This narrative review discusses sex-dependent responses to magnetic field polarity and direction in living systems and proposes a unified framework integrating magnetobiology with sex-based physiology. It describes potential interaction mechanisms (e.g., ion channel modulation, radical pair dynamics, ion cyclotron resonance) and notes that some reported outcomes differ by sex depending on polarity. The author suggests that failing to account for polarity and direction could miss relevant health risks and calls for experimental paradigms that treat sex as a key biological variable.