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18 Aug If this affects you, it may help to try different sexual positions

A major fear for many people with Crohn's or Colitis is that they might have an ‘accident' (for example, a bout of diarrhoea) during sex. Even if it doesn't happen, the constant worry about the possibility of it happening can be very off-putting. For men, the anxiety may cause difficulty with getting an erection.

You may find going to the toilet and emptying your bowel before sex makes you feel more confident about avoiding an ‘accident.' Taking an anti-diarrhoeal medicine, such as loperamide (Imodium/Arret) before sex may also help you control your bowel. However, these sorts of anti-diarrhoeals are not suitable for everyone with Crohn's or Colitis, and should not be taken during a flare-up, so check with your d before buying a supply.

You may also feel more confident if you and your partner try and have sex at the times of day when your bowel is less active.

If you are particularly worried about incontinence during intercourse, ask your d to refer you to a continence specialist. They will be able to advise you about other ways proceed tids link now to manage this problem.

Abdominal pain

Crohn's and Colitis can cause chronic (ongoing) abdominal pain and tenderness. It may be easier to control the level of movement and penetration during sex if you are the one on top. Talk to your IBD team about ways to manage your pain, and whether painkilling medicine might be useful. However, some types of painkillers, such as non-steroidal anti-inflammatory drugs (NSAIDS) which include aspirin, ibuprofen and diclofenac, are not recommended for people with Crohn's or Colitis.

The amount of contact you have with healthcare professionals such as your GP and your hospital IBD team will depend on the severity of your Crohn's or Colitis and your response to treatment.

If you are lesbian, gay, bisexual or transgender, you may worry about interacting with medical and nursing staff, particularly if they don't know your sexual orientation.