A woman with IBS should consider seeing a gynecologist if: - Symptoms Overlap: She experiences symptoms that could be related to both IBS and a gynecological condition. - Menstrual Cycle Impact: There is a noticeable pattern of symptom exacerbation related to the menstrual cycle. - Pelvic Pain: Persistent pelvic pain that does not respond to typical IBS treatments. - Reproductive Health Concerns: Issues related to fertility, pregnancy, or other reproductive health matters.