Alstead E M
Department of Adult and Paediatric Gastroenterology, St Bartholomew's, the Royal London School of Medicine, London, UK.
Postgrad Med J. 2002 Jan;78(915):23-6. doi: 10.1136/pmj.78.915.23.
Concerns about sexual health, fertility, and pregnancy are common in patients with inflammatory bowel disease (IBD). Fertility is usually normal, although may be decreased in women with active Crohn's disease. Women with active IBD (especially Crohn's disease) are at risk of having small and premature babies. In some patients with IBD it may be desirable to continue drug treatment during pregnancy in order to control disease activity. Early engagement in discussion of these issues is important and it should be possible for most patients with IBD to have a normal outcome of pregnancy.
炎症性肠病(IBD)患者对性健康、生育能力和妊娠问题普遍感到担忧。生育能力通常是正常的,不过患有活动性克罗恩病的女性生育能力可能会下降。患有活动性IBD(尤其是克罗恩病)的女性有产下低体重早产儿的风险。对于一些IBD患者,为了控制疾病活动,孕期继续药物治疗可能是可取的。尽早参与这些问题的讨论很重要,而且大多数IBD患者应该有可能获得正常的妊娠结局。