heart Association reports that nearly one out of every three women dies of heart disease.

     Visitors to the "Go Red For Women" web site are encouraged to tell the American Heart Association "about the choices you've made to improve your well being." Women can avoid much of the risk of heart disease by retaining their uterine advantage - cardiovascular well-being that depends in large part on the lifelong functions of the uterus.''     

     Drastically reducing cardiovascular risk, circumventing much of the staggering cost of heart disease charged to medicaid and Medicare, and avoiding the tragic toll of thousands of strokes and deaths may be achieved by helping women avoid hysterectomy.

Published February 16, 2009 in Truthout.

     

NAME THAT DOCTOR AND HOSPITAL

      

NAME THAT DOCTOR AND HOSPITAL

I am Nora W. Coffey,  president of the Hysterectomy Educational Resources and Services (HERS) Foundation.  

When I was thirty-six years old, I was hysterectomized and castrated by Robert Giuntoli, at the University of Pennsylvania Hospital in Philadelphia, and his assistant Douglas Rabin. I was not informed by Giuntoli or Rabin of the consequences of the surgery, therefore my surgery was unconsented. The anesthesiologist and nurses who participated in the surgery were complicit. The hospital enabled them.

Giuntoli and I agreed that he would perform exploratory surgery to determine if the ovarian cyst that was symptomatic was malignant. If it was not, he would perform a cystectomy, removal of the cyst only. If it was malignant, he would remove my uterus and ovaries. The cyst was benign. In direct contravention to my expressed wishes and the agreement with Giuntoli, he proceeded to remove my female organs.

The removal of my female organs destroyed my health and well-being and ruined my family, professional, and social life. No longer healthy, strong, vibrant and sexual, I turned my attention to finding the answers to what was wrong with me that stumped the 25 or more doctors I saw in the first year after the surgery. I found answers in the medical library at the University of Pennsylvania, next door to the hospital where Giuntoli and Rabin collaborated. For the next two years I walked by the hospital every day to get to the library. After two years of research I understood full well what had been done to me. I have dedicated every day of my life  since then to providing that information to other women.

Watch the female anatomy video on HERS website. Then, unless you are actively involved in a medical malpractice lawsuit, give your name and the name of the doctor(s) who removed your female organs and the hospital that enabled them. You have nothing to be ashamed of, nothing to hide from, you have done nothing wrong. By telling the truth you shine a spot light on the doctors and hospitals ruining the lives of another woman every minute of every hour of every day of every year. 621,000 hysterectomies are performed each year in the USA alone. That's not just a number, it's much more than a statistic - it's women's bodies, women's lives.

Do not let the doctor who ruined your body, your health, your sex life, your family life, your career, your professional life and your social life hide behind the good doctor persona and the hospital walls that shield them.

It's time to speak out, it's time to expose the doctors who failed to inform you of the consequences of hysterectomy and castration. By giving your name and the name of the doctor and hospital we can smoke them out of their protected environment. Together we can stop this from being done to another generation of women and girls. 

It must be made unacceptable, it must be stopped legally. Sign the petition to show your legislators that you demand a law that protects women from the violent medical practice of hysterectomy and castration.

The ovary option

There has been a media blitz surrounding recent discussion of the pros and cons of surgical removal of the ovaries during hysterectomy (see Cochrane article below). But the most important issue has yet to be addressed: the uterus should rarely be removed in the first place.

The article below perpetuates a dangerous myth through the subliminal message that if your ovaries are left intact you’ll be fine if only your uterus is removed. Those who are unaware of the aftermath of hysterectomy, with or without castration, can join more than 400,000 others who have watched the HERS
12-minute video by clicking here: “Female Anatomy: the Functions of the Female Organs.”

If the analysis was a sincere effort to provide women with the information they need to make informed decisions about whether or not to allow a doctor to remove their ovaries, the article would have used the word castration, which conveys an immediate understanding of the gravity of their decision. The ovaries are the female gonads, the same as the testicles are the male gonads. The medically correct term for removal of the gonads is castration.

In the HERS Foundation’s ongoing study “Adverse Effects Data,” the experiences of hysterectomized women whose ovaries are left intact are strikingly similar to the women who are also castrated at the time of the surgery. Part of the reason for similar responses with or without castration is that in hysterectomized women whose ovaries aren’t removed, about 35-40% of the time the ovaries cease to function after hysterectomy, resulting in a de facto castration.

This information is public knowledge and has been published in peer-reviewed medical journals for more than a century, so neither journalists nor doctors who hold themselves out as experts in gynecology should get it wrong.

The response to these articles would be far different if the headlines read, “Should women be castrated during removal of other sex organs?”

Removing ovaries during hysterectomy: effects remain unknown
During hysterectomy operations, surgeons often remove a woman’s ovaries as well as her uterus. Cochrane Researchers now say there is no evidence that removing the ovaries provides any additional benefit and warn surgeons to consider the procedure carefully.

“Until more reliable research is available, removal of the ovaries at the time of hysterectomy should be approached with caution,” says lead researcher, Dr. Leonardo Orozco of the OBGYN Women’s Hospital San José in Costa Rica.

Of those women who undergo hysterectomies aged 40 or above, around half also have their ovaries removed. This amounts to more than 300,000 women a year in the US alone. The reason most commonly given for carrying out an oophorectomy at the same time is that it prevents ovarian cancer. However the ovaries produce not only estrogen, but also important hormones such as androgens that may have important clinical effects which have yet to be identified.

The researchers say there is little evidence to support the idea that removing the ovaries during a hysterectomy provides an overall health benefit. They identified only one controlled trial, involving 362 women. This compared hysterectomies with oophorectomies to hysterectomies without oophorectomies. Although this trial showed a very slight positive effect on psychological well-being when oophorectomies were performed, the team say much more data is required before any conclusions can be drawn.

“There could be a real benefit or harm associated with oophorectomy, but it has not been identified, more research of higher methodological quality is needed.” says Dr. Orozco.

Orozco LJ, Salazar A, Clarke J, Tristan M. Hysterectomy versus hysterectomy plus oophorectomy for premenopausal women. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005638. DOI: 10.1002/14651858.CD005638.pub2. Cochrane Menstrual Disorders and Subfertility Group.