I am a gynecologist and trained under one of the greatest gyn oncologists and also trained under a great gyn pathologist. This information came out and the British Columbia studies occurred late in my career. It was an amazing observation and it instantly was a light being turned on. Wow! It did explain so much. Our practice turned toward the light. Great video!
To sum it up - “we have not invested enough money, time or energy into women’s health over many decades so we really have no idea what causes ovarian (or fallopian tube) cancer, or really anything else that only affects women because we really just don’t care.”
Really …how is this not understood ?.. lost my mom at 62 . 9 children , never sick always healthy. Stomach became distended went in for vaginal ultrasound and found cancer ! Chemo brutal and lived a painful life for 2 yrs . We need more education on this .
It’s just a narcissistic patriarchy. The doctors and researchers are men, so anything to do with women’s health isn’t of interest. Of no concern to them. It’s all been about men’s health, and it was labeled for all people. Testing was run by men, medicine was always taught by men. Research was on men, mostly, and health was considered non-gender. Only.
I had a salpingectomy after my 4th child was born. The drastically decreased risk of ovarian cancer that came along with it helped me make the decision.
As someone who’s married to a five times Ovarian Cancer survivor I wish experts like this knew more about how important diet, exercise and certain supplements are in surviving Ovarian Cancer. I’ve learned a lot since her first diagnosis of level 3C in 1999.
@@Mychellechic She uses a combo of Ginger and Turmeric, Aloe Vera Juice, Cod Liver Oil (great source of Vitamin D) Vitamin K, Prebiotics, Chorella, Matcha Tea. We began taking Ginger and Turmeric after reading how ginger killed Ovarian Cancer cells in the lab at the U of Michigan Medical School in 2006. She started drinking the aloe vera juice (George's brand) after having a 2nd tumor in her bladder. It was the only thing we changed between this diagnosis and the start of her chemo treatments that time and the cancer cell fell apart according to her Dr. I found out about Aloe Vera Juice from someone I knew who used to beat Esophageal Cancer We also stopped using fluoride toothpaste, filter our shower water and only drink filtered water. Exercise has also been and important part of her recovery. It helps that I am a Personal Trainer and have worked on her strength levels a lot since 1999.
This was fascinating. But how about a follow up on how we can prevent fallopian tube cancer (besides surgery) and what signs to look for at its earliest stages?
Dr. Peter Attia emphasizes that most ovarian cancers develop due to acquired mutations (somatic mutations), which are influenced by lifestyle factors like obesity, insulin resistance, and chronic inflammation. Genetic mutations inherited from parents (germline mutations), such as BRCA1 and BRCA2, account for less than 5% of all cancers. Prevention strategies focus on maintaining a healthy weight, managing insulin resistance, and early screening for high-risk individuals using methods like genetic testing and liquid biopsies.
Im a BRCA2 carrier and had a preventive salpingectomy 3yrs ago at 39. Did my own research and did not want to get a oopherectomy. Will be getting my ovaries removed closer to 50 at menopause. My OBGYN agreed this was a great risk reducing option for me given my age. Im on Vancouver island in Canada
I am non-BRCA, but lost my Grandmother to OC on 2/14/24. Soul crushing. Prior to her DX in 2019, I had elective salpingectomy in 2017. I asked to have tubal ligation, and my OB/GYN suggested salpingectomy to truly ensure sterilization. We had no idea what a gift this was!
Good for you. I wasn't offered. Genetic counselor said double mastectomy 35-40 and oopherectomy/salpingectomy 40-45. I ended up doing my own research and falling upon these new findings that most ovarian C start in the tubes. It was a no-brainer for me. I called my family doctor and she hooked me up with OBGYN. I was fine with the DMX, not so much with dropping my ovaries b4 45yld
I live in East Tennessee and in 2017 I went in for a tubal ligation. My gynecologist recommended back then for me to go ahead and have the fallopian tubes removed altogether. I did and am happy with the decision. If they’re doing this in little ol’ Maryville Tennessee, why is this being recommended everywhere?
An internal ultrasound can quickly identify an abnormality and yet is not being done. Should be a part of regular screening. I am a 17 year survivor and my daughter had to practically beg to have an internal ultrasound done. Medical care is clearly lacking and it is a simple procedure.
