This study investigated the physical health consequences of intimate partner violence (IPV) in a sample (201 cases and 240 controls) of middle-class female health maintenance organization enrollees whose IPV history was known. Women who reported any abuse between 1989 and 1998 were more likely to report poor health, as well as a number of gynecological, central nervous system, and stress-related symptoms and illnesses. Women who reported sexual abuse with or without physical abuse reported more gynecological symptoms and illnesses and were also more likely to have at least 1 chronic stress-related or central nervous system symptom or illness than women who reported physical abuse only. The pattern of symptoms and illnesses in this sample is comparable with that found in samples of lower-income women, indicating that IPV affects women regardless of social and economic status. The results suggest that routine IPV screening is important, not just for women's safety, but also because it provides physicians with important information about the causes of presenting symptoms. In the absence of screening, physicians whose patients present with multiple gynecological, central nervous system, or chronic stress symptoms or illnesses should sensitively probe for IPV in the health history.