Sexual Dysfunction in Female Patients with Inflammatory Bowel Disease: An Overview

Sexual dysfunction is common among females with inflammatory bowel disease and may result in issues involving intimacy, sexual activity, and satisfaction, as well both the formation and preservation of personal relationships. Risk factors for sexual dysfunction include select surgical interventions,...

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Bibliographic Details
Published in:Clinical and experimental gastroenterology 2022-12, Vol.15, p.213-224
Main Authors: Boyd, Taylor, de Silva, Punyanganie S, Friedman, Sonia
Format: Article
Language:English
Subjects:
Age
Body image
Chronic fatigue syndrome
Comorbidity
Crohn's disease
Females
Gastroenterology
Health aspects
Homeopathy
Inflammatory bowel disease
Likert scale
Materia medica and therapeutics
Medical research
Mental health
Mental illness
Orgasm
Pain
Patient compliance
Patients
Review
Risk factors
Self image
Sexual disorders
Sexual health
Steroids
Surveys
Therapeutics
Ulcerative colitis
Women
Womens health
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Summary:Sexual dysfunction is common among females with inflammatory bowel disease and may result in issues involving intimacy, sexual activity, and satisfaction, as well both the formation and preservation of personal relationships. Risk factors for sexual dysfunction include select surgical interventions, medications, mental illnesses, and IBD-related intestinal and extraintestinal comorbidities. In addition, certain demographic factors such as age, disease type and activity may influence the severity of sexual dysfunction. Evaluation of sexual dysfunction may include the use of validated sexual functioning questionnaires, a brief mental health assessment, initial inquiry into vulvovaginal or perineal symptoms, and a gynecologic and GI-focused physical exam. An interdisciplinary care team involving IBD specialists, obstetrician-gynecologists, pelvic floor physical therapists, and primary care physicians may be best suited to provide optimal care and treatment recommendations for patients with sexual dysfunction. Options for management often include pelvic floor physical therapy, biofeedback, and mental health support. Further research is necessary to delineate the impact of IBD activity on sexual dysfunction, to determine if health outcome differences exist depending on surgical approaches utilized during J-pouch operations, and finally to evaluate the care and perceptions of patients with IBD who identify as sexual and gender minorities.
ISSN:1178-7023
1178-7023
DOI:10.2147/CEG.S359367