The effective dose equivalent was defined in the International Commiss
ion on Radiological Protection Publication 26 in 1977 and later adopte
d by the U.S. Nuclear Regulatory Commission. To calculate organ doses
and effective dose equivalent for external exposures using Monte Carlo
simulations, sex-specific anthropomorphic phantoms and sex-specific w
eighting factors are always employed. This paper presents detailed mat
hematical derivation of a set of sex-specific tissue weighting factors
and the conditions which the weighting factors must satisfy. Results
of effective dose equivalent calculations using female and male phanto
ms exposed to monoenergetic photon beams of 0.08, 0.3, and 1.0 MeV are
provided and compared with results published by other authors using d
ifferent sex-specific weighting factors and phantoms. The results indi
cate that females always receive higher effective dose equivalent than
males for the photon energies and geometries considered and that some
published data may be wrong due to mistakes in deriving the sex-speci
fic weighting factors.