Abstract

On March 9, 2010, Richard J. Ablin phd, who was much involved in the discovery of prostate-specific antigen (psa), made national news with his quote, in an Op-Ed piece published in The New York Times and a sub-sequent March 22, 2010, U.S. National Public Radio interview, that “It’s no better than a coin toss”—de-scribing the psa test’s ability to predict prostate cancer in men[...]

Highlights

  • Research and my own prompted me to contact him to offer congratulations on his work and to introduce a parallel research area—that of prophylactic bilateral oophorectomy in women at low risk

  • According to Sarah Miles md, an ovarian conservationist and outcomes researcher interviewed in the dissertation research, the nnt for prophylactic bilateral oophorectomy in women at low risk for developing ovarian cancer is 300

  • Miles indicated that she didn’t know of a time when oophorectomy wasn’t the standard, and she commented on the research that she conducted on estrogen deficiency[7]: Clearly, there was a differential, without estrogen.... [W]ith estrogen deficiency, there was cognitive decline, dementia, decline in memory and problems with bone density

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Summary

Introduction

Research and my own prompted me to contact him to offer congratulations on his work and to introduce a parallel research area—that of prophylactic bilateral oophorectomy in women at low risk. It became clear that the persistence of oophorectomy in women at low risk was a direct consequence of many specialists not being fully aware of the risks associated with the procedure because the data upon which guidelines from the American Congress of Obstetricians and Gynecologists (acog) were based did not include the long-term health outcomes being referenced.

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