Sexual Health and IBD

Frequently Asked Questions

Questions (and answers) about sex and IBD as an LGBTQ+ person, navigating sexual activities and life with perianal/rectal IBD or fissures/fistulas

  • Bottoming/anal sex or having anoreceptive intercourse (RAI)  while in an active flare/perianal disease - what to do? Can I?

  • Is the Google search result you are getting about “Gay Men Are 2x More Likely To Develop IBD” True? NO!!!!! That was some misattribution of statistics and had a lot of methodological issues!! You are NOT developing IBD because you are gay or having anal sex - that paper was not it. IBD is NOT your fault and not because you are gay, having sex, or anything. Don't let Google make you think that.

  • I’m in a flare now/not ready for bottoming/anal/RAI - how can I get back to all healed up?

  • If my Crohn’s/Colitis is in remission, can I have anal sex/bottom?

  • Using Fleet/saline enemas - are these okay?

  • Amyl/akyl nitrate/’poppers’ - can I use these?

  • Oral sex and IBD?

  • Sex after colorectal surgery, including, but not limited to, J-pouch surgery, IPAA procedures, and other common IBD-related surgeries

  • Bottoming prep with IBD - what’s different for me than someone who doesn’t have IBD?

  • And more! All the questions that aren't answered (or answered correctly), answered here by someone who's been there, done that, and got the T-shirt. (I'm LGBTQ+ and have IBD)