A growing body of literature describes widespread associations of sex and gender with cells, organs, and the manner in which individual patients interact with health care systems. Sex- and gender-informed medicine is a young paradigm of clinical practice and medical research founded on this literature that considers the association of sex and gender with each element of the disease process from risk, to presentation, to response to therapy. This review details clinical examples with broad applicability that highlight sex and gender differences in the key domains of genetics, epigenomic modifiers, hormonal milieu, immune function, neurocognitive aging process, vascular health, response to therapeutics, and interaction with health care systems. These domains interact with one another in multidimensional associations, contributing to the diversity of the sex and gender spectra.
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Any sexual behavior--normal or abnormal, masturbatory or partnered--ultimately rests on biological elements, psychological elements, interpersonal elements, and cultural concepts of normality and morality. Any sexual behavior-normal or abnormal, masturbatory or partnered-ultimately rests on biological elements, psychological elements, interpersonal elements, and cultural concepts of normality and morality. Patients generally bring sexual problems to psychiatrists in 3 ways. The most familiar is the presentation of a sexual chief complaint or its emergence during therapy for another problem.
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How Sex and Gender Impact Clinical Practice: An Evidence-Based Guide to Patient Care enables primary care clinicians by providing a framework to understand differences and better care for patients in their practice. Each chapter covers a subspecialty in medicine and discusses the influence of sex hormones on disease, along with sex and gender-based differences in clinical presentation, physical examination, laboratory results, treatment regimens, comorbidities and prognosis. Illustrative case examples and practical practice points help each chapter come alive. A special chapter on communication differences between men and women assists clinicians in their conversations with patients. This book fills an important need by applying years of research findings to sex and gender specific medical care and demonstrating that an individualized approach to patient care will lead to improved detection, treatment and prevention of disease.
Sexology is the interdisciplinary scientific study of human sexuality, including sexual behaviours, interests and function. A sexologist is a trained professional who specialises in human sexuality. There are many different ways a sexologist may work, and many different areas she may work in — in clinical settings, in education, and in research. Sarah and John have been together for two years and have recently become engaged.