Elias Samantha, Nandi Neilanjan, Fourie Simona, Grover Lorraine, Newman Kira L
Division of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, PA, USA.
Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Curr Gastroenterol Rep. 2025 Dec;27(1):10. doi: 10.1007/s11894-024-00956-2. Epub 2025 Jan 9.
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 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.
本综述详细阐述了从医学、外科到社会心理因素的病理生理机制，这些机制说明了炎症性肠病（IBD）中性健康和亲密关系是如何以及为何受到影响的。
近期对执业胃肠病学家的临床调查表明，临床医生在处理患者报告的结果时应常规关注性健康，但实际上很少有人直接询问或建议对这一人类生活的重要方面进行管理。文中为临床医生提供了示例话术，以展示如何引入性亲密和幸福感的话题，并在这个敏感话题上赢得患者信任。一旦引出特定症状，接下来将探讨如何转诊至一批现有的多学科专家，以直接解决患者的担忧。同时也特别强调了关注造口患者以及性少数群体的性健康问题。总体而言，这一深入综述突出了一种实用的临床方法，以理解如何解决IBD患者的性健康和人际亲密关系问题。
