The American College of Obstetricians and Gynecologists (ACOG) is the nation's and worlds leading group of professionals providing health care for women. The ACOG and their 40,000 obgyn members who perform tubal ligations KNOWS that there can be a sequel of negative effects to tubal ligation/sterilization surgery, AKA post tubal syndrome (PTS). Doctors and researchers have spoken of, studied, examined and reported on this condition for decades. Published medical articles and studies show a direct correlation to tubal ligation and PTS. Although the ACOG is well aware that PTS is real, and that many peer reviewed, published scientific studies exist, the ACOG and their members withhold and deny the distribution of this information to women and the public. One way this information has been withheld is the medical/insurance diagnostic codes to describe/diagnose the PTS condition has never been put in place. Coding is the transformation of verbal descriptions of disease, injury and procedures into numerical designations. Universally recognized coding systems provide information for reimbursement of health care claims, medical statistics and research. Literally every thing that happens within the medical setting from being given an aspirin, to surgery, to being diagnosed with a cold has a code assigned to it. Dr. Vikki Hufnagel has been lobbying the ACOG and her peers for the past 15-20 years to get them to educate women about PTS and the true risks of tubal ligation/sterilization, and to put in place the proper medical codes which would allow physicians to officially diagnose women with PTS, or possible PTS. Although PTS is well known there are no "official" medical/insurance codes assigned to the condition for physicians to diagnose a woman with PTS, or with possible PTS. This means that to date not one women in the world has ever been officially diagnosed with PTS in the eyes of the AMA or the ACOG. |
Post
tubal syndrome (PTS): a negative health condition caused by side effects of tubal ligation/sterilization. _______________________ "The
most important thing is you and your health. If you believe that you are suffering
PTS you must advocate for your own health first. Get hormone tested.
Obtain copies of your medical records, labs results, and demand answers from your
physician.... Register and
become a member of the CPTwomen. The Coalition can assist you. This is a
grass roots effort. We must all work together to create the needed
change." - Susan J Bucher "The issue of information being withheld by the medical community has been compared to the large cigarette companies withholding information about the side effects of cigarette smoking. The only difference is when people got sick from smoking cigarettes they did not return to the same people who caused their condition and who withheld the information from them to start with. Their conditions were diagnosed. Women suffering from PTS don't have a choice but to return to the same doctors and their peers that withheld the information from them to begin with. This gives the medical community special power, the power to imprison. Women who are sick, asking for help, asking to get out of their physical condition caused by a lack of hormones are denied an exit. No one else but the medical community that created their conditions has the power to help free them." - 1999 |
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The ACOG and their members have
taken the deluded public stance that tubal ligation does not affect a woman's hormonal
health, physical health, sexual health, lactating ability, bone health, or heart health.
The ACOG states these falsifications to the public to protect themselves, their members,
and their peers from the mass human and civil rights abuses they and their peers have
committed against millions of women for decades. The abuse is real & ongoing. Physicians being trained to perform tubal ligations are directed to NOT inform women about PTS and of risk of negative side effects of tubal ligation. They are told that disclosing this information would cause the woman "conflict" at the time of consent. They are directed to report any and all health changes they see in post tubal women as that of "unrelated" to the tubal ligation. The ACOG writes about "late sequelae" and promotes the denial of the known information with quotes and statements such as, "found little or no difference..., (follow-up) failed to identify a significant increase in risk...," and "risk has not been related..." The ACOG promotes and adopts only the clinical studies that are formatted in such a way as to show little or no correlation. This allows them to promote TL as having no risk of PTS, that PTS is of no concern to women, and that women do not need to be informed or warned.
In this same technical bulletin, the ACOG specifically directs their members to state to women that there could be an "UNRELATED" change in their health.
