Parents can make the difference during these unsteady times. Parents also can serve as role models. As a result, their focal point for adequacy is a perfect body. It's important for parents to emphasize that they value more than physical perfection. Sexual Function and IBD Unfortunately, adults with IBD may find some physical barriers to a healthy, pleasurable sex life.
Steroids can affect sexual drive and function.
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. Sulfasalazine is associated with a dose-related reduction in sperm count, but not in sexual performance. Some complications can be especially disturbing. In particular, a rectovaginal fistula occurs in a small percentage of women with complicated Crohn's disease. I had five fistulas, and at one point they almost tore into my vagina.