یک مقاله خوب در مورد مشکلات بیماران IBD در زندگی زناشویی. البته بهتره بگیم راه کار تا مشکل لبخند

IBD impacts the lives of patients in many different ways. One of the most important measures of this impact can be translated through gaining an understanding of how IBD is affecting the quality-of-life of patients afflicted with these chronic intestinal diseases.
Quality-of-life can be an indicator of how well patients are doing and can guide treatment decisions.The three principal areas of quality-of-life are: ability
to work, capacity to carry out normal daily activities and sustain healthy relationships. The impact of IBD on relationships and sexual health merits special attention. There is a concerted effort on the part of health professional to keep lines of communication open with patients when it comes to topics of pregnancy and fertility. The psychological impact of IBD on sexuality and the practicalities of managing healthy intimate relationships, however, are rarely explored by health
care professionals and their IBD patients. The scope of sexuality and IBD includes the areas of interpersonal relationships, sexual and emotional intimacy, self
image and sexual activity. Although this is such an important focus of an IBD patient’s quality-of-life, there remain obstacles that limit our ability to fully understand how this disease truly impacts the sexual and relationship health of an IBD patient.

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http://practicalgastro.com/pdf/September05/Sept05_DubinskyArticle.pdf