OBGYNs do not make large sums of money doing pap smears, checking blood pressure, and prescribing pills… they make money by delivering babies and performing surgeries. The ACOG and their members highly profit from tubal ligation surgeries. They profit by having themselves personally performed tubal ligation surgeries at some time, by teaching others how to perform tubal ligations, and/or by representing a strong lobbying group of doctors who perform and profit from tubal ligations and the common side effects which often manifest afterwards which will need future obgyn medical treatment and/or surgery. The ACOG and their members are fully aware that tubal ligation surgeries can and often do create medical condition which will require women to return to the very same practice (obgyns) for medical attention. Most often these iatrogenesis (doctor caused) health conditions are resolved by surgical remedies such as D&C, and hysterectomy. The TL generates more business and money for their practice. It is the ACOG and their members, not post tubal women (PTwomen) and their families, and not the authors and researchers who write and educated about PTS, who hold fast and make the public and private commits to women that PTS is not real.
"Sterilization by laparoscopy offers several benefits. A woman no longer needs to use birth control or to be concerned about becoming pregnant. It does not affect her menstrual cycle or sexual activity..." February 1996 Patient Education Pamphlet , developed under the direction of the committee on Patient Education of the ACOG. Distributed by the ACOG. 10-14-1999: NBC5 quoted the ACOG as stating, "...the ACOG doesn't believe the syndrome is a medical condition..." To make their point NBC5 aired a taped interviewed of Dr. Serdar Bulun, M.D. (an ACOG member/spokes person) stating, "so far there's no evidence ..."
The ACOG states that, "there's no evidence ..." This is not true. There's much evidence and they are aware of it. The medical community has published many scientific peer-reviewed articles which show clear evidence of PTS. This information is provided to the public by the Freedom of Information Act. The ACOG public denial of known facts, and their refusal to forewarn women of the known risks, and their direction, allowance, and support they give to their members and peers to withhold information has caused masses of women for decades to become a victim of this silent crime and to suffer with serious health conditions which the women themselves were not informed of or forewarned of. Withholding known negative information with the intent to persuade the subject/patient to make a particular decision so that the one withholding the information will profit is medical and surgical fraud. It is also a criminal act of forced and coerced consent. To withhold information is a violation of human and civil rights. The voluntary
consent of the human subject is absolutely essential. Battery occurs when the woman has her body and health affected in ways which she did not consent to, and when she is injured unknowingly and with out forewarning.
Hormone testing is basic for women. Physicians not hormone testing women having had a surgical procedure which is known to cause hormonal imbalances is causing more injures and committing more batteries upon her if she is indeed suffering a severe hormonal imbalance/catastrophic menopause. An untreated surgical menopause, or a severe hormonal imbalance, and the physical, mental, and sexual effects a women experiences with a the sudden stopping of hormones will not improve with time, but will become more devastating and more detrimental over time. The ACOG and their members know this information about untreated menopause and untreated severe hormonal imbalances. This is basic knowledge about women and women's health. The ACOG and their members also know that tubal ligation can cause hormonal imbalances of this nature.
