Sex Cells: The Fight to Overcome Bias and Discrimination in Women’s Healthcare

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Sex Cells is a clear-eyed report on the still-pitched battle to get the scientific and medical world to recognize that women are not small men.
 
The idea that our biological sex impacts our health seems like such a simple concept. Unfortunately, it has proven to be anything but that. Phyllis Greenberger’s battle cry has been:
Women/females need to be treated equitably in relationship to men/males. They are equal, but they are not the same.
 
It has been challenging to get individual researchers and practitioners to accept this, as well as research and medical institutions, and manufacturers of medications and devices. The journey towards equal treatment and the understanding of sex and gender differences in prevention, diagnosis and treatment is still unfolding. This book is the story of that journey—why it was, and still is, so important to do research specific to women/females.
 
Sex Cells gives readers access to the wide world of sex-specific medical issues as they play out in research labs and doctor’s offices, and how women pay the price, with a close look at the impact on minority populations.
 
The story is told by Phyllis Greenberger—the woman who is recognized as the driving force for change over the past 25 years—and her allies in government, NGOs, academia, medical research, the US government, and public health advocacy. The array of experts who have contributed to the book offer an insiders’ up-close view of the battle to have female cells, lab animals and humans brought into medical research, so that women can receive treatment that is appropriate and effective for a wide range of conditions.
 
Told with humor, ferocity and passion, Sex Cells is a manifesto that will appeal to anyone interested in health, women’s rights, and public health policy.



 

Editorial Reviews

Review

“Equitable health, health research, and health care for women—it’s everyone’s job! This elegant volume presents the reader with both challenges and opportunities.”—Nanette K. Wenger, MD, Professor of Medicine Emeritus, Emory University School of Medicine
 
“Advocating for research and resources to help patients make informed health decisions is something that Phyllis has been doing for decades. This volume exquisitely presents research data in an accessible manner to help patients appreciate what we know, and what research is still left to accomplish, in our quest for health equity. Phyllis’s book is a must read for patients, advocates, researchers, and clinicians, alike.”
—Sabra L. Klein, Ph.D., Professor of Molecular Microbiology and Immunology and Medicine at the Johns Hopkins Bloomberg School of Public Health and the Johns Hopkins School of Medicine
 
“Phyllis does a masterful job of not only educating us about what we know about sex differences, but also showing us what we still don't know. She gives us the roadmap on how to advance research and provides much needed information to the public on the importance of understanding sex differences.”
—John Whyte, M.D., MPH, Chief Medical Officer, WebMD
 
“A powerful book by a powerful woman. Phyllis Greenberger was a trailblazer and stills works tirelessly to bring about health equity for Women. A must read for all to know where we have been and where we need to go to achieve equitable healthcare for all.”
—Nieca Goldberg, M.D., Clinical Associate Professor of medicine at NYU Grossman School of Medicine, author of Women are not Small Men and host of the Beyond the Heart podcast
 
“It is my hope that this book will inspire you to become an advocate for women’s health in your own life, in your interaction with your healthcare providers, in your community, and on a national level by letting your representatives know how much you care about this issue. The Society for Women’s Health under the leadership of Phyllis Greenberger led the charge starting in the 1990s that brought the issue of sex differences to the attention of many of us in government. Since then, great strides have been made, but there is much to be done, and the progress we have made is now being threatened by those who want to take control of women’s health out of women’s hands. Read this book, talk about this book, and keep fighting for the healthcare that women deserve, need, and demand
.”—Marsha Henderson, former Associate Commissioner for Women’s Health at the Food and Drug Administration  

About the Author

Phyllis E. Greenberger, M.S.W., is Senior Vice President of Science & Health Policy for HealthyWomen. She is the former President and CEO of the Society for Women's Health Research (SWHR), a national nonprofit organization widely recognized as the thought leader in women's health research, for 26 years. In 2016, Phyllis was given the Trailblazer award by the U.S. Department of Health and Human Services Office of Women's Health. Women’s Day magazine awarded Greenberger the 2006 Red Dress Award in recognition of her work in leading the way in the fight against heart disease in women, and in 2010 named her one of 50 Women Who Are Changing the World. She also received the Award for Research Excellence by the National Association for Women’s Health, Journal of Women’s Health & Gender-Based Medicine’s Achievement Award, Champion of Women’s Health by Ladies’ Home Journal, the Washington Woman of Genius by Trinity College in Washington, D.C., and received an award for public advocacy from the Clinical Research Forum. She was named the 2013 Woman of the Year by the National Association of Professional Women.
 

Review:

4.5 out of 5

90.00% of customers are satisfied

5.0 out of 5 stars An Informative Read & A Roadmap for Self-Advocacy.

