Sanctioned Violence Against Women: “fraud in the inducement”

by Nora W. Coffey
- USA -

What do you call it when someone deceptively lures another into danger?

And if the deception involves telling a woman she’ll be “better than ever” to lure her into being drugged and strapped down before cutting out her sex organs, what would you call that?

Maybe female genital mutilation comes to mind, but the impact of the sanctioned violence against women I’m talking about is much more pervasive and far-reaching. And this crime is not only not criminal, some of the largest, most revered medical associations in the country support it, train others to do it, and their members profit from it. The crime I refer to is hysterectomy (surgical removal of the uterus) performed without providing the information required for informed consent.

Common sense and a basic understanding of female anatomy tell us that without a uterus uterine orgasm isn’t possible. And yet, doctors neglect to inform women of the uterus’ role in sexual pleasure. Nor are you likely to find a government or medical industry website that informs women that much of the blood and nerve supply that radiates throughout the pelvis, and even to the vagina, labia, and clitoris, passes through the ligaments that must be severed during hysterectomy. The uterosacral ligament attaches to the uterus and to the sacrum in the lower back. Because it and other supporting ligaments are severed to remove the uterus, more than 50% of hysterectomized women report chronic back pain they didn’t have before the surgery.

Hysterectomy and other gynecological procedures are highly profitable, and where there is unregulated profiteering, there will be those who seek to exploit the system. Many doctors, like Manhattan gynecologist Ben Thamrong, have been convicted of Medicaid fraud, and some hospitals have been leveled fines for defrauding taxpayers. The Hospital Corporation of America, the healthcare corporation largely owned by the family of former Senator Bill Frist of Tennessee, was leveled the largest penalty ever, secured by federal prosecutors in a healthcare fraud case.

But while doctors go to prison for committing Medicaid fraud, fraud intended to deceive women into hysterectomies is condoned, rewarded, and protected from penalty. Medical malpractice cases brought by women for lack of informed consent are rarely successful, and politicians seek to cap damages, as Frist did throughout his political career.

How is it that we’ve allowed doctors and hospitals to rise above the law? If a doctor cuts out a woman’s sex organs, there’s little chance he’ll ever stand before a judge. If he does, he’s usually acquitted. What is criminal on the street—taking a knife to a woman after drugging her and tying her down—is legal in America’s operating rooms, even if the surgery is performed on a woman who has little or no knowledge of the lifelong consequences of the surgery.

But it’s more complicated than that. Female gynecologists are just as likely to perform hysterectomies as their male counterparts. And if a man were asked to sign a consent form for the removal of his sex organs for a benign condition, he’d storm out of the doctor’s office.

The difference is that the functions of the male organs are apparent to the naked eye, while the functions of the female organs are not. The relationship between the testicles and penis and overall wellbeing in men is generally understood, while scores of medical websites and “patient education” materials claim that women are superhuman beings whose lives are somehow improved by the surgical removal of the uterus and ovaries.

Hysterectomy is often recommended for natural anatomic variations such as fibroids, endometriosis, uterine prolapse, heavy or irregular vaginal bleeding, and pelvic pain. It is portrayed as a cure-all treatment, when in reality only about 2% are lifesaving. For the 2% of women who develop cancer of the uterus, cervix, or ovaries, if it has spread into the pelvis, removing the organs may not save the woman's life.

Unless it’s a life-or-death situation, which is extremely rare (the incidence of cancer in the female and male organs, for example, is nearly identical), women who are informed about female anatomy and the functions of the female organs rarely consent to hysterectomy and castration. In other words, gynecologists use fraud to induce women into signing hysterectomy consent forms.

“Fraud in the inducement” is a term used to describe a situation where the first party seeks to benefit by tricking or deceiving a second party into being led into harm’s way. In the example above, the second party signs a consent form to be drugged, strapped to a table, and then hysterectomized, because of erroneous information supplied by the inducer.

Fraud in the inducement requires proof that 1) a false statement of material fact was made, 2) the doctor/hospital knew or should have known the material fact was false, 3) the false statement induced the woman to sign the consent form, and 4) the hysterectomy caused injury to the woman who relied on the misrepresentation as fact. In the courts, cases against doctors usually come down to he-said versus she-said. But lawsuits—even class-action lawsuits—against doctors or medical institutions that publish misinformation in the form of “patient education” may meet the requirements for fraud in the inducement.

False statements of material fact on medical websites are more the standard than the exception. Doctor, government health agency, and hospital websites do not provide the information required for informed consent, and the information they do provide is often erroneous. Most are authored by gynecologists who should know that the information they publish runs contrary to anatomical fact. Women are encouraged to use this misleading information to make a decision about hysterectomy, the aftermath of which causes injury to more than 621,000 women in the U.S. annually.

Around the world each year, millions of women are told their lives will be improved by being admitted into hospitals, which report almost two million cases of potentially fatal infections like staph and MRSA each year. After being bombarded by erroneous information prior to being admitted, women are often not given the consent form until after their eyeglasses have been removed and they have been sedated. No one bothers to mention that three women die on operating tables every day in the U.S. during hysterectomy, or that about 98% are performed without the information that is requisite for informed consent.