Physicians also are well aware of and understand the rules and regulations of the COS. The COS which surrounds the issue of tubal ligation is so powerful that has it's own COS, the "Tubal COS". The doctor knows that no one is informed and believes she is still not informed. This compels the doctor to again give misinformation and to make statements such as "you're too young to be menopausal", "you do not have a hormonal imbalance," and "tubal ligations do not cause hormones levels to change". When physicians make these statements to PTwomen they make them as being absolute and undeniable. Physicians who refuse to hormone test any woman who is experiencing a hormonal imbalance or a catastrophic menopause is in fact committing battery as well as the criminal action of forced imprisonment. The woman is imprisoned within her iatrogenesis health condition. If her condition is that of a hormonal imbalance, she could be freed from her negative health condition with proper testing, diagnosis's, and HRT treatment, but the doctor holds the key, and must open the door for this to happen. Only her physicians have the power to diagnose, prescribe, and treat. OBGYN's are given the direction and peer support to not inform but must address the many PTwomen they routinely see in their practice. These women are truly suffering and they must be told or diagnosed with something. Physicians are given health conditions such as Chronic Fatigue Syndrome (CFS), Depression (Stress, anxiety ), Fibromyalgia, Irritable Bowel Syndrome (IBS), Dysfunctional uterine bleeding (DUB - cause unknown - unrelated to the Tubal ligation) etc.… to label or diagnose women with. These are all health conditions which the AMA allows physicians to officially diagnose people with, (official codes have been put in place) These health conditions are not diagnose with blood testing. The diagnoses is made by how long the conditions persists, and the symptoms, and upon the doctors opinion. These health conditions (excluding depression) are primarily seen and diagnosed in women only. The symptoms of all these conditions match exactly what are seen in women suffering with severe hormonal imbalances such as which is found with untreated catastrophic menopause, or untreated female castration. In truth, many women who are diagnosed with these conditions may be suffering a severe hormonal imbalance, but the medical community does not test hormones to make the diagnostic decision to label women with these conditions. Women who are diagnosed with conditions such as CFS, Fibromyalgia, IBS, DUB and depression are quickly prescribed antidepressant, mussel relaxers, painkillers, etc.… These drugs may help a woman forget she's not feeling well, or help mask the pain, but will do nothing for the cause of her condition if she is suffering a severe hormonal imbalance. If she is indeed menopausal antidepressants and painkillers will not protect her against bone loss, developing heart disease, memory loss and her loss of sex drive, that would be developing/occurring. Many PTwomen are prescribed the birth control pill, and told that it is to regulate her periods, (if she is suffering DUB), but in fact the pill could cause the DUB to become worse which would cause her to be more likely to consider a hysterectomy. Doctors know that estrogen is the hormone which builds up the lining in your uterus. If you are experiencing heavy bleeding caused by an estrogen dominance, adding more estrogen is not going to correct. The pill is also not appropriate for women needing HRT, and could cause the woman to stroke out if she is menopausal. For a doctor to prescribe the pill for a woman to be used as HRT or as a medical "treatment" (besides birth control), and doesn't give her the option or informs her of other safer forms of HRT is committing a criminal act of withholding information. If a woman is in need of HRT, there are much safer forms of HRT then the pill. "Hormone testing before any form of HRT treatment is not an option, it's a necessity." - Dr. Vikki Hufnagel. PTwomen seeking help and answers from their physicians regarding their current state of physical and hormonal health are immediately met with disallowance. Doctors are directed to not inform, and then dictated to never hormone test, otherwise the "Tubal COS" would be broken. Think about it… if an obgyn in a community started hormone testing all PTwomen in his practice who were not feeling well, suddenly there'd be hundreds of young women within their practice/community all post tubal and all post menopausal. Word would get out not only to the PTwomen in the community, but more so to his peers. He would be breaking the "Code". Breaking the COS is NOT to be done within the medical community. The doctor would be opening Pandora's box. The most devastating wrath that would occur to his personal and professional life would be that would waged upon him from his professional peers and superiors. When PTwomen ask their physicians for hormone testing the doctors must decide whether or not to order the testing. The physicians literally weight their pro's and con's on weather or not to help her and order the proper testing. The PTwoman is discriminated