E.D. · September 20, 2024

Most women have experienced what this book is about: discrimination in health care. Medical studies are typically designed for men by men and even the most common health issues like heart disease have developed protocols that are male-centric, which is not only a disservice to women, but can even be dangerous. This book addresses this healthcare inequality.The most important part of this book may be the point that inequality in healthcare exists, because it's certainly not something that's talked about. At my own last doctor's visit, my doctor couldn't do the thing I needed him to do most: LISTEN. Men are listened to in health care, women are tolerated. The healthcare industry seems not to want to acknowledge that men and women are different and we experience health in different ways, even when suffering from the same diseases as men.This book acknowledges women and the health care disparities we suffer. I'm a long time chronic pain sufferer. I have never gotten an "official" diagnosis, despite seeing at least half a dozen different doctors, and some were even women! My issues started in my late 20s and I'm now in my early 50s, so now it's attributed to "aging." One day, I hope I will meet a doctor with a deep enough intellectual curiosity and compassion to comb through my medical history and arrive at the "aha" moment, but until then, I'm deeply disappointed by how I've been treated by the medical establishment.This book points out that we still have a long way to go for medical equality (no kidding, right?!). If you've ever had your pain minimized, had a doctor gaslight you, or felt marginalized by the healthcare system, this book is for you, and it's a useful tool for women to learn how to start better advocating for themselves. Here's to good health!

4.0 out of 5 stars Very interesting

K.�. · July 22, 2024

This was an interesting read. I’ve been well informed about bias in women’s healthcare, but I can't help but wonder if it offers a truly holistic reflection. It seems to navigate between the perspectives of disenfranchised minorities (whether racial or economic) and what the already privileged audience wants to see. The balance between these viewpoints might affect how comprehensively the issue is addressed.

5.0 out of 5 stars A Walk Through the History of the Exclusion of Women in Healthcare Research

C.M. · September 23, 2024

Review of "Sex Cells: The Fight to Overcome Bias and Discrimination in Women’s Healthcare" Hardcover – by Phyllis E. Greenberger M.S.W. :This book is a historical walk through the author's fight to have women included in medical research and to receive equitable healthcare. It outlines the chronology of obstacles, successes and setbacks. While the book is a little dry because of its focus on historical facts, the information contained in it is eye-opening, even for those who work to stay well-informed. The discrimination and bias in women's healthcare continues to present day. This book delivers what it promises.

5.0 out of 5 stars Sex Cells

S. · August 11, 2024

This book does a great job of showing the challenges, inequality, and discrimination that women face in healthcare. The book is a bit more technical and can feel a bit like a research paper but overall I thought the book was well done, fascinating, and eye-opening.

4.0 out of 5 stars Should Have More Stories that Illustrated the Discrimination and Disparity in Care

V. · May 27, 2024

"I see women your age every day complaining of constant migraines..." - Dismissive Neurologist (I had fungal balls growing in my sinuses that were causing the migraines. It took five years and dozens of doctors visits to get the correct diagnosis of having Aspergillosis, an invasive fungal infection.)"You should have a breast reduction and lose 10 or 15 pounds." - Gaslighting Orthopedic Surgeon (I had four ribs subluxed at the time and it hurt to breathe. It took more than twenty years after this appointment to get the correct diagnosis of Hypermobile Ehler's Danlos Syndrome.)"If you can't bend your thumb to your wrist, you are not Hypermobile." - Ignorant Family Medicine Physician (I was diagnosed by the former head of genetics of the Mayo Clinic, a top doctor in his field and have since had the diagnosis reconfirmed by other specialists.)I am chronically ill and have been struggling for years. I have had so many terrible interactions with doctors that at this point I dread even going. They are dismissive, gaslight you, rush you, and instead of helping you accuse you of exaggerating your symptoms or insinuate that you are a pill seeker.Meanwhile, if my husband has a doctor's appointment he receives a sympathetic ear, gets testing ordered immediately, gets diagnosed in one visit without having to "make a case" for a diagnosis, and is given medications without having to ask for them. The difference in how he is treated versus how I am treated are so varied it makes me sick.While this book contained a lot of good information about gender bias and discrimination I wish it had some patient testimonies to illustrate the type of treatment patients receive. I ended up feeling disappointed when reading this and feel like it is really just aimed at people in healthcare, not patients. This is an important subject and I hope more books and articles are written on this subject.

5.0 out of 5 stars eye-opening

J.Y. · June 28, 2024

This book is eye-opening and as relevant to medicine today as ever. It is an approachable read for all, and highlights the significant and egregious disparities in healthcare treatment between genders.

3.0 out of 5 stars Lots of data

t. · July 4, 2024

This book is well written and full of interesting history, statistics, and rarely publicized discrimination. The focus is on the sex and gender discrimination within research more than anything else, although it also mentions public policy and clinical care, and also does bring in other contributing issues like systemic racism and economic factors. My biggest take-away is that our medical system is way more dysfunctional and biased than I realized—even having received subpar care myself. While this is a great book for recognizing the problem, it was hard for me to personally connect and stay focused with all the research, and I also wanted a little more on the solution side of how women can advocate for themselves more successfully, and what other things, if any, we can do about this issue.

Visible women

C.M.D. · June 2, 2024

Superb review of the campaign to take Women’s Health beyond ‘bikini medicine’.Phyllis Greenberger has been an important influencer in the field of sex/gender differences in research, treatment developments, equity of access to diagnosis and social determinants of health.

Sex Cells: The Fight to Overcome Bias and Discrimination in Women’s Healthcare

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