This is not new! The precursor of ovarian cancer, known as STIC, has been recognized for a while. But if you remove just the tubes there is still a possibility that you can have ovarian cancer.
In 2020, an ultrasound showed my left ovary had multiple cysts and was blown up the size of a small cantaloupe and there was some issue with the fallopian tube. I then experienced ovarian torsion and was sent to an oncologist gynecologist. He knew immediately that I didn't have cancer, but the ovary had to come out. He said he was taking both fallopian tubes because ovarian cancer begins in the fallopian tubes. I was so shocked to find that out and immediately wished I'd had them taken out instead of the tubal ligation I'd had in the 1990s. I am curious about one thing though. There is an unofficial term "tubal ligation syndrome" and I definitely had it. I used to have heavy periods (high estrogen/low progesterone), but after I got the tubal ligation, they became even heavier and unbearably painful. I then got an endometrial ablation, which helped some. I've met other women who had the same side effect afterwards. I wonder if having the fallopian tubes removed would cause the same side effect as tubal ligation .
@@Hinz2005 I don't think most people have issues after tubal ligation, but a sizeable number do. I just wondered if there would be a difference. I'm post-menopause, so thank goodness it's all over.
What causes this cancer??? We know if you smoke you may get lung cancer. We know a lot of sun exposure may cause skin cancer. What is the common denominator in all these women with ovarian cancer? I find it insulting that you talk about the removal of these organs instead of preventative measures!
Nobody knows. My mom was the healthiest person on the planet until she developed a very cancer. By the time they caught it, because of her stupid idiotic family practitioner, it was too too late.
Very interesting and potentially game-changing information, however the comment that 'damaging an ovary in a premenopausal woman' would be a 'disaster' might be a bit of an overstatement, particularly if we are counterbalancing the other risk being a cancer one in 80 women get that had a 50% mortality. Given that a fair number of physicians agree that postmenopausal bioidentical hormone replacement should be the default for most women, even if BOTH ovaries were to be damaged beyond repair, the consequence would essentially be starting BHRT perhaps at age 40 rather than 50. Not sure that 20-40 years of BHRT vs 10-30 years is a huge deal versus potential benefits of salpingectomy if the patient is already having elective abdominal or pelvic surgery.
Um Wait. Were you saying that a 67yo W who WANTS to have her fallopian tubes Removed would Not be offered the procedure; couldn't get the removal as a way to reduce her risk of "Ovarian" cancer?? 😮 "After that the benefit diminishes" 13:10 WHY? If that is when Ovarian cancer is most common? Did you intend to say a hysterectomy is the 'standard of care' after a certain age, instead of removal of Only fallopian tubes ??
I had an Histerctomy 5 years ago I was 40 due to endometriosis but keeping my ovaries I ask for it to not start a menopause. The doctor who do the surgery explain to me that some studies indicate that remove fallopian tube reduce ovarian câncer. So she was right?
It was said that most people don’t know they have ovarian/fallopian cancer which is why it is deadly but if caught early there is a better chance at surviving. How would a person know if they are developing cancer? What are the signs or symptoms? I frequently have some pain in the left ovary area but gynecologist’s don’t seem concerned. Is it because there is no way to test for it and rather a wait and see approach which equates to imminent death? How long does it take for ovarian/fallopisn tube cancer to become deadly?
You should get a baseline blood test marker and if you have any concerns, have them biopsy that ovary. Sometimes you have to push doctors to do this. Better safe than sorry!
My mother died of ovarian cancer at age 51. I am 48 and when I ask for screening for this cancer I'm told there is nothing they can do or offer me, not without worse symptoms than I have. I reminded the doctor that ovarian cancer is called the silent killer and early detection is key but I couldn't sway her. Meanwhile they are pressuring me to get a regular mammogram despite zero family history of breast cancer. Why can't I have screening appropriate to my family history and symptoms? ? It's CRAZY.
Ask for a CA 125 blood (will test for tumor markers. It should be under 35) draw and an MRI immediately. I am an ovarian cancer survivor. I had 1 symptom and was misdiagnosed 3 times. I had to keep advocating for myself. Symptoms are bloating, back ache (my one and only symptom) constipation, vaginal/anal bleeding, pain during sex, easy satiety after eating. Please get checked ASAP do not take no for an answer and don't let any doc not respect your request for further testing. Because I was so vocal , mine was caught at a Stage 1 which is unheard of for ovarian.
