Sex matters
So why is it so crucial to address women’s health? Over the years, it has become clear that sex differences are substantial. Women respond differently to drugs and vaccines than men, and present different symptoms for the same diseases: the early warning signs of a heart attack are not the same in both sexes, for instance.
Women are also more likely to get some diseases, from auto-immune and neurological conditions to Alzheimer’s and depression. In her book Invisible Women, Caroline Criado-Perez argues that even today, and even for diseases that are more prevalent in women, researchers still often study male cells only: ‘Women are 70% more likely to suffer from depression than men, for instance, but animal studies on brain disorders are five times more likely to be done on male animals.’ Another example stated by Harvard Health is that 70% of those affected by chronic pain conditions are women, yet 80% of pain research is conducted on males.
And then, of course, there are conditions that affect women only, such as endometriosis. Even though one in ten women suffers from endometriosis and this causes severe pain and complications, it takes an average of eight years to be diagnosed. When it is, there is a lack of effective treatments, with the research still very much in its infancy.
Women’s bodies: too complicated?
A lack of sex-disaggregated data is harmful for women, who clearly have different needs to men. As I mentioned, an argument put forward to exclude women from clinical trials was that our bodies are simply too complicated: we can get pregnant, our hormones fluctuate, we go through the menopause. How can reliable data thus be collected?
But we should not shy away from these factors. Rather, these sex differences need to be systematically included from the start of medical research. Women need to be tested at different points of their menstrual cycle, for instance, since drugs can affect them differently depending on the time of the month. Taking into account these factors matters at every level, from safety and dosing to efficacy of treatment.