against. The tubal COS shows it's true strength and power by the numbers of PTwomen who have who has been refused *proper hormone testing. Doctors rather abide by the tubal COS, then to help their patients. They rather be on good terms with their peers and avoid their wrath and punishment, then to submit to their personal and professional ethics, morals, and legal duties to their patients. (*proper hormone testing is checking more then just one hormone level) If the woman requests help or testing from the doctor who actually performed the TL on her he may feel as though he'd be exposing himself for having caused her the health condition. This causes even more conflict. If he wasn't the doctor who performed the tubal ligation, it's likely that he performs tubal ligations himself, and he might even personally know the TL doctor. The COS directs him to protect his peers. He would not want to expose a fellow obgyn, just as he wouldn't want a fellow obgyn to expose him. This is part of the all told code. The tubal COS with PTwomen is to never hormone test. It's hard for PTwomen to accept that their doctors knew this information before their tubal ligation/sterilization and that their doctors withheld this information from them. It's even harder for women to accept that their physicians would refuse to help them now afterwards or to refuse to order proper hormone testing for them. The doctor clearly sees that she is suffering. This is a further demonstration how strong the tubal COS is, and brings more to the surface the horrendous crimes that have been committed upon women. The ACOG and physicians who have performed tubal ligations have a full understanding of the true nature of the crimes that they have played out upon women. The tubal COS is much stronger then a code. It's directed to physicians by a medical Mafia style mentality and anyone who breaks the tubal code will regret doing so and will be made an example for others. Doctors fear breaking the tubal COS with good reason. When a medical professional breaks a COS they are submitted to personal and professionals attacks. Movies have been made about those who blew the whistle, or broke the code of silence. The insider, Erin Brockovich, and Karen Silkwood. Newspapers and magazines are dotted with stories about whistle blowers such as seen in the current Ladies Home Journal, January 2001, The Nurse Who Knew Too Much, page 94. The size and magnitude of the tubal code, the shear numbers of violations and crimes which have occurred to women regarding TL/Sterilizations in the past century looms ivory towers over these stories. The tubal COS extends outside of the obgyn field and into other fields of medicine and has evolved and transformed to an altogether conspiracy. Our Trusted Women's Health Care Providers ongoing actions of withholding this information is injurious, unethical, amoral, and criminal. It shows the ACOG's true regard for women, and their concern for the health and safety of the women that they are to protect and guide. They withhold this information in order to profit, at the health and expense of their patients. The crimes that have been committed upon women regarding the withholding of this information is so scandalous, evil, and unjust that it's almost unbelievable. The numbers of women affected are to large to be believable. The whole historical effect can only be called an iatroepidemic female holocaust. Because these issues of withholding information and cover-up exist, you will find it near impossible to find an ACOG obgyn, or any doctor to officially diagnose you in writing with having the condition (or possible condition) of PTS. Dr. Hufnagel is the only physician known by the Coalition who would do an honest review for a PTwoman and comment that her tubal ligation caused a post tubal ligation syndrome, or caused her current health condition if she thought or believed it to be true. The majority of women who state that they are suffering PTS have self-diagnosed themselves. Women who suffer with PTS know it and don't have to be told or diagnosed. They know that they experienced a change in their health and can relate that change back to the time of their tubal ligation. A few women are softly and quietly verbally diagnosed with PTS by caring physicians, but these physicians would never put their diagnosis in writing for fear of breaking the tubal COS. PTwomen suffering PTS also know from first hand experience what the condition is, and that they were not informed or forewarned of PTS. Mainstream doctors will never diagnosis anyone with the condition of PTS (or possible PTS) until the Code of Silence is removed, and the Diagnosis Medical Code created. So what is the criteria for women diagnosed with PTS? 1. She had a tubal ligation, and 2. She had a sudden serious change in her health following the altering, separation, and or removal of some or all of her fallopian tubes. Does this alone mean that a women has PTS? Not necessarily but it does begin there. Some women report no health change after their TL. PTS is not easily diagnosed as all the injury/effects is internal and can not be easily seen. To make a 100% sure diagnosis might require surgery to examine your organs and assess the damage that occurred. Biopsies of ovarian and uterine tissue could further make the diagnosis of PTS. With out this information a doctor might only state that it's possible that you are