title: [Data for the decrease of "voluntary childlessness" in inflammatory bowel disease].
abstract: Inflammatory bowel disease is a chronic disorder affecting young adults in their reproductive years, hence its populational consequences are not negligible. While fertility in inflammatory bowel disease is the same as in the general population (except for male patients with sulphasalazine treatment and females with ileum-pouch anal anastomosis), "voluntary childlessness" is higher, 14-18%. Patients require accurate counseling addressing fertility, pregnancy course and outcome. They need to be informed appropriately about risks and benefits of medications in inflammatory bowel disease in order to assist their decision making, decrease "voluntary childlessness" and improve compliance. Authors review the issues related to fertility, outcome of pregnancy, medical treatment options before and during pregnancy as well as during breastfeeding in inflammatory bowel disease.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar II. Belgyógyászati Klinika Budapest. hagymasi.krisztina@med.semmelweis-univ.hu
authors.forename: Krisztina
authors.initials: K
authors.lastname: Hagymási
authors.forename: Pál
authors.initials: P
authors.lastname: Miheller
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Tulassay
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects; D001691:Biological Therapy; D001942:Breast Feeding; D003093:Colitis, Ulcerative; D039021:Colonic Pouches; D003376:Counseling; D003424:Crohn Disease; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005298:Fertility; D005765:Gastrointestinal Agents / Q000008:administration & dosage* / Q000009:adverse effects*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000009:adverse effects; D015212:Inflammatory Bowel Diseases / Q000188:drug therapy / Q000453:epidemiology / Q000235:genetics / Q000601:surgery; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D011256:Pregnancy Outcome; D043762:Reproductive Behavior / Q000706:statistics & numerical data
chemical_list: D000305:Adrenal Cortex Hormones; D000894:Anti-Inflammatory Agents, Non-Steroidal; D005765:Gastrointestinal Agents; D007166:Immunosuppressive Agents