Pain can have a ripple effect on your emotions, your sleep patterns and other aspects of how you feel and function. What’s more, some chronic pain syndromes travel together in women. For example, “75 percent of people with fibromyalgia also have TMJ,” says Naum Shaparin, M.D., director of the pain service at the Montefiore Medical Center in the Bronx. Irritable bowel syndrome (IBS) and chronic fatigue syndrome sometimes go hand in hand, as do chronic pelvic pain and interstitial cystitis, and depression and migraines. In these instances, a woman suffers a painful double whammy.