suffering PTS, and the degree of likelihood. As other health conditions are ruled out, and as diagnostic testing such as hormone analysis is done, the likely hood/possibility of PTS can increase. Diagnostic blood testing can check for a hormone imbalance, ovarian function, and can rule out other conditions such as graves, auto immune, thyroid condition, etc... As conditions are ruled out the greater the odds are that there was an effect from the tubal ligation. "There's only one way to know if a woman is experiencing a hormonal imbalance and that's to hormone test her. A doctor can not look at woman and make the statement or diagnosis that she not suffering or experiencing a hormonal imbalance. This is as absurd as a doctor stating they he could diagnosis people with AIDS by simply looking at them. Only proper blood testing can make this determination. Any doctor who states to a post tubal woman that they are too young to be menopausal, or that he knows without hormone testing her that she is not suffering a hormonal imbalance is committing medical fraud." - Dr. Vikki Hufnagel Serum Hormone Analysis is mandatory for follow-up care of post tubal women and greatly aids women and their doctors in the diagnosis of PTS considering: 1. There is a risk that ovarian function could have been affected. 2. The hormone analysis can help determine ovarian function and diagnose a hormonal imbalance and menopause. 3. Menopause and severe hormonal imbalances of this nature are extremely rare in women under the age of 40. Young post tubal women finding they have hormone levels in the menopausal range, (or experiencing a severe hormone imbalance), would be a strong suggestion that the tubal ligation had affected her ovarian function or hormone receptors. Q. So does/could serum hormone analysis alone diagnose the condition of PTS? A. NO. There are other health conditions that the tubal ligation can create which may not affect hormones, such as adenomyosis or “atrophic endometrium.” An atrophic, or ulcerated, endometrium can result when the blood supply is affected to areas of the uterus, and can also be caused by hormones. These causes (atrophic endometrium, severe hormonal imbalance) can in turn can cause the symptom of DUB. Serum Hormone Analysis a home test for menopause could help aid in diagnosing the condition of PTS, (to determine if ovarian function was altered/stopped) or the diagnosis may be that of a time line after your tubal ligation and atypical health conditions developing (such as DUB), how the condition progresses, the amount of time the condition persists, etc... The time line for being diagnosed with PTS is not exact. Some women are immediately affected by their tubal ligation/sterilization and have symptoms suddenly develop shortly after surgery, (noted within the first few months to 2 years, etc.. ). Some women have symptoms slowly develop, (such as DUB), and the condition continues and escalates for 5 to 7 years (at which time surgeries such as D&C and hysterectomies are recommended). Not all women develop PTS, severe PTS, or suffers all the symptoms of PTS or of a hormonal imbalance. Some women develop a minor hormonal imbalance, while others experience a surgical menopause/castration. Some women develop a hormonal imbalance but not DUB. Some women develop DUB, but not a hormonal imbalance. Some women experience both, and a few are lucky and are not affected all. The Coalition of Post Tubal Women (www.Tubal.org) invites all women to register and join the Coalition in their efforts to educate women and create change. "The most important thing is you and your health. If you believe that you are suffering PTS you must advocate for your own health first. Get hormone tested. Obtain copies of your medical records, labs results, and demand answers from your physician.... Register and become a member of the CPTwomen. The Coalition may be able to assist you. This is a grass roots effort. We must all work together to create the needed change." Susan J Bucher - CPTwomen, Founder |
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Unrelated change
is accepted by all women. All women accept that their bodies/female health will change as
they get older. From the time we are little girls we are taught that our bodes will change
and then we experience the change as our bodies develop and with the onset of
menstruation. We also are taught that one day, if we live long enough, that we will also
experience "The Change of Life", AKA menopause. Women accept the idea of
unrelated or normal change, but not the ideas or facts of RELATED change due to a tubal
ligation. It is the RELATED change in health that women need to be informed of.
The ACOGs standard of policy to not inform and to deny the risk of PTS is shown
with the excluding of this information in the educational brochures they author and
distribute. They put on a full persona that there is no serious short term or long
term health risks or side effects.
The code of silence
surrounding TL/Sterilization becomes more evident when it is seen how post tubal women
(PTwomen) are treated when they return to their OBGYN physicians for help. PTwomen are
discriminated against and denied hormone testing, diagnosis, and treatment, while young
women who are not post tubal but are experiencing the same 
