NHS bosses have been accused of misogyny for removing ‘women’ from vital health pages but leaving men’s guidance untouched.
MailOnline exposed earlier this year how the terms ‘women’ and ‘woman’ were being quietly removed from online advice for female cancers and even the menopause.
Now, experts have accused health chiefs of sexism for only targeting women’s health advice with inclusive language. Pages on testicular or prostate cancer have been left alone.
‘A pattern seems to be emerging that women are the targets — not men,’ said Professor Jenny Gamble, a midwife at Coventry University.
‘It looks and feels like misogyny.’
Dr Karleen Gribble, a nursing and midwifery expert from Western Sydney University in Australia, said: ‘Who decided that women should have less easily understandable information about medical conditions impacting them than men?’
Sajid Javid promised to reverse gender neutral language in NHS advice after MailOnline revealed the term ‘women’ had been quietly erased from menopause advice in June
Here are some examples of the woke language changes that have engulfed NHS communications. Some of these examples have been taken from national NHS communications while others are used by individual hospitals
Men vs women in NHS advice pages
Experts have accused health officials of misogyny for degendering NHS health pages on women’s issues yet leaving men’s untouched.
Here are some examples of how language has changed for women, but not for men.
Ovarian cancer vs prostate cancer
In January NHS Digital, the body that runs the health pages on the NHS website, quietly updated the health service’s page on ovarian cancer, a disease that only biological females can get.
The old, now deleted version, of the overview page said: ‘Ovarian cancer, or cancer of the ovaries, is one of the most common types of cancer in women.’
It also said: ‘Ovarian cancer mainly affects women who have been through the menopause (usually over the age of 50), but it can sometimes affect younger women.’
But these paragraphs were deleted, and all mention of the female sex removed in the January update.
The new gender-neutral description on the page now reads: ‘Anyone with ovaries can get ovarian cancer, but it mostly affects those over 50’.
In contrast, the NHS’s page for testicular cancer, a disease unique to men, reads: ‘Cancer of the testicle is 1 of the less common cancers, and tends to mostly affect men between 15 and 49 years of age’.
The words ‘men’ and ‘male’ appear a total of 14 times on the page.
Menopause vs the ‘male menopause’
In May the NHS updated its menopause page, removing six mentions of women from the overview.
Visitors to the page have to clink through to the third page of the resource, about medication, before the word ‘women’ is actually used.
The webpage used to describe menopause as ‘when a woman stops having periods and is no longer able to get pregnant naturally’.
But the new, gender-neutral description describes it as: ‘Menopause is when your periods stop due to lower hormone levels’.
No such changes have been made to the NHS’s ‘male menopause’ page which exists to dispel myths about the so called andropause and give men advice on what might really be behind their symptoms.
When asked about the changes a spokesperson for NHS Digital said: ‘The NHS website provides information for everyone. We keep the pages under continual review to ensure they use language that is inclusive, respectful and relevant to the people reading it.’
In June, MailOnline exposed how the words ‘women’ and ‘woman’ were scrubbed from online guidance about the menopause, which is unique to biological females.
That came just a month after this website revealed how NHS advice for womb and ovarian cancer had also been de-sexed.
For example, the word ‘women’ on the ovarian cancer page was replaced with the phrase ‘anyone with ovaries’.
As of today, these pages have yet to have the terms reintroduced, raising concerns Mr Javid’s commitment has been shelved since his resignation last month.
New Health Secretary, Steve Barclay, has yet to address the concerns since taking office on July 5.
This is despite health experts repeatedly warning that de-gendering medical advice could be dangerous for women by over-complicating vital health messaging.
By comparison, male-specific health pages with gendered terms have been left untouched.
The NHS’s testicular cancer page simply declares: ‘Cancer of the testicle is 1 of the less common cancers, and tends to mostly affect men between 15 and 49 years of age’.
This is similar to the old lines on the ovarian cancer page: ‘Ovarian cancer, or cancer of the ovaries, is one of the most common types of cancer in women.’
