At equal weight and age and for the same amount of alcohol, the alcohol of women exceeds that of men. The explanation of this phenomenon from the enzyme involved in alcohol metabolism that has a lower activity in women. On the other hand, the quantity of water in the body of the woman being lower concentration of alcohol in tissue and blood occurs more rapidly than humans. The ovarian hormones also affect the metabolism of alcohol and taking oral contraceptives and menopause increase the vulnerability of women against alcohol.
Cirrhosis occurs more rapidly in women than in men. A chronic alcohol consumption increases the risk of breast cancer and chronic poisoning can cause sterility in women.

* The effects of alcohol on health:

They are very numerous, here is a partial list:
- Chronic Fatigue
- Hypertension
- Sexual problems
- Gastritis constant
- Attainment of lower limb nerves (polyneuritis) in terms of night cramps at the beginning
- Various cancers: mouth, larynx, esophagus, liver …
- Tunes and various psychiatric disorders
- Disorders of recent memory
- Optic nerve
- Toxicity pancreas: chronic pancreatitis, or acute (very painful and dangerous), diabetes
- Fatty liver leading to cirrhosis and esophageal varices in (fatal bleeding risk) or to hepatic coma

* Treatment:

Stop drinking completely (withdrawal) is a necessary step toward healing. Many of the patients fear they have already tried, and often several times, alone or not, without success.
This withdrawal will not solve everything, this is a first step, indeed essential, but the purpose must be maintained throughout the course of abstinence from alcohol as a condition for improving the quality and duration life. Indeed, lower doses of alcohol ingested, which can be justified in heavy drinkers not alcohol-dependent, is completely ineffective in the medium and long term among alcohol-dependent (as smokers).
The patient will be clearly informed of the conditions of treatment to reflect, if possible with his entourage. The patient should be reassured (cures of disgust and other taunts were missing), but also empowered: He must be prepared to stop and make the effort otherwise it will fail. So no precipitation (such as: decision to make a cure for 2 hours in the morning, completely drunk!)

-Hospital or not (outpatient treatment)

* Cure outpatient:
Much weaning programs can be done without hospitalization, the patient. It can not cut the patient’s living environment, environment in which it will then maintain abstinence.
In which case:
patient refusal of hospitalization (apprehension, denial of the seriousness of the problem),
no formal indication of a withdrawal Hospital
clear motivation of the patient
predicted good compliance of drug treatment,
physical condition (no significant signs of physical dependence) and psychological condition satisfactory
family and social quality and motivated
availability of a team of caregivers for close monitoring during the first days.

* Cure Hospital:

severe alcohol dependence sparking fears of a physical symptom of weaning
failure of one or more previous outpatient detoxification,
associated diseases or risk of suicide,
history of epilepsy,
other appurtenances (excluding coffee and tobacco)
need for family or social isolation of the subject.