Men and women get sick in different ways

At the dawn of third millennium medical researchers still know very little about gender-specific differences in illness, particularly when it comes to disease symptoms, influencing social and psychological factors, and the ramifications of these differences for treatment and prevention. Medical research conducted over the past 40 years has focused almost exclusively on male patients.

A new article titled "Gender medicine: a task for the third millennium" presents research on gender-related differences conducted by Giovannella Baggio of Padua University Hospital and her team.

The article, which appears in the Journal "Clinical Chemistry and Laboratory Medicine" (CCLM), highlights evidence for considerable differences between the sexes in five domains – cardiovascular disease, cancer, liver diseases, osteoporosis, and pharmacology.

Typically perceived as a male illness, cardiovascular disease often displays markedly different symptoms among . While a constricted chest and pain that radiates through the left arm are standard signs of heart attack in men, in women the usual symptoms are nausea and lower abdominal pain. Although heart attacks in women are more severe and complicated, when complaining of these non-specific symptoms women often do not receive the necessary examination procedures, such as an ECG , enzyme diagnostic tests or coronary angiography.

Colon cancer is the second most common form of cancer among men and women. However, women suffer this illness at a later stage in life. Furthermore, typically have a different location in women, and they respond better to specific chemical treatments. Gender also has an impact on the patient's responsiveness to chemotherapy administered to treat cancer, such as colon, lung, or . In this way, gender impacts the course of the disease and the patient's chances for survival.

Primary biliary cirrhosis is a liver disease that primarily affects women. The authors of the study provide clear evidence that for this disease and chronic hepatitis C, the genetic makeup and differing hormone levels of females are a primary risk factor. This finding also applies to osteoporosis. While typically viewed as a female disease because of the much higher rate of female patients, osteoporosis also strikes men. The study contends that osteoporosis is too often overlooked in , and it documents a higher mortality rate among men suffering bone fractures.

Baggio and her team also show variation between men and women in the pharmacology of aspirin and other substances. Differences in action and side effects are attributable to different body types, varying reaction times in the absorption and elimination of substances, and a fundamentally different hormonal status. Thus, to administer medication safely and effectively, the dosage and duration of treatment must take the patient's gender into account.

The study concludes that additional and more far-reaching clinical investigations of gender differences are needed in order to eliminate fundamental inequalities between men and women in the treatment of .

More information: www.degruyter.com/view/j/cclm.… -0849.xml?format=INT

add to favorites email to friend print save as pdf

Related Stories

Cancer mortality rates are higher in men than women

Jul 12, 2011

Overall cancer mortality rates are higher for men than women in the United States, according to a study published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.

Rheumatoid arthritis: Worse in women?

Jan 14, 2009

Women appear to suffer more from rheumatoid arthritis (RA) than men. This is revealed in research published in BioMed Central's open access journal Arthritis Research and Therapy.

Gender differences in experience of rheumatism

Sep 12, 2008

Rheumatoid arthritis is often a more painful experience for women than it is for men, even though the visible symptoms are the same. Scientists are now saying that doctors should take more account of these subjective differences ...

Women's symptoms for heart disease often missed

Feb 16, 2011

(PhysOrg.com) -- More women then men die from heart disease each year. The list of differences between men and women is extensive, but one of the more underappreciated differences is in symptoms of heart disease.

Recommended for you

Appropriate use criteria established for pediatric ECHO

14 hours ago

(HealthDay)—Appropriate use criteria have been developed for the initial use of transthoracic echocardiography in outpatient pediatric cardiology. The guidelines were published online Sept. 29 in the Journal of ...

User comments

Adjust slider to filter visible comments by rank

Display comments: newest first

JVK
1 / 5 (1) Mar 23, 2013
Given the importance of understanding how food odors and nutrition epigenetically influence individual survival in other mammals, it is not surprising that a reiteration of the 'FDA Critical Path Initiative' stresses the need to approach the development of human sexual behavior, which is required for our species survival and beneficial to human well-being, by using the same pathway that links food odors and pheromones to the behavior of honeybees and humans.

Including the interactions among the gene, cell, tissue, organ, organ-system pathway allows sexual differentiation of the brain and behavior to be detailed in the manner that was suggested by Diamond, Binstock, and Kohl (1996) and more recently by McCarthy and Arnold (2011). These details are in obvious accord with what has been neuroscientifically known for several decades about organization and activation of the brain and behavior (Naftolin, 1981). http://dx.doi.org...i0.17338