And: ‘Ovarian cancer mainly affects women who have been through the menopause (usually over the age of 50), but it can sometimes affect younger women.’
These lines were deleted by NHS Digital, the body that manages the health services online health advice pages, in favour of: ‘Anyone with ovaries can get ovarian cancer, but it mostly affects those over 50.’
The NHS’s ‘male menopause’ page, also called the andropause, has also been left untouched despite the female menopause getting revamped.
The menopause webpage used to describe the condition as ‘when a woman stops having periods and is no longer able to get pregnant naturally’.
But the new, gender-neutral description introduced in May, changed this to: ‘Menopause is when your periods stop due to lower hormone levels’.
Dr Gribble said the discrepancy between how the male and female health pages were being treated raised questions about the NHS’s processes.
‘I think it does raise questions regarding the NHS processes in terms of how it was determined to prioritise de-sexing information in relation to women’s health,’ she told MailOnline.
‘Where is the evidence that underpinned the decision to de-sex these pages?’
NHS Digital has repeatedly told MailOnline the language changes on the women’s health pages are part of a drive to be more ‘inclusive’.
The Department of Health and Social Care didn’t provide an update on the status of Mr Javid’s commitment when asked by MailOnline.
Officials also failed to say why only women’s health pages are being de-gendered.
From ‘chestfeeding’ to ‘human milk’ and ‘birthing PARENTS’: How NHS language is going woke – with women quietly being scrubbed out of ‘inclusive’ advice pages
NHS chiefs have repeatedly defended the changes, saying they want to be ‘inclusive, respectful and relevant’.
But health experts have warned de-gendering medical advice could be dangerous as it over-complicates and obscures vital health messaging.
Health Secretary Sajid Javid has promised to reverse gender neutral language in the NHS, following a string of MailOnline revelations — including one yesterday that revealed midwives were being told sex was ‘assigned’ at birth.
Here, we detail some of the ways the woke language storm has engulfed the health service.
NHS removes the word ‘women’ from its MENOPAUSE page
This month it was revealed the NHS’s online guidance about the menopause had the terms ‘women’ and ‘woman’ removed.
The webpage used to describe the condition as ‘when a woman stops having periods and is no longer able to get pregnant naturally’.
But a new, gender-neutral description made in May, says: ‘Menopause is when your periods stop due to lower hormone levels’.
The old advice also highlighted menopause usually occurs in women between the ages of 45 and 55, but about one in 100 women experience it before 40.
But none of this information is included in the overview section of the updated webpage.
In total six mentions of ‘women’ and ‘woman’ have been scrubbed from the page.
Justifying the change, NHS Digital said they wanted language to be ‘inclusive and respectful’.
Experts warned that de-sexing the menopause page meant women with low English or health literacy could miss out and not read further.
The NHS has quietly omitted the terms ‘women’ and ‘woman’ from its webpage on menopause. Pictured here is the older version of the menopause overview page (May 16) which mentioned women six times
But the new version omits women from the overview entirely. Experts have warned women could be disadvantaged by de-gendered medical advice confusing health messaging
NHS midwives told that sex is ‘ASSIGNED’ at birth
Midwives denounced claims they ‘assign’ the sex of children at birth in a row on woke language yesterday.
The wording came from the Royal College of Midwives (RCM) and Royal College of Obstetricians and Gynaecologists in an ‘inclusivity’ statement.
Their document said: ‘We recognise maternity and gynaecological services will be accessed by women, gender diverse individuals and people whose gender identity does not align with the sex they were assigned at birth.’
But some midwives hit back at the colleges, arguing that they merely ‘observe’ the reality of a baby’s sex at birth — as opposed to deciding it themselves.
Jo Gould, a midwife in Sussex, said she was ‘ashamed’ of her representative body and that the statement was ‘nonsense’ and ‘offensive’.
But the RCM said the phrase ‘sex assigned at birth’ was used correctly arguing it is the UK government’s Office for National Statistics legal terminology for the sex observed at birth and then recorded on the birth certificate.
A statement on inclusivity from the Royal College of Midwives and Royal College of Obstetricians and Gynaecologists has provoked outrage from some midwives on social media for using the term ‘sex assigned at birth’
NHS pregnancy advice refers to ‘chestfeeding’ and refuses to mention breasts
Earlier this month, the NHS was criticised over ‘ideological’ new advice for trans parents that failed to mention the word ‘breast’.
A page titled ‘chestfeeding if you’re trans or non-binary’ makes no mention of breasts and refers to breast reduction operations as ‘top surgery’.
It was also accused of ‘normalising’ a potentially dangerous chest-binding technique.
The guidance also encourages people to keep taking hormone transitioning drugs when they ‘chestfeed’, despite admitting ‘it is unclear what effect this could have on your baby’.
The advice was written a year prior to publication but was only issued online after nearly 12 months of internal NHS wrangling.
It provoked concern among nurses and maternity experts, who said the advice fails to warn people about health risks of such practices to both parents and babies.
The term chestfeeding is used throughout the page with the term ‘breast’ omitted. Breastmilk likewise has been replaced with ‘milk from the chest’
The page also says testosterone can pass through breast milk to babies but adds it is ‘unclear’ what affect passing the hormone on to a baby could have
Critics of the page have said it normalises a potentially dangerous ‘binding’ technique used to make breasts smaller using fabric and which can cause a variety of health problems
NHS bosses removed term ‘WOMEN’ on ovarian and womb cancer advice pages
Official NHS advice pages about ovarian, womb, vaginal and cervix cancers were found to have quietly scrubbed the word ‘women’ from their webpages earlier this year.
The term was missing from the landing pages of three sections explaining the cancers, which are only found in biological women.
For example, the original version of the ovarian NHS cancer page featured the line: ‘Ovarian cancer, or cancer of the ovaries, is one of the most common types of cancer in women.’
Another line read: ‘Ovarian cancer mainly affects women who have been through the menopause (usually over the age of 50), but it can sometimes affect younger women.’
However, in an update sneaked out in January — these were removed with the page now saying: ‘Anyone with ovaries can get ovarian cancer, but it mostly affects those over 50.’
The changes were made late in 2021 and early 2022 but only came to light in May.
The old version of the NHS ovarian cancer page as of December 30 2021 (left) mentions women specifically twice, whereas the new version (right) omits them
NHS reinstates the word ‘women’ in its miscarriage advice
In June, the health service added the word ‘women’ back to its miscarriage page following backlash.
The health service replaced ‘women who know they’re pregnant’ with ‘people who know they are pregnant’.
Another line on the page was also criticised for saying miscarriage ‘only affects about one in 100 people’ instead of women.
Despite amending one of the sentences to state that having three consecutive miscarriages ‘only affects about one in 100 women’, other pages in the NHS guidance make no mention of women at all.
A section called ‘aftermath’ refers to ‘people’ seven times but not once to women, including in its sub-paragraph about the emotional impact of a miscarriage.
Another section titled ’causes’ does mention women several times when attributing their age as a factor on their pregnancy, with one in ten expectant women under 30 having a miscarriage compared to five in ten over 45.
NHS Digital has now partially amended the webpage to include the word ‘women’ once at the end
NHS-backed guidance states transwomen can breastfeed
Experts warned newborn babies could be harmed by woke NHS-backed guidance stating biologically born men can breastfeed.
Guidance from the La Leche’s charity — linked to on the NHS’s controversial ‘chestfeeding’ advice page — states biological men who swap sex can stimulate milk supply using the Newman-Goldfarb protocol.
But the procedure, which involves taking a powerful drug called domperidone, has been mired in controversy and is effectively banned in the US because of its side effects.
NHS bosses only recommend it to women struggling to produce milk in some cases because domperidone carries a risk of giving a baby an irregular heartbeat.
Experts told MailOnline how scientists have ‘no idea about the implications’, of breastfeeding in men and that the NHS should focus on improving access to breastfeeding rates for women.
An NHS England spokesperson said the link to La Leche’s advice on the chestfeeding guidance page was to an ‘independent, non-profit support site’ and added does not reflect NHS policy.
Hospitals asking men if they are pregnant before scans
In March, it was revealed that men were being asked if they are or could be pregnant before given radiotherapy by some NHS trusts.
Male cancer patients, as well as those having X-rays and MRI scans, were asked if they were expecting a baby, because the word ‘female’ was replaced by ‘individuals’ for medical procedures.
For example, the Walton Centre NHS in Liverpool now asks ‘all patients under the age of 60, regardless of how you may identify your gender’ whether they could be having a baby.
The dangers that radiotherapy, diagnostic imaging and nuclear medicine pose to an unborn child mean medics must find out if biologically female patients are pregnant before carrying out the procedures.
But campaigners warned the move could spark the beginning of a ‘clinically dangerous’ move to record only gender, and not sex, on medical records.
Patients and their families have also complained of ‘unnecessary confusion and agitation’ for vulnerable patients.
Student midwives being taught how to help biological MEN give birth
In May this year, it was revealed that midwifery students at Edinburgh Napier University were being taught biological men could get pregnant and trans men could give birth even if they have a penis.
In a coursebook that has since been revised, trainee midwives were given detailed instructions on how to treat a male-to-female trans person during childbirth.
The book’s introduction stated: ‘You may be caring for a pregnant or birthing person who is transitioning from male to female and may still have external male genitalia.’
Another section with photo demonstrations detailed how to fit a catheter in a person with a penis and scrotum during labour.
The book also included special instructions for people with prostate glands — which are exclusive to biological men — who may feel particular ‘discomfort’.
Several experts criticised the university, describing the woke material as ‘remarkably ignorant about basic biology, sex and anatomy’.
Bosses at the university have now changed the wording to say, ‘people transitioning from female to male’ rather than ‘male to female’, following the uproar.
NHS told to use inclusive birth terms to avoid offending transgender people
NHS services were told to use ‘inclusive’ terms like ‘chestfeeding’ so trans pregnant people aren’t offended by a Government-funded report published in April.
Produced by charity the LGBT Foundation other suggestions of language change was avoiding terms like ‘vaginal birth’, recommending ‘frontal’ or ‘lower birth’ instead.
The charity also says some trans and non-binary people would benefit from having a private space in hospitals to give birth, so that they are not made uncomfortable by seeing women.
It detailed the experience of one trans person, who said: ‘I didn’t have to go to a ward full of women after giving birth, I was actually provided with a private room for me and baby which was very helpful and accommodating for me and my gender identity.’
The report was based on a survey 121 trans Britons on their experience of pregnancy.
It was commissioned by the Health & Wellbeing Alliance, a partnership between charities and the NHS, which is managed jointly by the Department of Health and Social Care and Office for Health Improvement and Disparities.
NHS hospital tells staff to say ‘birthing parents’ and ‘human milk’
In February last year Brighton and Sussex Hospitals NHS Trust unveiled ‘gender inclusive’ phrases it wanted its staff to use.
These included terms like ‘birthing parents’ and ‘human milk’ rather than ‘mothers’ and ‘breast milk’ to avoid offending transgender people.
The Trust said using ‘gender inclusive’ phrases was part of a drive to stamp out ‘mainstream transphobia’.
Other changes include replacing the use of the word ‘woman’ with the phrase ‘woman or person’, and the term ‘father’ with ‘parent’, ‘co-parent’ or ‘second biological parent’, depending on the circumstances.
The new terms will be used for documents, protocols and Trust-wide communication.
The move was welcomed by inclusivity campaigners at the time, with the group TransActual tweeted: ‘This is fantastic, well done. Let’s hope many more trusts follow suit. Everybody deserves to be treated with dignity and respect.’