Interventional radiology in woman's health: room for improvement.

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This editorial highlights historical data exclusion of women from trials and ongoing gender bias in healthcare, impacting diagnosis and treatment, particularly for gynecological conditions.

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This editorial in CVIR Endovascular discusses gender bias in women’s health research and clinical care, arguing that historical exclusion of women of childbearing potential from trials after the thalidomide scandal contributed to delayed diagnosis, misrecognition of disease patterns, and poorer outcomes. The authors describe how gendered assumptions in healthcare can affect treatment of pain, and they highlight underdiagnosed women-specific conditions such as endometriosis-associated pelvic pain and pelvic congestion syndrome, noting that women were more recently included in trials since 1993. The editorial introduces a themed set of articles on interventional radiology topics including uterine artery embolization with attention to symptomatic adenomyosis and fertility, ovarian vein embolization for pelvic congestion syndrome, fallopian tube recanalization, and deep venous stenting. The paper does not provide new interventional outcomes itself, and it is explicitly a commentary rather than an empirical study. Relevance to endometriosis: endometriosis is explicitly mentioned in the context of pelvic pain being poorly understood and underdiagnosed, though the paper’s main focus is broader gender bias in women’s health and an overview of an interventional radiology issue.

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Acknowledgements

Not applicable. Authors’ contributions EK and MT equally contributed in writing the manuscript. All authors read and approved the final manuscript. Funding No funding received. Availability of data and materials Not applicable. Declarations Ethics approval and consent to participate Not applicable. Consent for publication Not applicable. Competing interests The authors declare that they have no competing interests. Received: 27 December 2022 Accepted: 2 May 2023

References

1. Caroline Criado Perez. Invisible women: data bias in a world designed for men. New York: Abrams Press; 2019. 2. Samulowitz A, Gremyr I, Eriksson E, Hensing G. “Brave men” and “Emo- tional women”: A theory-guided literature review on gender bias inhealth care and gendered norms towards patients with chronic pain. Pain Res Manage. 2018;2018:6358624. https:// doi. org/ 10. 1155/ 2018/ 63586 24. 3. Mailli L, Patel S, Das R, et al. Uterine artery embolisation: fertility, adeno- myosis and size – what is the evidence? CVIR Endovasc. 2023;6:8. https:// doi. org/ 10. 1186/ s42155- 023- 00353-2. 4. Kashef E, Evans E, Patel N, et al. Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treat- ment options. CVIR Endovasc. 2023;6:25. https:// doi. org/ 10. 1186/ s42155- 023- 00365-y. 5. Roberts A. Fallopian tube recanalization for the management of infertility. CVIR Endovasc. 2023;6:13. https:// doi. org/ 10. 1186/ s42155- 023- 00356-z. 6. O’Sullivan G, Smith S. Deep venous stenting in females. CVIR Endovasc. 2023;6:14. https:// doi. org/ 10. 1186/ s42155- 023- 00354-1. Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in pub- lished maps and institutional affiliations.

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