
Humans Are More Than Grammar, And We’re Losing Sight of What Really Matters in Women’s Health
The Growing Distraction from Women’s Health
We are at a tipping point where the culture wars have begun draining our collective focus and our money, from the urgent, tangible health challenges facing women. The obsessive spotlight on identity disputes has created a costly detour from the real work that matters: diagnosing and treating endometriosis, ovarian cancer, miscarriage care, and other conditions that directly threaten women’s lives.
When Culture Wars Overtake Care Priorities
Take the Sandie Peggie tribunal in the NHS, a case that has dominated headlines, ignited fierce online debate, and sucked up hundreds of thousands in public funds. Nurse Peggie, a long-serving NHS clinician, objected to sharing a female changing room with a colleague born male but identifying as female. She was suspended after the incident and brought a formal claim against NHS Fife, citing harassment under the Equality Act. In its December ruling, the tribunal upheld her harassment claim against the health board for procedural failings but dismissed her discrimination claims against the trans colleague. The judgment has already prompted plans to appeal and has fuelled furious debate about how workplaces navigate single‑sex spaces legally and culturally. (The Guardian)
High-Profile Cases Driving Public Debate
Across Europe, we’ve even seen controversial disciplinary actions against clinicians. In France, Dr Victor Acharian, a gynaecologist, was suspended after telling a patient he only treated “real women” and refused to examine a transgender woman, saying he was not trained for such cases. The incident ignited national outrage and tribunal action over whether professional expectations should override clinical consent or biological reality. (The Guardian)
These cases have one thing in common: they centre on conflict, ideology, and identity enforcement, and they have become expensive spectacles that have little to do with improving women’s health outcomes.
Meanwhile, real women continue to suffer in silence.
Endometriosis, Ovarian Cancer and Delayed Diagnosis
Endometriosis affects an estimated 10% of women of reproductive age globally, and diagnosis can take years, with pain dismissed and lives disrupted. Systematic reviews show that diagnostic delay contributes directly to increased symptom severity and poorer reproductive outcomes. (PMC) Ovarian cancer remains one of the deadliest gynaecological diseases because symptoms are non-specific and detection is often late, and miscarriage care is inconsistently delivered across services.
These are biological realities with material consequences every day, not abstract identity debates or bigotry.
The Financial Cost to the NHS
And here’s the uncomfortable truth: when precious NHS pounds are diverted into tribunals and PR battles about ideology, the system’s capacity to tackle structural health inequities shrinks. Freedom‑of‑information disclosures revealed NHS Fife spent over £220,000 in legal fees defending this single case; money that could have funded frontline care or research. (The Times)
The Gender Data Gap in Medical Research
Heart attacks often present differently in women than in men, with symptoms like nausea, fatigue, shortness of breath, or jaw and back pain rather than the “classic” chest pain. Yet much of clinical research has historically relied on male-only trials, meaning diagnostic protocols and treatment guidelines are skewed toward men. The result is tragic: women’s heart attacks are frequently misdiagnosed or treated too late, contributing to avoidable mortality. Carolina Pérez Criado’s Invisible Women highlights this pattern across multiple areas of medicine, showing how the systemic exclusion of women from research leads to real-world harm and deaths that could have been prevented with sex-specific data and analysis. (perezcriardo.com)
The Gender Data Gap in Medical Research
Beyond money, we are losing sight of what makes us human. Humans are more than grammar terms. We are beings with hopes, dreams, skills, expertise and souls. Publicly funded organisations increasingly send out surveys in the name of “inclusion” that pry into private, intimate aspects of attendees’ lives, asking about sex lives and gender identities before anyone has spoken a word. When entering a business meeting, lecture, or event, our sexuality shouldn’t be the first thing announced, nor our pronouns. This diminishes intellect, ability, and expertise.
The Gender Data Gap in Medical Research
At the same time, it’s vital to acknowledge that people should be able to explore their identity and express themselves in ways that feel authentic, provided that direct and indirect harm does not come to others in the process. Caring about women’s health and care priorities does not mean denying anyone dignity or the right to self-exploration; it means making decisions based on evidence, safety and fairness for all.
The NatWest case, in which a man claiming a “phobia of rainbow flags” lost his claim under the Equality Act, highlights another societal fault line: people are increasingly fed up with symbolic gestures that substitute for substance. Flags, rainbows and slogans may feel meaningful to some, but inclusion should not mean demanding everyone adopt a singular ideological posture or suppress other perspectives.
The Importance of Accurate Sex-Based Data
On the data front, a government-commissioned independent review led by Professor Alice Sullivan found that many official surveys and administrative datasets have conflated “sex” with “gender identity,” resulting in loss of accurate biological sex data in key areas, including health, justice and education. The review’s authors recommend that public bodies collect data on both biological sex and gender identity distinctly so that research and policy decisions are rooted in clarity, not confusion. (GOV.UK) Health policymakers have acknowledged that conflating these concepts “isn’t helpful” for data analysis or recognising health inequalities. (The Standard)
Why Biological Sex Still Matters in Healthcare
This is not a dig at identity. It’s a clarification: sex matters in medical science. Biological sex is a constant across time and jurisdictions, and it is crucial for accurate screening, clinical decision‑making, and understanding sex‑specific risk factors. If sex data are lost or obscured in patient records, the consequences can include missed screenings or incorrect referrals, outcomes that harm patients of all identities.
The Hidden Cost of Ideological Policy
The obsession with language politics and performative inclusion has real opportunity costs. Every tribunal, every legal dispute, every corporate policy overhaul is time, attention, and money stolen from the work that actually improves women’s health:
- Early diagnosis pathways for ovarian cancer
- Funding and research for endometriosis clinics
- Standardising miscarriage care
- Equitable clinical trials for women
- Address the consequences of male-biased clinical research, including misdiagnosis and delayed treatment for women, such as in heart attacks, where sex-specific symptoms are often overlooked.
Protecting Dignity While Prioritising Safety
We should be able to protect women’s privacy, dignity and single‑sex spaces without diminishing the care women need for their bodies’ real vulnerabilities. Prioritising women’s health and well-being isn’t about exclusion, it is about making sure everyone’s mother, daughter, sister and wife is supported when it matters most.
Refocusing on Evidence, Outcomes and Care
Owning our ovaries isn’t just a metaphor. It’s about recognising that women’s healthcare is first about biology, urgency, and investment in outcomes, not about being dragged sideways into cultural theatre that eats public money and attention.
It’s time we called it what it is: a misallocation of finite resources at the expense of women’s lives. Let’s recalibrate the conversation back to what genuinely advances women’s health, safety, and sovereignty, protect dignity without diminishing evidence, and leave the culture wars where they belong, in thoughtful debate, not budget-breaking diversions.
From Conversation to Action
If we’re going to rebuild the conversation around women’s health, sovereignty and truth, then we need to start with the voices that have been ignored for far too long. Owning Our Ovaries: Unleashing The Fire From Within does exactly that. It brings together the stories of seven women from around the world who share their experiences with a level of courage, clarity and conviction that is rarely found in public discourse today. Their lives illuminate the realities so many women face, and their honesty cuts straight through the noise.
The book also honours the women who came before us, the ones who laid the intellectual, cultural and political foundations that today’s freedoms rest upon. Their legacy threads through every chapter as a reminder that progress has always been fought for, not gifted.
If you want a book that refuses to dilute the truth, amplifies women’s lived realities, and calls us to a higher standard of integrity and action, Owning Our Ovaries is it. Order your copy at https://geni.us/owningourovaries
