Gender medicine is being increasingly acknowledged with its sex genetic differences and gender related to cultural components.
In this regard, several questions arise:
• Must men and women follow the same diet?
• Must vitamin dosage be the same for both sexes?
• Do the same hormones have different effects?
Evidently the answer is no. In addition, our brains are completely different in their functioning and in the their way of obtaining supplies of energy. All of these recent findings will have a significant impact on the treatment and prevention of diseases. We will have to learn to modulate doses according to the sexes because men and women are different:
• Women have 6 times higher frequency than men for hyroid diseases.
• The female lung is much more sensitive to female sex hormones that can promote lung cancer.
• Testosterone has anti-inflammatory effects in humans, but this same effect in women after menopause has an inflammatory action.
• Estradiol has a protective effect on arteries in women before menopause while it absolutely does not have the same effect in man.
• Myocardial infarction (heart attack), caused by is coronary occlusion, is the same in men and women, but female mortality is higher within thirty days.
• The immune system behaves differently in men and women and it is interesting to observe that there are diseases more common in women: such as lupus erythematosus, arthritis, autoimmune disease and mitral stenosis.
• The Takotsubo syndrome, or broken-heart syndrome, that it is quite similar to a heart attack is a disease that affects 95% of women. It is due to a paralysis of a part of the heart for a discharge of catecholamine, an occurance that can have physical or emotional origin.
Men and women are very different regarding high blood pressure. Hence our approach to hormonal treatments, vitamins and supplements must soon be modified based on sex and age.
“Despite medical advances made in recent years, there is still a lack of knowledge of the influence of gender on health. In this sense one can speak of gender blindness, cecity: an attitude that helps to slow down the achievement of gender equity and does not allow to provide the best possible care to both sexes.” (Flavia Franconi, Professor of Cellular Pharmacology, University of Sassari, President GISeG)