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Sex hormones can affect disease pathophysiology, which can affect disease-related pain. For example, the effects of estrogens on bone deposition and cartilage homeostasis could influence the development of articular pathology and pain.400 Of more direct relevance to pain are the hormonal contributions to inflammation. In general, women show a heightened inflammatory response compared with men.394 Although beneficial for wound healing and response to infection, this more robust inflammatory response places women at significantly greater risk for a variety of painful inflammatory autoimmune conditions, including rheumatoid arthritis, osteoarthritis, and systemic lupus erythematosus. The inflammatory response to various triggering events involves plasma extravasation, chemotactic attraction of leukocytes, and, in turn, stimulated release of inflammatory cytokines and growth factors.

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  • Some of the studies reviewed have measured pain intensity or severity ratings and depression, a common impact of chronic pain, and when sex differences were tested, we will report the findings.
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Recently, questionnaires have been developed based on the analysis of the characteristics of pain (ie, pain descriptors) that discriminate pain due to a definite neurological lesion. Torrance et al409 estimated the prevalence of pain of predominantly neuropathic origin using a random sample of 6000 adults from family practices in three United Kingdom cities using a 5-item neuropathic pain scale developed by Bennett.28 Females (6%) showed greater prevalence of neuropathic pain (lasting longer than 3 months) compared with males (3%). Using a large representative sample of the French population, Bouhassira et al44 assessed neuropathic pain using their symptom-based screen for pain with neuropathic qualities43 and found higher 3-month prevalence in females (8%) compared with males (6%). Neither study reported sex differences in the effects of age, pain intensity, or depression.

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First, without compelling scientific justification limited research to one sex or the other, both preclinical and human studies should routinely include subjects of both sexes. The NIH requires this for human studies; however, nonhuman pain research continues to eschew females.32,283 Given that the clinical pain conditions to which preclinical research is intended to apply are female-predominant, one could argue that preclinical research that excludes females is incomplete at best and invalid at worst. Moreover, clinical studies, which typically include participants of both sexes, should consistently analyze for sex differences and report the findings, whether positive or negative. This would help overcome publication biases, which could overestimate sex differences based on the reduced likelihood of reporting negative findings. Another important conceptual and analytical concern is the distinction between qualitative and quantitative sex differences.

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The data is only saved locally (on your computer) and never transferred to us. While masturbation is the formal word for this practice, many other expressions are in common use. Terms such as playing with yourself, pleasuring oneself and slang such as wanking,[15] jerking off, jacking off, fapping[16] and frigging are common. Self-abuse and self-pollution were common in early modern times and are still found in modern dictionaries.

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