Prepregnancy Archives - IBD Clinic

Perceptions of Reproductive Care during Preconception and Pregnancy Among Individuals with Inflammatory Bowel Diseases; A Comparison between Immigrant and Non-Immigrant Populations

Do you have IBD? Do you want to help provide your valuable insight to help improve care for women with IBD? We are looking for Adults with IBD who are currently thinking about pregnancy, currently pregnant or are post partum to complete 1 anonymous questionnaire (about 15-20 minutes of…

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Research | Prepregnancy | Pregnancy | Postpartum

Pregnancy IBD Decision Aid helps women with IBD make decisions regarding pregnancy

Canadian and Australian gastroenterologists, obstetricians, and nurses, along with patient partners, developed and validated the Pregnancy IBD Decision AID (PIDA) the first personalized online decision support program for IBD. Making decisions regarding family planning can be challenging especially for people living with chronic illnesses, such as IBD. Uncertainty regarding how…

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Surgery | Prepregnancy | Fertility

IBD surgery and fertility

Patients with IBD may require surgery for various reasons: bowel narrowing (stricture) causing obstruction, connections between bowel and other organs (fistula), ongoing active disease despite treatment, and non IBD related reasons. Some types of IBD surgeries may affect fertility, pregnancy, and delivery method. Crohn’s Disease Ileal resection and ileocolic resection…

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Prepregnancy | IBD disease activity | Fertility

IBD disease activity and fertility

Background IBD onset typically occurs during the reproductive years. Therefore, women and their families often have concerns regarding how IBD and IBD medications affect their pregnancy and offspring. Many women with IBD who wish to have children are often on medications that may need to be adjusted. Zelinkova (2010) conducted…

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Sex & Intimacy | Prepregnancy

I have an ostomy, where can I find information on sex, intimacy, and fertility?

If you have an ostomy, either ileostomy or colostomy, here are some handy tips on sex, intimacy, and fertility. Love and Sex for people with an ostomy (Hollister) Intimacy with an ostomy (Convatec) Sex with an ostomy (VeganOstomy)…

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Prepregnancy | Fertility

I have Crohn’s disease and need a resection – how could this surgery affect my fertility?

For patients with Crohn’s Disease, two common surgeries are the ileal (small bowel only) resection and the ileocolic (small bowel and part of large bowel) resection. During these surgeries the portion of the bowel that is strictured or diseased is removed and the healthy ends are attached. These surgeries usually…

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Prepregnancy | Fertility

I have ulcerative colitis and need a colectomy – how could that affect my fertility?

For patients with ulcerative colitis unresponsive to medical therapy, colectomy is often needed. The small intestine is brought up to an opening in the abdominal skin and formed into an ostomy (Image B). An ostomy bag sits outside to collect the waste. The ostomy can be a permanent end-ileostomy, or…

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Risk of IBD | Prepregnancy

I have IBD, will my child have IBD?

Having a family history of IBD and having certain genes can predispose a person to developing IBD. The risk is less than 10% if one parent has IBD, and about 20-30% if both parents have IBD1. There are factors other than genetics that can affect the risk of developing IBD…

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Prepregnancy | Fertility

General Fertility Information

There are many factors other than IBD that can affect fertility. Speak with your family physician or gynecologist if any of these apply to you. Fertility decreases with age . . . Women’s fertility peaks in their late teens and early 20s7. After the age of 35 years, fertility declines…

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Research | Prepregnancy | Pregnancy | IBD disease activity

Urine and Serum Metabolomics can predict IBD disease activity in pregnancy

Researchers at The University of Alberta and Mount Sinai Hospital and The University of Toronto have shown in a pilot study that urine and serum metabolomics (measurement of small molecules that reflect the state of cells or tissues) can predict active IBD in pregnancy. Predicting IBD disease activity in pregnancy…

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