IBS in Men: A Different Disease?
The gastrointestinal tract is anatomically gender-neutral. While its furthest extremity is in proximity to the genital organs, surgeons, endoscopists, anatomists, and pathologists observe no differences between the intestines of males and females. It should follow that symptoms and other manifestations of irritable bowel syndrome (IBS) should be the same in men as it is in women. This appears not to be so. This article concentrates on gender differences in the epidemiology, symptoms, physiology, psychosocial issues, and responses to treatment of IBS. Reviewed and updated 2009.