Confused About Which Specialist to See for Women's Health Issues? - Obstetrics and Gynecology

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I'm not sure which specialty to see?


Recently, I've been feeling bloated and unable to eat, but I'm not sure if it's a problem with my uterus or my intestines, which is quite distressing.
Additionally, I've been experiencing back pain after sitting for a long time, and it becomes painful when I have a bowel movement.
These issues leave me uncertain about which specialty to consult.
I saw a doctor on TV who mentioned that women with health issues should first see a gynecologist, as women’s health problems can easily lead to other bodily issues.
Please help me.

Zheng, 20~29 year old female. Ask Date: 2003/03/17

Dr. Zhan Deqin reply Obstetrics and Gynecology


Due to being abroad, I am responding to your question today.
Sorry for the delay.
Given your situation, it is a good choice to first see a gynecologist for an ultrasound examination.
If there are no issues, then you can consult a gastroenterologist.

Reply Date: 2003/03/17

More Info


When it comes to women's health issues, it can indeed be confusing to determine which specialist to consult, especially when symptoms overlap between different systems in the body. Based on your description of symptoms such as abdominal discomfort, loss of appetite, and spinal pain, it is essential to approach this systematically.

Firstly, your abdominal symptoms could be related to either gynecological issues or gastrointestinal problems. Conditions such as ovarian cysts, fibroids, or endometriosis can cause abdominal pain and discomfort, which may lead to a feeling of fullness or loss of appetite. On the other hand, gastrointestinal issues like irritable bowel syndrome (IBS), constipation, or even food intolerances could also manifest in similar ways. Therefore, starting with a visit to a gynecologist (婦產科) is a sensible approach, as they can evaluate any potential reproductive health issues that might be causing your symptoms.

A gynecologist can perform a pelvic examination, ultrasound, or other diagnostic tests to rule out conditions such as ovarian cysts or fibroids. If these tests do not reveal any gynecological issues, they may refer you to a gastroenterologist (腸胃科) for further evaluation of your digestive system. This could include tests such as an endoscopy or colonoscopy if necessary, especially if there are concerns about bowel health.

Regarding your spinal pain, it is also important to consider the possibility of musculoskeletal issues. Prolonged sitting can lead to back pain due to poor posture or muscle strain. A visit to an orthopedic specialist or a physical therapist may be beneficial if your spinal pain persists. They can assess your posture, recommend exercises, and provide treatment options to alleviate your discomfort.

In summary, the best course of action would be to start with a gynecologist to address your abdominal symptoms. They can help determine if there are any underlying reproductive health issues. Depending on the findings, you may then be referred to a gastroenterologist for digestive concerns or an orthopedic specialist for your spinal pain.
Additionally, it is crucial to communicate all your symptoms clearly to your healthcare provider, including the duration and intensity of your pain, any changes in bowel habits, and how these symptoms affect your daily life. This information will help them make a more accurate diagnosis and recommend appropriate treatment options.

Lastly, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can significantly impact both your digestive health and overall well-being. If you are experiencing significant stress or anxiety related to your health, consider speaking with a mental health professional, as emotional well-being is closely linked to physical health.

In conclusion, while it may seem daunting to navigate which specialist to see, starting with a gynecologist is a logical first step for your symptoms. They can guide you through the process and ensure that you receive the appropriate care for your health concerns.

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