Copyright
©The Author(s) 2019.
World J Gastroenterol. Sep 28, 2019; 25(36): 5423-5433
Published online Sep 28, 2019. doi: 10.3748/wjg.v25.i36.5423
Published online Sep 28, 2019. doi: 10.3748/wjg.v25.i36.5423
Table 3 What the gastroenterologist should do in the case of infertility for a patient with inflammatory bowel disease
| Consider | Causes/mechanisms | What the gastroenterologist should do |
| Voluntary childlessness | Apprehension about fertility/potentially adverse pregnancy outcomes/medication safety | Information and accurate counseling on medications/risk of transmission/pregnancy outcomes |
| Correcting misconceptions | ||
| Misconceptions | Provide preconceptual cares | |
| Risk of IBD in the offspring | Information about genetics | |
| Involuntary childlessness | Sexual dysfunction | Psychological support |
| Refer to sexologist | ||
| Sildenafil therapy for post surgery erectile dysfunction | ||
| Surgery | Informations before surgery | |
| IPAA laparoscopy access | ||
| Disease activity | Control disease activity | |
| Psychological factors | Counseling and psychological support | |
| Medications | Stop sulfasalazine and switch to mesalazine | |
| Stop methotrexate | ||
| Sperm banking before surgery |
- Citation: Leenhardt R, Rivière P, Papazian P, Nion-Larmurier I, Girard G, Laharie D, Marteau P. Sexual health and fertility for individuals with inflammatory bowel disease. World J Gastroenterol 2019; 25(36): 5423-5433
- URL: https://www.wjgnet.com/1007-9327/full/v25/i36/5423.htm
- DOI: https://dx.doi.org/10.3748/wjg.v25.i36.5423