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Addressing Factors That Impact Sexual Well-Being and Intimacy in IBD Patients

Overview
Date 2025 Jan 8
PMID 39779620
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Abstract

Purpose Of Review: This review details the pathophysiologic mechanisms from medical, surgical to psychosocial factors that illustrate how and why sexual health and intimacy are impacted in IBD.

Recent Findings: Recent clinical surveys of practicing gastroenterologists document that clinicians should routinely address sexual health when addressing patient reported outcomes but very few actually make direct inquiry or suggest management into this important aspect of human life. Example 'patter' are suggested to clinicians to demonstrate how to introduce the subject of sexual intimacy and well-being and engender patient trust on this sensitive topic. Once specific symptomatology are elicited, then a review follows on how referral to a cadre of available multidisciplinary specialists can help directly manage the patient's concerns. Specific emphasis on addressing the sexual health in ostomate and sexual and gender minority populations is focused upon as well. Overall, this in depth review highlights a practical clinical approach to understanding how to address sexual wellbeing and human intimacy in IBD patients.

References
1.
Berli J, Knudson G, Fraser L, Tangpricha V, Ettner R, Ettner F . What Surgeons Need to Know About Gender Confirmation Surgery When Providing Care for Transgender Individuals: A Review. JAMA Surg. 2017; 152(4):394-400. DOI: 10.1001/jamasurg.2016.5549. View

2.
OToole A, de Silva P, Marc L, Ulysse C, Testa M, Ting A . Sexual Dysfunction in Men With Inflammatory Bowel Disease: A New IBD-Specific Scale. Inflamm Bowel Dis. 2018; 24(2):310-316. PMC: 6014620. DOI: 10.1093/ibd/izx053. View

3.
Kanar O, Berry A, Nakshabendi R, Lee A, Aldridge P, Myers T . Effects of Immunomodulators and Biologic Agents on Sexual Health in Patients With Inflammatory Bowel Disease. Ochsner J. 2017; 17(2):150-156. PMC: 5472074. View

4.
Boudiaf R, Bouchard D, Riviere P, Brochard C, Laharie D, Abramowitz L . Assessment of sexual dysfunction in patients with perianal Crohn's disease. Colorectal Dis. 2020; 23(1):114-122. DOI: 10.1111/codi.15375. View

5.
de Silva P, OToole A, Marc L, Ulysse C, Testa M, Julsgaard M . Development of a Sexual Dysfunction Scale for Women With Inflammatory Bowel Disease. Inflamm Bowel Dis. 2018; 24(11):2350-2359. PMC: 6185125. DOI: 10.1093/ibd/izy202. View