Having been led to believe their powerful sex organs were ticking time bombs in order to convince them they needed hysterectomies, women go from doctor to doctor after the surgery, searching for some way to help cope with the aftermath.

With another hysterectomy performed every minute of every day in the U.S. on a woman who has not been given the information required for informed consent, there are many co-conspirators in the hysterectomy racket. Every medical professional who actively participates in or witnesses the diagnosis, education, and consent process for hysterectomies performed without informed consent is no less guilty of fraud and violence against women than the surgeon holding the scalpel, laser, or robotic surgery joystick.

Rape and domestic abuse have exacted such a toll on our society the need for legislation resulted in Joe Biden’s Violence Against Women Act (VAWA). VAWA is perhaps the most meaningful legislation protecting women’s rights passed in the last 30 years, and medical fraud should be included in it. Each year in this country there are almost five times more women whose sex organs are cut out of their bodies because of fraud than those who report being raped.

It was only a short time ago that women won the right to vote, to own property, and were provided with legal protection from rape by their husbands. Each right was hard-fought. Full knowledge about the adverse effects of hysterectomy and castration prior to being told to sign a consent form is another right we’ll have to fight hard to win.

The don’t-ask-don’t-tell culture of medicine must be stopped. Only when violence against women is seen to include medical abuse, will hysterectomy without informed consent finally be recognized for what it is—fraud to induce sanctioned violence against women.

About the Author
Nora W. Coffey is the author of THE H WORD and is the president of the Hysterectomy Educational Resources and Services (HERS) Foundation. She has been a guest lecturer at medical schools, nursing schools, and conferences, and has appeared on numerous television and radio shows including 20/20, Oprah Winfrey, National Public Radio's Fresh Air, and The Today Show.
Nora founded HERS in 1982 to meet the need for complete, accurate information about the alternatives to and adverse effects of hysterectomy and the multiplicity of physical, social, economic, and political issues surrounding the surgery. HERS is the only organization solely dedicated to the issue of hysterectomy and has counseled over 850,000 women. Ninety-eight percent of the women HERS has referred to board certified gynecologists after being told they needed hysterectomies discovered that, in fact, they did not need them.

7 comments on “Sanctioned Violence Against Women: “fraud in the inducement”
  1. sumukha says:

    Some of my relatives who have had full/partial hysterectomy have been complaining about this for many years. it is only now, after reading this article, i truly empathize with them and scores of others who have undergone unnecessary hysterectomy. As woman, we take pride in control over our body, education and laws need to be in place to help us in this. we need to be comfortable taking second, some time third and forth opinion in case of such intrusive surgeries.

  2. kavita says:

    It is scary too think that we are so at the mercy of doctor’s “expert” opinions. It is such a personal and vital part of womanhood and it is great to be raising awareness about these issues, which is one I previously knew little about.

  3. parwatisingari says:


  4. June Gardner says:

    I was definitely a victim of “fraud in the inducement” and also a victim of “criminal medical malpractice”, so tell me why aren’t these criminal doctors in jail. Instead they have been promoted to a higher position where they can keep committing fraud and criminal medical malpractice, and keep slaughtering healthy women’s female organs to their heart’s content and never be accountable….

  5. Linda Ray says:

    I was given a hysterectomy without it even being discussed prior to the surgery. That was 4 1/2 years ago. I am no longer able to support myself or do any of the things I once enjoyed. My health & mental state continue to decline. I have filed for disability but those judges want proof I was injured. I have been unable to get one doctor to properly diagnose me. Admittedly, I have seen only a few. Why? Uninsured…and even clinics that are supposed to help the poor turn me away. My life as I once knew it is gone…destroyed. I have no family or friends as a support group. Only on-line friends and they cannot provide me with a place to live which I desperately need. My life is over.

  6. SharonH says:

    I am going to stick my neck out and add to this subject by saying that the discovery of a (potentially) tiny spot of encapsulated endometrial cancer does not justify the removal of a woman’s entire pelvic female organs. Why do I write “potential”? Because first it wasn’t, then it was. Do they remove all a man’s corresponding organs if a “spot” of prostate cancer is found? It is 2 1/2 years and as time goes by the effects of this butchering increase exponentially. The supporting structures of my abdomen were cut, leaving a huge sagging piece between naval and pubis. There are exercises I can’t even do as I did pre-surgery. Shall I add weight gain of 25 pounds, inability to lose weight, varicose veins, chronic constipation, pain and dryness “down there”, lipomas that developed due to disruption of nerves etc. I could go on and on. None of this was told me–they just wanted to scare me into having it done ASAP before I would research and change my mind. Can’t stress it enough-2nd opinion, ladies! And 3rd or 4th if necessary. Please. I didn’t and feel a victim to the surgeons’ cash cow. Like another poster said-my life is over. Destroyed in 4 hours of surgery with their newest “toy”, the DaVinci Robot that they love to play with. And that despite the fact that I kept insisting that someone with RSD should not have such major surgery unless it were truly necessary.

  7. bud werner says:

    I had the robot too. Worse day of my life. I have not been able to work for two years. My marriage is a mess. Finances are a mess. And here is the kicker–I cannot sit down.

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