Rosenblatt Elizabeth, Kane Sunanda
Dr Rosenblatt is a fellow at the University of Washington in Seattle, Washington. Dr Kane is a professor of medicine in the Department of Gastroenterology and Hepatology at the Mayo Clinic College of Medicine in Rochester, Minnesota.
Gastroenterol Hepatol (N Y). 2015 Sep;11(9):592-601.
Inflammatory bowel disease (IBD) affects approximately 1 in 500 people living in the United States and generally occurs with equal frequency in men and women. However, despite equal sex distribution of the disease, men and women face unique challenges that can significantly impact quality of life. As more is discovered regarding the pathogenesis, clinical manifestations, and treatment of IBD, physiologic and psychological differences between men and women with IBD have become increasingly apparent. It is important to understand these differences, as they have the potential to affect patient care and outcomes. This article will review sex-specific issues in IBD, such as impaired body image and sexuality, increased risk of cervical cancer, altered menstrual cycles, reduced fertility, and low bone mineral density.
炎症性肠病（IBD）影响着约每500名美国居民中的1人，并且在男性和女性中的发病率通常相同。然而，尽管该疾病在性别上分布均等，但男性和女性面临着可能显著影响生活质量的独特挑战。随着对IBD的发病机制、临床表现和治疗的了解越来越多，患有IBD的男性和女性之间的生理和心理差异日益明显。了解这些差异很重要，因为它们有可能影响患者护理和治疗结果。本文将综述IBD中与性别相关的问题，如身体形象和性功能受损、患宫颈癌风险增加、月经周期改变、生育能力下降以及骨矿物质密度低。
