“…The 2 ER isoforms—ER and ER—have a few similar target genes and a few unique ones ( Stossi et al., 2004 ) and numerous strategies to control the production of cytokines in target cells ( Oertelt-Prigione, 2012 ). As a rule, estrogen boosts immunological responses, whereas progesterone and androgens depress them ( Younis and Ghoneim, 2022 ). The existence or absence of an extra X chromosome is the first consideration when examining the impact of genetics on sex differences.…”