The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
it is now standard of care in Germany and most of Canada that when a woman comes in for any abdominal surgery elective abdominal surgery so even a lapca you're Tak your gallbladder out yes even a lap coli most commonly a lap coli actually woman comes in because that's more common in women and they're finished having children they will be offered to remove the Fallopian tubes sparing the ovaries as during the procedures a concominant surgery
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if a woman wants to get a tubal liation tying of the Fallopian tubes she is told we'll happily take your fallopian tubes out but if we're going to go in there we might as well make sure you never get cancer
that's the group where we're offering now that hey I can have you talk with our OBGYN doctors they can come in and reduce your 1 in 78 chance of in Canada they've done giant studies now and they're showing actually lower rates of ovarian cancer long term
woman comes in done having kids I Rebecca Stone who is our GYN oncologist who's one of the national leaders she comes in and does the salping yeah I don't want to be taking out the round ligament or something yeah and tell me um what is the probability um of taking out the fallopian tube and damaging an ovy such that a woman ultimately needs an ectomy as well which would be a disaster an absolute disaster for a woman to lose her ovaries if she's premenopausal and still relying on those for hormones yeah
it is now standard of care in Germany and most of Canada that when a woman comes in for any abdominal surgery elective abdominal surgery so even a lapca syst you're Tak your gallbladder out yes even a lap coli most commonly a lap coli actually woman comes in because that's more common in women and they're finished having children they will be offered to remove the fallopian tub sparing the ovaries as during the procedure as a concominant surgery okay
so that's why um it's for now the recommendation and this is a recommendation that not even all of our surgeons at Hopkins are aware of is that when we're in there doing another elective abdominal procedure in a woman who's finished having children and generally on the younger side not over 67 I think is the average age for ovarian cancer so after that your benefit diminishes so in that window of done having kids before their in their mid-60s or and this is we're just using our best judgment here um that's the group where we're offering now