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The review highlights traditionally important medical conditions for submariners along with the unique consequence of women's health care on the submarine. The information covered includes a review of the history of women in the military followed by a discussion of how women have been integrated into submarines in foreign navies and in space travel. The bulk of the document, then, consists of a literature review that examines gender differences in health care usage as well as in health problems that have traditionally been problematic for submarines including cardiac disease, anemia, asthma, headaches, peptic ulcer disease, orthopedic problems, and psychiatric disease. Gynecological and pregnancy related issues constitute the final area of review.