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Sexual dysfunction amongst women with Crohn's disease: a hidden problem
G Moody1, C S Probert, E M Srivastava
1Gastrointestinal Research Unit, Leicester General Hospital, UK.
Digestion
|January 1, 1992
Summary
Women with Crohn's disease experience significant sexual dysfunction, including pain and reduced frequency of intercourse, compared to healthy individuals. These issues necessitate supportive management and investigation.
Area of Science:
- Gastroenterology
- Sexual Health
- Women's Health
Background:
- Crohn's disease (CD) is a chronic inflammatory condition impacting the gastrointestinal tract.
- Sexual dysfunction is a recognized but often underreported complication in women with chronic illnesses.
Purpose of the Study:
- To investigate the prevalence and nature of sexual problems in women with Crohn's disease.
- To compare sexual health outcomes between women with CD and age-matched healthy controls.
Main Methods:
- A structured interview was conducted with 50 women diagnosed with Crohn's disease.
- Participants were compared with age-matched healthy controls.
- Data on sexual activity, pain during intercourse (dyspareunia), and contributing factors were collected.
Main Results:
- Women with CD reported significantly higher rates of infrequent or no sexual intercourse (24% vs. 4% in controls).
- Common reasons for sexual inactivity included abdominal pain, diarrhea, and fear of fecal incontinence.
- Dyspareunia was more prevalent in women with CD, particularly those with perianal disease and fistulae.
- Increased incidence of vaginal candidiasis was observed in patients, potentially contributing to dyspareunia.
Conclusions:
- Women with Crohn's disease face substantial sexual health challenges compared to the general population.
- Symptoms like abdominal pain, diarrhea, and dyspareunia significantly impact sexual activity.
- There is a clear need for empathetic assessment, support, and management strategies for sexual dysfunction in women with CD.