27
" Often, women's symptoms are brushed off as the result of depression, anxiety, or the all-purpose favorite: stress. Sometimes, they are attributed to women's normal physiological states and cycles: to menstrual cramps, menopause, or even being a new mom. Sometimes, other aspects of their identity seem to take center stage: fat women report that any ailment is blamed on their weight; trans women find that all their symptoms are attributed to hormone therapy; black women are stereotyped as addicts looking for prescription drugs, their reports of pain doubted entirely. Whatever the particular attribution, there is often the same current of distrust: the sense that women are not very accurate judges of when something is really, truly wrong in their bodies. "
― Maya Dusenbery , Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick
36
" Given the NIH's lack of record keeping, it was impossible to say exactly how underrepresented women were, but the public learned that women had been left out of many of the largest, most important clinic studies conducted in the last couple of decades. The Baltimore Longitudinal Study of Aging, which began in 1958 and purported to explore 'normal human aging,' didn't enroll any women for the first twenty years it ran. The Physicians' Health Study, which had recently concluded that taking a daily aspirin may reduce the risk of heart disease? Conducted in 22,071 men and zero women. The 1982 Multiple Risk Factor Intervention Trial - known, aptly enough, as MRFIT - which looked at whether dietary change and exercise could help prevent heart disease: just 13,000 men. "
― Maya Dusenbery , Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick
37
" Of course, pregnant women are no less in need of safe, effective medical treatments than anyone else. Each year, over 400,000 women in the United States battle significant illnesses while pregnant. And many women have chronic conditions, from hypertension to autoimmune diseases to depression, that they must manage with medications. As bioethicist Francoise Baylis wrote in a 2010 Nature article, 'Pregnant women get sick, and sick women get pregnant.' Indeed, 90 percent of women take some medication during pregnancy, and about 70 percent take a prescription drug, according to the Centers for Disease Control and Prevention (CDC). The average woman receives 1.3 prescriptions per obstetric visit, and nearly two-thirds of women use four to five medications during pregnancy and labor.
But with little actual research to go on, doctors are simply guessing at how drugs will affect a pregnant body, and their best predictions can be disastrously off. "
― Maya Dusenbery , Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick