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Sexual Dysfunction in Women with Inflammatory Bowel Disease
Daniel Mayrhofer1, Jenny Shtokman-Shehab1, Clemens Dejaco2
1Department of Obstetrics and Gynaecology, Clinical Division of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Journal of Clinical Medicine
|April 12, 2025
Summary
Women with inflammatory bowel diseases (IBD), including Crohn's disease and ulcerative colitis, experience significantly impaired sexual function. This study highlights a need for better contraception information and sexual health screening for IBD patients.
Area of Science:
- Gastroenterology
- Gynecology
- Sexual Health
Background:
- Inflammatory bowel diseases (IBD), such as Crohn's disease (CD) and ulcerative colitis (UC), are chronic conditions impacting quality of life.
- IBD affects women during their sexually active years, potentially influencing sexual health and reproductive choices.
Purpose of the Study:
- To evaluate the impact of IBD on female sexuality.
- To assess attitudes and choices regarding contraception among women with IBD.
Main Methods:
- A prospective cross-sectional survey was conducted with 83 female IBD patients and 340 controls.
- Data collection involved questionnaires on demographics, gynecological history, contraception, fertility, and the Female Sexual Functionality Index (FSFI).
Main Results:
- Female IBD patients reported significantly lower mean FSFI scores compared to controls (p < 0.001).
- Fewer IBD patients utilized contraception (p = 0.008).
- No significant differences were found in conception or infertility rates between IBD patients and controls.
Conclusions:
- Female sexuality is demonstrably impaired in women with IBD.
- There is a gap in contraceptive information provided to women with IBD.
- Screening for sexual dysfunction is recommended to improve the quality of life for IBD patients.
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