Intimacy and Contraception

Sexuality is an important aspect of your quality of life. People with IBD may experience a decreased libido or increased urgency during flares. It is important to have open communication with your partner to discuss concerns you may have regarding intimacy.

Contraception

When selecting the right contraception, your IBD should be kept in mind. Estrogen-containing medications, like the oral contraceptive pill (OCP), could increase your risk of blood clots and, therefore, should be avoided when possible. If you are already at risk for bone fractures, injectable contraceptives, such as Depot (medroxyprogesterone), should also be avoided. In general, intrauterine devices (IUDs) are recommended as a non-estrogen alternative. Injectable contraceptives and progestin-only pills can also be utilized. Ultimately, a shared decision between you and your healthcare team is most important to balance the risks and benefits of different methods.

Intercourse

People with IBD typically do not have complications or pain during intercourse. If you’re experiencing pain, discuss these symptoms with your healthcare team including your gastroenterologist and gynecologist. These symptoms may be a sign of active disease in the perianal region, a fistula in the vagina, severe inflammation, or other causes unrelated to IBD.