Hi cvc -
Personally I find it hard to believe the ratio is 2:1 - the German wikipedia even says the ratio is roughly 1:1 (based on a well-constructed German randomized controlled trial from 2013, which found 4:3), the English one 2:1. The reasons for far less men being in clinics, support groups and forums (my experience) might be understandable. But judging from the symptoms, amongst friends, relatives, colleagues and acquaintances I only personally know one other male who probably has fibromyalgia, but at least 5 females. However I also believe I know how males (would) talk, how they'd shrug it off. I know I'm challenging recent research, but: Aren't men changing? Aren't these just old clichés? Why can't I see all these fibro-men, wdn't I know one, being one?
On the other hand I personally need a maximum of interaction to learn from others to care for myself, whether male or female - we're in it together, and it's far more that, and it being a very personal, individual thing than a gender-thing. Plus if it is true that males tend to shrug off pain instead of talking about it, then that's exactly what's
not going to help us...
Recent studies pinpoint differences (pubmed 2017, 2018, 2019), there are summaries on webpages, e.g. verywellhealth, or the odd specific forum. Here are a few relevant excerpts from studies:
"However, the FM patients only showed significant differences in the sensibility threshold to the pain, which was lower in the women. In addition, the best predictor of the experience of pain in males was sleep quality, and in the women, catastrofying pain." (Fibromyalgia in men and women: comparison of the main clinical symptoms, 2012)
"Thematic analyses of the survey responses suggest that men with FM have negative experiences with (1) physical and mental health, (2) quality of life, (3) relationships, and (4) careers as a result of FM. Interactions with health-care providers were deterred by (1) potential for misdiagnosis or dismissal of symptoms, (2) stigma of having a condition primarily affecting women, (3) differences in treatment of men and women with FM, and (4) need for health education resources. These findings dictate a need to improve communication between health-care providers and male FM patients." (Understanding the Impact of Fibromyalgia on Men: Findings From a Nationwide Survey Am J Mens Health. 2018)
“there is yet little knowledge about the gendered aspect of pain by men who suffer from typical female diseases like fibromyalgia.”
The masculine identity of the participants was re-negotiated by comparisons to other men and life before symptom onset, and by discussing expectations and beliefs of how men should act in contemporary societies. The transition from experiencing a strong, active and reliable body to experiencing a painful, vulnerable and helpless body was perceived as fundamental. Conclusions: Self-management and rehabilitation of fibromyalgia it is not only about learning to manage the symptoms but also about the struggle to find coherence in life through re-constructing gender identity that is acceptable both for the individual and for the community. ( “I can’t have it; I am a man. A young man!” - men, fibromyalgia and masculinity in a Nordic context 2019)