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. I know my husband loves me, because we went so long without having sex. Otherwise, a lubricating jelly may help during intercourse. There may still be discreetly placed drains that cause only minor inconvenience.