Sorbonne Université, Hépatologie, Gastroentérologie et Saint Antoine IBD NeTwork, APHP, Hôpital St Antoine, Paris 75012, Ile-de-France, France.
CHU de Bordeaux, Hôpital Haut-Lévêque, Service d'Hépato-gastroentérologie, CMC Magellan, Bordeaux 33604, Pessac, France.
World J Gastroenterol. 2019 Sep 28;25(36):5423-5433. doi: 10.3748/wjg.v25.i36.5423.
The impact of a chronic disease such as inflammatory bowel disease (IBD) on sexual functioning and body image can significantly impair the quality of life of patients. This review considers the sexual and fertility aspects of IBD patients and their daily management. Modern IBD healthcare management should include appropriate communication on sexuality and consider psychological, physiological, and biological issues. Patients with IBD have less children than the general population, and voluntary childlessness is frequent. The most influential factors reported by IBD patients who experience fertility alteration are psychological and surgery-related problems. Pregnancy is a major concern for patients, and any pregnancy for IBD patients should be closely followed-up to keep the chronic disease in a quiescent state. Preconceptional consultation is of great help.
慢性疾病（如炎症性肠病，IBD）对性功能和身体形象的影响会显著降低患者的生活质量。本文综述了 IBD 患者的性生活和生育方面及其日常管理。现代 IBD 医疗保健管理应包括对性健康的适当沟通，并考虑心理、生理和生物学问题。IBD 患者的子女数量少于普通人群，且自愿不育的情况较为常见。IBD 患者经历生育力改变后报告的最具影响力的因素是心理和手术相关问题。怀孕是患者的主要关注点，任何 IBD 患者的怀孕都应密切监测，以保持慢性疾病处于静止状态。孕前咨询非常有帮助。
