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[A 5-ASA product can be used instead.]” Some complications can be especially disturbing.“The development of fistulas [abnormal channels that connect the bowel to the skin or surrounding organs] occasionally affects sexual function,” Dr. “In particular, a rectovaginal fistula occurs in a small percentage of women with complicated Crohn’s disease.“Parents need to respond with support, caring, and information about the physical changes,” says Dr. “They can neutralize the impact of teasing by encouraging kids to wonder, ‘What’s wrong with the kid who’s teasing me? Unfortunately, adults with IBD may find some physical barriers to a healthy, pleasurable sex life. Usually, however, most patients with IBD are kept off steroids for prolonged periods of time, or are kept on as low a dose as possible.“Sexual function can be impaired either because of medications or complications,” says Dr. Sulfasalazine is associated with a dose-related reduction in sperm count, but not in sexual performance.“In women, disturbing the pelvic nerves can decrease clitoral sensation.
Most people with IBD are physically capable of having sexual intercourse, but there are times when they just don’t feel like it.
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The uterus can fall back, the ovaries can fall into the pelvis, and this can lead to dyspareunia [pain on intercourse].” Remedies for impotence caused by surgery or medications include a rubber band or erection ring, which maintain erections; penile implants; and most recently developed, Viagra® (Pfizer).
It is critical that men see a physician with experience in these treatments before using them.