@sharonfeliciano4894 im post menopausal, been having ovary pain and lower back pain, my doctor just keeps saying it's probably a pulled muscle when I push to wanting it to be looked at closer...I think once you are past y0, they just want you to die!
I listened to a lecture at UCLA where the OB said he wished every 60 year old woman can have a hysterectomy. The parts are no longer useful and they have a higher chance of cancer development.
Why does this cancer occur in the follopian tubes? The function of the tubes seem to be limited based on their purpose. Wonder if not only do the ovum pass through but also chemically changed as they process through the tubes.
Removing ovaries doesn't have to be a disaster, my 43 year old wife had this done & yes she badly suffered from immediate hot flashes/night sweats,/ bone pain,/ memory loss,but with daily berberine,curcumin,green tea,no carbs,high protein diet, B complex,vitamin d3 & k2,all symptoms subsided within 6 months
I am a gynecologist and trained under one of the greatest gyn oncologists and also trained under a great gyn pathologist. This information came out and the British Columbia studies occurred late in my career. It was an amazing observation and it instantly was a light being turned on. Wow! It did explain so much. Our practice turned toward the light. Great video!
To sum it up - “we have not invested enough money, time or energy into women’s health over many decades so we really have no idea what causes ovarian (or fallopian tube) cancer, or really anything else that only affects women because we really just don’t care.”
Really …how is this not understood ?.. lost my mom at 62 . 9 children , never sick always healthy. Stomach became distended went in for vaginal ultrasound and found cancer ! Chemo brutal and lived a painful life for 2 yrs . We need more education on this .
THANK YOU for talking about this. It seems a subject no one wants to even touch. SO important for women to be aware of.
It’s just a narcissistic patriarchy. The doctors and researchers are men, so anything to do with women’s health isn’t of interest. Of no concern to them. It’s all been about men’s health, and it was labeled for all people. Testing was run by men, medicine was always taught by men. Research was on men, mostly, and health was considered non-gender. Only.
I had a salpingectomy after my 4th child was born. The drastically decreased risk of ovarian cancer that came along with it helped me make the decision.
As someone who’s married to a five times Ovarian Cancer survivor I wish experts like this knew more about how important diet, exercise and certain supplements are in surviving Ovarian Cancer. I’ve learned a lot since her first diagnosis of level 3C in 1999.
Five times? She’s always had cancer. She has just kept it at bay. I have a cousin who’s been doing the same thing for the last 15 years.
Which supplements were they?
What supplements does she take
Glad she is well but can you please share more ?
@@Mychellechic She uses a combo of Ginger and Turmeric, Aloe Vera Juice, Cod Liver Oil (great source of Vitamin D) Vitamin K, Prebiotics, Chorella, Matcha Tea. We began taking Ginger and Turmeric after reading how ginger killed Ovarian Cancer cells in the lab at the U of Michigan Medical School in 2006. She started drinking the aloe vera juice (George's brand) after having a 2nd tumor in her bladder. It was the only thing we changed between this diagnosis and the start of her chemo treatments that time and the cancer cell fell apart according to her Dr. I found out about Aloe Vera Juice from someone I knew who used to beat Esophageal Cancer
We also stopped using fluoride toothpaste, filter our shower water and only drink filtered water.
Exercise has also been and important part of her recovery. It helps that I am a Personal Trainer and have worked on her strength levels a lot since 1999.
I lost my Grandmother to OC on 2/14/2024. She was a lovely human.
Hope you have many wonderful memories of her.......she's in you.
This was fascinating. But how about a follow up on how we can prevent fallopian tube cancer (besides surgery) and what signs to look for at its earliest stages?
There’s nothing you can do except have them removed once your past childbearing age
Dr. Peter Attia emphasizes that most ovarian cancers develop due to acquired mutations (somatic mutations), which are influenced by lifestyle factors like obesity, insulin resistance, and chronic inflammation. Genetic mutations inherited from parents (germline mutations), such as BRCA1 and BRCA2, account for less than 5% of all cancers. Prevention strategies focus on maintaining a healthy weight, managing insulin resistance, and early screening for high-risk individuals using methods like genetic testing and liquid biopsies.
