Gender issues in the management of irritable bowel syndrome

Irritable Bowel Syndrome is a prevalent condition that affects more women than men. Theories as to its underlying pathophysiology are still evolving, but what appears clear is that women pose specific challenges to the management of this condition. Indeed, some issues specific to women are not necessarily part of routine care. Certain gender-related issues such as menses, fertility, pregnancy and menopause are often overlooked and mismanaged. Women have different psychological concerns as compared to men with regard to their self-image and impact of disease. Healthcare providers, regardless of their primary focus, should be aware of these differences and be familiar with general information.