Table 2. Discordance between reason for referral by general practitioner and woman's stated reason for attendance Reason for attendance No (%) of discordant cases* (n=952) Ratio (95% CI) of discordant reasons Bleeding 261 (27.4) 4.01 (3.0 to 5.3) Pain 225 (23.6) 0.54 (0.4 to 0.7) Cycle related changes 47 (4.9)  1.04 (0.6 to 1.9) * Either doctor or woman cites reason but not both. Doctor only divided by woman only (McNemar odds ratio). P<0.001 by McNemar's test.