Im a BRCA2 carrier and had a preventive salpingectomy 3yrs ago at 39. Did my own research and did not want to get a oopherectomy. Will be getting my ovaries removed closer to 50 at menopause. My OBGYN agreed this was a great risk reducing option for me given my age. Im on Vancouver island in Canada
I am non-BRCA, but lost my Grandmother to OC on 2/14/24. Soul crushing. Prior to her DX in 2019, I had elective salpingectomy in 2017. I asked to have tubal ligation, and my OB/GYN suggested salpingectomy to truly ensure sterilization. We had no idea what a gift this was!
Good for you. I wasn't offered. Genetic counselor said double mastectomy 35-40 and oopherectomy/salpingectomy 40-45. I ended up doing my own research and falling upon these new findings that most ovarian C start in the tubes. It was a no-brainer for me. I called my family doctor and she hooked me up with OBGYN. I was fine with the DMX, not so much with dropping my ovaries b4 45yld
@@mcourbron you are fortunate that your insurance carrier agreed
@@Starfish2145Im in Canada, all my prophylactic surgeries were free, including my breast reconstruction.
"How was that not understood?" Answer: it only affects women (plus what he said)
?
I live in East Tennessee and in 2017 I went in for a tubal ligation. My gynecologist recommended back then for me to go ahead and have the fallopian tubes removed altogether. I did and am happy with the decision. If they’re doing this in little ol’ Maryville Tennessee, why is this being recommended everywhere?
Same here in Alabama! Went for tubal but Dr. Miklic suggested removal.
Pete is one of those outliers who looks good without hair.
Women's medicine has been such a disappointment. Hopefully we are turning a corner now.
Yes, more abortions are needed for women’s health. The GOP is attacking women’s health.
Women’s medicine has been so neglected. So discriminated against, as being not important enough, to research, even in current day.
i love dr makary!!
An internal ultrasound can quickly identify an abnormality and yet is not being done. Should be a part of regular screening. I am a 17 year survivor and my daughter had to practically beg to have an internal ultrasound done. Medical care is clearly lacking and it is a simple procedure.
This is not new! The precursor of ovarian cancer, known as STIC, has been recognized for a while. But if you remove just the tubes there is still a possibility that you can have ovarian cancer.
Exactly
In 2020, an ultrasound showed my left ovary had multiple cysts and was blown up the size of a small cantaloupe and there was some issue with the fallopian tube. I then experienced ovarian torsion and was sent to an oncologist gynecologist. He knew immediately that I didn't have cancer, but the ovary had to come out. He said he was taking both fallopian tubes because ovarian cancer begins in the fallopian tubes. I was so shocked to find that out and immediately wished I'd had them taken out instead of the tubal ligation I'd had in the 1990s.
I am curious about one thing though. There is an unofficial term "tubal ligation syndrome" and I definitely had it. I used to have heavy periods (high estrogen/low progesterone), but after I got the tubal ligation, they became even heavier and unbearably painful. I then got an endometrial ablation, which helped some. I've met other women who had the same side effect afterwards. I wonder if having the fallopian tubes removed would cause the same side effect as tubal ligation .
I experienced zero change in menstruation after salpingectomy.
@@Hinz2005 I don't think most people have issues after tubal ligation, but a sizeable number do. I just wondered if there would be a difference. I'm post-menopause, so thank goodness it's all over.
What causes this cancer??? We know if you smoke you may get lung cancer. We know a lot of sun exposure may cause skin cancer. What is the common denominator in all these women with ovarian cancer? I find it insulting that you talk about the removal of these organs instead of preventative measures!
Nobody knows. My mom was the healthiest person on the planet until she developed a very cancer. By the time they caught it, because of her stupid idiotic family practitioner, it was too too late.
Very interesting and potentially game-changing information, however the comment that 'damaging an ovary in a premenopausal woman' would be a 'disaster' might be a bit of an overstatement, particularly if we are counterbalancing the other risk being a cancer one in 80 women get that had a 50% mortality.
