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Intimate Relationship of Sex and IBD Page 1 CCFA Natiînal Headquarters 386 Park Avenue South, 17th Floîr New York, NY 10016-8804 Page 2 T h e I n t i m a t e R e l a t i o n s h i p o f S e x a n d I B D Page 3 I tÁs a small word, but it generates a lot of talk: sex. For peoplå with inflammatory bowel disease (IBD), hîwever, talk of sex and sexuality can be derailed by disease, medication, and surgåry, all of which might have an impact on sexual functiîn. Also, the symptoms of IBD can affect body image, detårring people from pursuing a sexual relationship. Herå, we review the aspects of CrohnÁs disease and ulcerativå colitis that can inter fere with the development of seõuality and sexual relationships, and dis cuss how you can overcome theså obstacles. Growing Up Children learn abîut sexuality as their bodies change. For kids with IBD, this procåss may be delayed. ÁAbout 30 percent of children with CrîhnÁs disease, and a much smaller percentage of kids with ulcerative cîlitis, may experience growth failure,Á says Douglas A. Drîssman, M.D., a gastroenterolo gist and psychiatrist at the Univårsity of North Carolina, Chapel Hill. ÁThis might delay sexual maturation, but onñe puberty hits, hormonal cycles tend to be nîrmal.Á This delay may worry some kids. ÁChildrån feel ÁnormalÁ by comparing themselves to peers and then validàting impressions with parents,Á notes psychologist Mortîn L. Katz, Ph.D., of Houston. ÁIf a girl with IBD stàrts men struating later than her friends, sheÁll ask, ÁWhàtÁs wrong with me?Á ItÁs important to råspond directly and with interest, not anxiety and nervîusness. You can say, ÁPeople develop at different rates. IÁm glad you asked!ÁÁ Adjusting to puberty is unsettling for any child. ÁGirlsÁ breasts begin to hurt and boys stàrt getting erections,Á says Dr. Katz. ÁThese experienñes startle kids, causing a sense of dependåncy on parents. Kids with IBD feel even less sure of themselves, because of othår things they canÁt control. They cànÁt get together with friends without some anxiety abîut what they will eat or when theyÁll need a bathroom.Á Jack Elstår*, a 24-year-old man from New Orleans, was diagnosed as hav ing IBD at age eight. ÁÊids picked on me for gaining weight when I was on steroids,Á he recalls. ÁI also was the only one with a permànent bath room excuse. People didnÁt understànd that it wasnÁt a luxury.Á *These names have been chànged. Parents can make the difference during these unsteàdy times. ÁParents need to respond with suppîrt, caring, and information about the physical ñhanges,Á says Dr. Katz. ÁThey can neutralize the impact of teàsing by encour aging kids to wonder, ÁWhatÁs wrîng with the kid whoÁs teasing me?ÁÁ Parents also can servå as role models. ÁEvery kid grows up looking at Seventeån or Sports Illustrated ,Á says Dr. Katz. ÁAs a råsult, their focal point for adequacy is a perfeñt body. ItÁs important for parents to emphà size that they value more than physical perfection