MEDICINE & HEALTH/RHODE ISLAND Reproductive Issues In Inflammatory Bowel Disease

is predominantly a disease of young people with a peak incidence between ages 20 and 40 years.1 Indeed, for an adolescent or young adult this diagnosis can be devastating. Patients suddenly face a chronic incurable illness that may re-quire lifelong treatment. Medication tox-icity, the ability to lead a productive life, and life expectancy are common concerns for patients. In addition, given the age of affected individuals, reproductive is-sues are important concerns. Patients may worry about their abil-ity to conceive, the effect of their disease on pregnancy and the effect of preg