Given that a fair number of physicians agree that postmenopausal bioidentical hormone replacement should be the default for most women, even if BOTH ovaries were to be damaged beyond repair, the consequence would essentially be starting BHRT perhaps at age 40 rather than 50. Not sure that 20-40 years of BHRT vs 10-30 years is a huge deal versus potential benefits of salpingectomy if the patient is already having elective abdominal or pelvic surgery.
Very helpful information to share, thank you! Curious what you make of the literature on previous chlamydia infections, PID, and ovarian cancer risk.
Um Wait. Were you saying that a 67yo W who WANTS to have her fallopian tubes Removed would Not be offered the procedure; couldn't get the removal as a way to reduce her risk of "Ovarian" cancer?? 😮
"After that the benefit diminishes" 13:10 WHY? If that is when Ovarian cancer is most common? Did you intend to say a hysterectomy is the 'standard of care' after a certain age, instead of removal of Only fallopian tubes ??
Very good information to know!
I had an Histerctomy 5 years ago I was 40 due to endometriosis but keeping my ovaries I ask for it to not start a menopause.
The doctor who do the surgery explain to me that some studies indicate that remove fallopian tube reduce ovarian câncer. So she was right?
It was said that most people don’t know they have ovarian/fallopian cancer which is why it is deadly but if caught early there is a better chance at surviving. How would a person know if they are developing cancer? What are the signs or symptoms? I frequently have some pain in the left ovary area but gynecologist’s don’t seem concerned. Is it because there is no way to test for it and rather a wait and see approach which equates to imminent death? How long does it take for ovarian/fallopisn tube cancer to become deadly?
You should get a baseline blood test marker and if you have any concerns, have them biopsy that ovary. Sometimes you have to push doctors to do this. Better safe than sorry!
My mother died of ovarian cancer at age 51. I am 48 and when I ask for screening for this cancer I'm told there is nothing they can do or offer me, not without worse symptoms than I have. I reminded the doctor that ovarian cancer is called the silent killer and early detection is key but I couldn't sway her.
Meanwhile they are pressuring me to get a regular mammogram despite zero family history of breast cancer. Why can't I have screening appropriate to my family history and symptoms? ? It's CRAZY.
Ask for a CA 125 blood (will test for tumor markers. It should be under 35) draw and an MRI immediately. I am an ovarian cancer survivor. I had 1 symptom and was misdiagnosed 3 times. I had to keep advocating for myself. Symptoms are bloating, back ache (my one and only symptom) constipation, vaginal/anal bleeding, pain during sex, easy satiety after eating. Please get checked ASAP do not take no for an answer and don't let any doc not respect your request for further testing. Because I was so vocal , mine was caught at a Stage 1 which is unheard of for ovarian.
Thank you. What was your treatment for stage 1? Removal and chemo?
@sharonfeliciano4894 im post menopausal, been having ovary pain and lower back pain, my doctor just keeps saying it's probably a pulled muscle when I push to wanting it to be looked at closer...I think once you are past y0, they just want you to die!
So what causes fallopian tube cancer?
They don’t know
I listened to a lecture at UCLA where the OB said he wished every 60 year old woman can have a hysterectomy. The parts are no longer useful and they have a higher chance of cancer development.
So after menopause ask for fallopian tube removal. Good to know.
Why does this cancer occur in the follopian tubes? The function of the tubes seem to be limited based on their purpose. Wonder if not only do the ovum pass through but also chemically changed as they process through the tubes.
Gerson Therapy, wheat grass powder, moringa powder, matcha powder, apricot seeds(B-17), Essiac Tea, ivermectin and fenbendazole.
Removing ovaries doesn't have to be a disaster, my 43 year old wife had this done & yes she badly suffered from immediate hot flashes/night sweats,/ bone pain,/ memory loss,but with daily berberine,curcumin,green tea,no carbs,high protein diet, B complex,vitamin d3 & k2,all symptoms subsided within 6 months
No estrogen replacement therapy?
None,
I have done salpingectomy for a while
New rule: most crazy ideas are wrong
Which crazy idea do you have in mind…? 🤔
Shilling for Bill,pathetic.
?
Agree
Who cares. He gets to support whoever he wants. It’s not always about you and who you support.