Irritable bowel syndrome in the gynecological clinic: Survey of 798 new referrals
Abstract
A study of the prevalence of symptoms suggestive of irritable bowel syndrome in 798 women referred to a gynecological clinic is reported; 321 women referred to dermatology and ear, nose, and throat clinics served as controls. Data were collected by a mailed symptom questionnaire. The prevalence of irritable bowel syndrome in the gynecological group was 37.3% compared with 27.7% in controls (P = 0.003). Approximately 50% of women referred with abdominal pain, dyspareunia, and dysmenorrhea had symptoms compatible with irritable bowel syndrome (P less than 0.005), whereas the prevalence in those referred for cervical abnormalities, termination/sterilization or perineal problems was similar to that of controls (28%). Patients referred with urinary symptoms, heavy periods, nonmenstrual bleeding, vaginal discharge, and infertility had an intermediate prevalence of irritable bowel syndrome (35-45%). This study suggests that either many women with irritable bowel syndrome are being wrongly referred to gynecologists or raises the possibility that symptoms currently regarded as indicative of irritable bowel syndrome may be associated with certain gynecological disorders.
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Among 63 women referred for dyspareunia, 52.4% were found to meet diagnostic criteria for IBS (95% CI, 40.8-59.2; p < 0.001).
“Among the 63 women who were referred for dyspareunia, 52.4% were found to meet diagnostic criteria for IBS (95% CI, 40.8-59.2; p < 0.001).”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [47]
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- Authors
- Prior, A., Wilson, K., Whorwell, P. J., & Faragher, E. B.
- Affiliations
- University of Manchester (GB)
- ORCID
- Whorwell, P. J.
- Venue
- Digestive Diseases and Sciences
- Published
- 1989-12
- Volume
- 34
- Issue
- 12
- Pages
- 1820-1824
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- OpenAlex
- W2086780780
- Cited by
- 114
- References
- 0
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 4 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 3 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- irritable bowel syndrome, prevalence, women, abdominal pain, dyspareunia, dysmenorrhea, urinary symptoms, infertility, misdiagnosis, symptom questionnaire
- MeSH terms
- Adult, Aged, Colonic Diseases, Functional, Diagnosis, Differential, England, Female, Genital Diseases, Female, Humans, Middle Aged, Outpatient Clinics, Hospital, Referral and Consultation, Abdominal Pain, Prevalence
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