I brought up tethers mainly because I'm curious how many cat sailors actually use them. I've contemplated adding tethers but have resisted adding any more complication to the tramp of my N6.0. I'd be really interested to hear opinions on their use.
As for the strength differences between men and women, it is a simple reality that must be faced when considering the risk at hand. (When I was in the Air Force, there was an ongoing debate about women in combat situations. Many of the same issues.)
Among the things I do to earn a living is to teach sea kayaking. In addition to the basics, I teach reentry and rescue techniques. One of the key points that I try to emphasize is that each paddler must be well aware of his/her limitations. Part of developing that awareness is practicing the skills in the conditions you plan to paddle in. I encourage folks to pick a day when the water is warm and the wind is strong, but blowing onshore. Go out, turn the boat over and test your skills. We simulate injuries. (Shoulder dislocations are a common injury for paddlers in rough conditions.) We practice putting an incapacitated paddler back in their boat and getting them to help, etc, etc.
When Hurricane Floyd came up the coast a few years ago, it created a pretty good blow on Lake Champlain - sustained winds in excess of 50 knots and the highest waves ever recorded on the lake. My wife, myself, and some of my more experienced guides took the opportunity for practice and headed for the broad lake. We were on the water for a mere 45 minutes, but learned a lot. In particular, we learned that the rescue techniques that we practice do, in fact, work in survival situations.
As for cat sailors, I'm not sure what the level of rescue practice is in "combat" situations, but the bottom line is that we all need to be aware of our skills and physical limitations, then plan our sailing accordingly.