Grinberg Keren, Sela Yael
Nursing Sciences Department, Faculty of Social and Community Sciences, Ruppin Academic Center, Emek Hefer 4025000, Israel.
Medicina (Kaunas). 2025 Jul 26;61(8):1352. doi: 10.3390/medicina61081352.
: Gender disparities in pain management persist, with women frequently receiving inadequate analgesia despite reporting similar or higher pain levels compared with men. This issue is particularly evident across various medical and gynecological procedures. : This integrative literature review synthesizes recent empirical studies examining gender biases in pain perception and management, focusing specifically on procedural pain in women. It includes an analysis of clinical research, patient-reported outcomes, and healthcare provider behaviors. : The findings indicate that unconscious biases, a lack of gender-specific clinical protocols, and prevailing cultural stereotypes contribute to the undertreatment of pain in women during procedures such as intrauterine device insertion and diagnostic hysteroscopy. Additionally, communication gaps between patients and healthcare providers exacerbate these disparities. : Addressing gender disparities in pain management necessitates systemic reforms, including the implementation of gender-sensitive clinical guidelines, enhanced provider education, and targeted policy changes. Personalized, gender-informed approaches are essential to improving equity and quality of care in pain treatment.
疼痛管理中的性别差异依然存在，尽管女性报告的疼痛程度与男性相似或更高，但她们经常得不到充分的镇痛治疗。这个问题在各种医疗和妇科手术中尤为明显。 本综合文献综述综合了最近的实证研究，这些研究考察了疼痛感知和管理中的性别偏见，特别关注女性的手术疼痛。它包括对临床研究、患者报告结果和医疗服务提供者行为的分析。 研究结果表明，无意识偏见、缺乏针对性别的临床方案以及普遍存在的文化刻板印象导致了女性在宫内节育器插入和诊断性宫腔镜检查等手术过程中疼痛治疗不足。此外，患者与医疗服务提供者之间的沟通差距加剧了这些差异。 解决疼痛管理中的性别差异需要进行系统性改革，包括实施对性别敏感的临床指南、加强医疗服务提供者教育以及有针对性的政策变革。个性化的、考虑性别的方法对于提高疼痛治疗的公平性和护理质量至关重要。
