Diethylstilbestrol: Intergenerational Impact

Debate between Jessica Toale and Jim Shannon

Monday 29th June 2026 Commons Chamber

[Jessica Toale (Bournemouth West) (Lab)]

I am grateful to have secured this important debate.

I begin by asking the House to imagine a young woman in Britain in the 1950s. She is pregnant, she may have struggled to conceive and she may already have experienced the heartbreak of miscarriage, so she is desperate to do everything that she can to protect her baby. She goes to the doctor, as many of us would. She is prescribed a drug and told that it may help to prevent miscarriage, help her carry that baby to term and even give her the healthy child she so desperately wants. Of course she takes it—why would she not? She trusts her doctor, she trusts the health system and above all she wants to do the best she can for her child. But then imagine her finding out, decades later, that the very medicine that she took to protect her child had in fact harmed her, harmed that child and may even have harmed her grandchildren as well. That is the reality of diethylstilbestrol or DES.

DES was widely prescribed as an anti-miscarriage drug between the 1930s and the 1970s. It was used to treat pregnancy complications and to supress breast milk, and it was prescribed to women who were looking to the medical profession for help. But DES was not the miracle drug they were told it was. Evidence emerged in the 1950s that not only was it ineffective, but that it was also dangerous. It has since been linked to breast cancer, cervical and vaginal cancers, infertility and a range of other serious reproductive and gynaecological issues. Yet despite the warning signs, the evidence of harm and the fact that other countries moved to withdraw or restrict its use, DES continued to be prescribed in Britain for decades. Around 300,000 women are estimated to have been given DES in the UK between 1939 and the 1970s.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for Bournemouth West (Jessica Toale) for securing the debate. I spoke to her beforehand to obtain her permission to intervene. As she rightly says, over 300,000 women in the UK were prescribed DES in one of the worst medical disasters in NHS history. Repercussions of the use of the drug, as the hon. Lady says, are intergenerational, as evidence shows negative effects on third generations. Does she agree that further research is needed to study the long-term effects of DES exposure to better understand the extent of its impact and ensure effective medical treatment for those affected by the drug? I commend her again and I look forward to hearing the Minister’s reply.

[Jessica Toale]

Yes, I agree that research is needed and that is one of the things that DES campaigners are calling for.

One of those 300,000 women was Rita, the mother of my constituent, Jan Hall. Rita was prescribed DES when she was pregnant with Jan, but when Jan was just a toddler, Rita died of breast cancer. She was only 32. Jan herself later developed cervical cancer in her twenties. Because of the surgeries she had to undergo, she was told she may never be able to have children. She lived not only with that physical consequence, but with decades of uncertainty, fear, grief and anger. Her daughters have experienced significant gynaecological health problems, and now Jan worries about her grandchildren as well.

Jan is not alone. Across the country, men, women and their families have come forward to share their stories and their experiences as victims of this scandal. Some of them are in the Gallery with us today and have allowed me to share some of their painful testimonies.

Women and Girls with Autism: Mental Health Support

Debate between Jessica Toale and Jim Shannon

Tuesday 15th July 2025 Westminster Hall

[Jessica Toale]

Absolutely. There are now more than 2,000 people with learning disabilities and/or autism detained across the UK in in-patient units similar to the one that Lauren was held in. They are often far from home, cut off from their families and placed in highly restrictive environments that frequently do more harm than good. Lauren’s case is heartbreaking, but it must also be a turning point, which is why Lindsey is campaigning for Lolly’s law and why I am bringing this campaign to the House today.

Lolly’s law proposes four urgent reforms that could prevent future tragedies. The first is mandatory retraining for psychiatric professionals and support staff so that they have a proper understanding of how autism presents in girls and women. Too often those young women are misdiagnosed with personality disorders or wrongly pathologised.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for securing this debate. She is absolutely right to highlight the issue. It is very hard to listen to because the particular circumstances are so personal. Numerous studies have shown that girls and women are more likely to internalise the stress and anxieties that come with autism, whereas boys are likely to be more openly tempered or passive-aggressive. That is a statement rather than an observation. Does the hon. Lady agree that we could work more closely with teachers in schools and other individuals to ensure that young girls struggling with autism have support in the educational system to externalise some of their stress?

[Jessica Toale]

It is obvious that women tend to mask symptoms of autism more and that they present very differently from men. Our medical system is not set up to properly diagnose it in women.

The second proposal of Lolly’s law is a reassessment of personality disorder diagnoses where autism might be missed. There needs to be a national reassessment programme to identify cases of misdiagnosis and provide appropriate support for those affected. The evidence already shows that where female in-patients are diagnosed with emotionally unstable personality disorder and/or eating disorders and are reassessed for autism, 100% of them receive a diagnosis for autism.

Thirdly, specialist suicide prevention and self-harm teams must be available in all mental health units for vulnerable young people. These should be multidisciplinary teams trained specifically in females with autism. Finally, anti-ligature doors and safety infrastructure must be mandated across all in-patient mental health facilities. These are basic safeguards that can and do save lives.

Lindsey has set up a petition for Lolly’s law, which has already gathered 225,000 signatures—clear proof of the public demand for action. She has also developed a training course for child and adolescent mental health services professionals, solicitors and others involved in mental health decision making, which has been positively received by those who have seen it.