John Libbey Eurotext

Hépato-Gastro & Oncologie Digestive

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Fertility, sexuality and Inflammatory Bowel Disease Volume 25, issue 8, Octobre 2018

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Authors
1 Hôpital Saint-Antoine, Service d’hépato-gastroentérologie, 184 Faubourg Saint-Antoine, 75012 Paris, France
2 CHU de Bordeaux, Hôpital Haut-Lévêque, Service d’hépato-gastroentérologie, CMC Magellan, Bordeaux, Pessac, France
3 Hôpital Saint-Antoine, Service de gastroentérologie et nutrition, 184 Faubourg Saint-Antoine, 75012 Paris, France
4 Saint Antoine IBD NeTwork
5 Hôpital Bichat-Claude Bernard, Service des maladies infectieuses et tropicales, 46, rue Henri Huchard, 75877 Paris Cedex 18, France
6 Hôpital Armand-Trousseau, Service de gynécologie obstétrique, 26 avenue du Docteur Arnold Netter, 75012 Paris
* Tirés à part

People with IBD report that their sexual health is often impaired and inadequately addressed during medical consultations; they conceive fewer children than the general population. This review aims to provide the therapist with a synthesis of useful tools and information regarding sexual dysfunction and fertility in IBD patients. Sexual dysfunction is often associated with impaired body image and quality of life for patients; its mechanisms are multiple. Anxio-depressive disorders are often entangled. Fertility is very close to that of the general population, but some special cases must be known to gastroenterologists. A pre-conception consultation providing simple information to the couple, answering their questions and possibly correcting their erroneous beliefs is of proven help and the maintenance of the remission of IBD (including the use of drug treatments) is a key element.

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