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. 2024 Dec;56(1):2401610.
doi: 10.1080/07853890.2024.2401610. Epub 2024 Nov 18.

Exploring intimacy and family planning in Inflammatory Bowel Diseases: a qualitative study

Kristyna Gabova  1 , Hana Bednarikova  1 , Zdenek Meier  1 , Peter Tavel  1
Affiliations

Exploring intimacy and family planning in Inflammatory Bowel Diseases: a qualitative study

Kristyna Gabova et al. Ann Med. 2024 Dec.

Abstract

Background: Inflammatory bowel diseases (IBD), comprising ulcerative colitis and Crohn's disease, have a profound impact on people's lives. This study aims to investigate the perceived impact of IBD on sexual life and family planning to enhance understanding of the interplay between IBD, sexuality, intimacy and family planning to foster a better quality of life for those living with the condition.

Materials and methods: The study used the qualitative DIPEx method (Database of Personal Experiences of Health and Illness) developed by the Health Experiences Research Group at the University of Oxford, standardized for the Czech Republic. Semi-structured interviews with 36 participants (19 with Crohn's disease, 17 with ulcerative colitis) were conducted, employing open coding and thematic analysis. The maximum variation sampling was utilized, considering various factors, such as disease stage, medications, treatments, age, age at diagnosis and sociodemographic characteristics.

Results: Five main topics emerged: sexual activity, body image and discomfort, partner relationships, family planning, and the role of gastroenterologists in family planning decisions. Participants' perceptions of sexuality varied, with some experiencing reduced sexual activity during acute phases of the disease. IBD had contrasting effects on partner relationships, and family planning was an important concern, with women valuing support and collaboration with their gastroenterologists in making pregnancy decisions. Information dissemination and open communication from professionals are highly needed.

Conclusions: This is the first study concerning the sexuality and family planning of people with IBD in the Czech Republic. It highlights the need for information and open communication from professionals.

Keywords: Crohn’s disease; IBD; family planning; sexuality; ulcerative colitis.

Plain language summary

Intimacy and Family Planning in Inflammatory Bowel Diseases. This study focuses on understanding how Inflammatory Bowel Diseases (IBD) like ulcerative colitis and Crohn’s disease affect personal aspects of life such as sexual activity, relationships, and decisions about starting a family. Through interviews with 36 individuals living with IBD, researchers found that these conditions can significantly impact one’s sex life, how they see themselves, their comfort with their bodies, and their relationships with partners. It also explored how people with IBD make decisions about having children, often needing more guidance and open conversations with their doctors. The findings emphasize the importance of clear communication and support from healthcare professionals to improve the quality of life for those with IBD. This research is a first of its kind in the Czech Republic.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

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