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Gender specific treatment

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by

Ines Chabane

on 13 April 2018

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Transcript of Gender specific treatment

Inequality in treatment

Labels commonly
admitted

Non-recognition of real biological differences
between sexes

I. Differences between men
and women regarding some diseases.

Sex and gender specific treatment
In what way sex and gender can have an impact on treatments? How sex and gender can be sufficiently taken into account in health research ?
Vocabulary
History : rooted in a feminist demand
Women are under-represented in clinical trials.
Introduction
Example n°1 :
Cardiovascular disease in women
Less chance of being diagnosed

Higher rate of non-admission & mortality

Specific features
Symptoms
Difficulty to breathe
Palpitations
Persistent fatigue
Gastrointestinal problems...
DISCRIMINATION and ERRORS
II. What are the solutions?
After the age of 84 years old,
the number of hip fractures
increases
, especially in
men
.










The risk of death in the following year is
higher for men (30% in men
VS
10% in women)
.
No threshold value
on bone densitometry.

No recommendations
in place for men.

The majority of treatments
cannot be prescribed to men
.
Example n°2:
Male osteoporosis
Pregnancies
Hormonal contraception
Hormonal changes in the menopause
Bone aging
SNS increases blood pressure & heart rate
Example n°3 : Diseases with mysteries to unravel...
Gastrointestinal
disorders
Stress
Depression
Women are more sensitive

// hormonal status
(progesterone, estrogens)
Different reactions to stress due to :

> fluctuation in female sex hormones

> genes carried by X and Y chromosomes

> your gender
Increasing awareness in doctors and researchers
Introduction


I. Differences between men and women
regarding some diseases.

II. What are the solutions ?


Conclusion
Plan
Make it
compulsory

for studies to look at
both males and females
Conclusion
Personalized medicine
Baby steps in France !
Pushing forward fundamental research
Towards a
more egalitarian
type of medicine for men and women in France.....
Incorporate differences between
sexes
in fundamental research.
Include in animals studies the concept of
gender
?
The environment can have an influence on animals.
Increase the
amount
of women

in doctors
and researchers
Shift attitudes of
doctors and
researchers
In Europe, what disease is the most frequent cause of mortality in women ?

Breast cancer
Cardiovascular diseases
Endocrine diseases
AIDS
Better
inform
people :
General population
+
Health professionals
Questions :

Does every trial include male and female animals ?

In simple words, what is sex and what is gender ?
Ex : Allergic asthma
Is osteoporosis more severe in women or in men ?
Ex : 1993
American bodies have to
include women
and
members of minority
groups
in
research projects
.
Difference in treatment
DELAYED
DIAGNOSIS
Pathology considered as less severe in women
Women go less quickly to the hospital
Her doctor don't realize she suffers from a cardiovascular disease
To go even further...
Scenario
: How can we change the perception of sex and gender in treatments ?

For example, if you were a teacher in medicine/pharmacy university,
would you involve sex and gender in treatment
? If so,
what would you change
?
Prescription
of medicine
Coronary
revascularization
procedures
Full transcript