Special Special Considerations for Considerations for Women With IBDWomen With IBD

Special Considerations forSpecial Considerations for Women With IBD Women With IBD

Cervical DysplasiaCervical Dysplasia

Menstruation/contraceptionMenstruation/contraception

Body image/sexualityBody image/sexuality

Conception/pregnancy/breast-feedingConception/pregnancy/breast-feeding

Menopause/hormone replacement therapy Menopause/hormone replacement therapy

Risk of osteoporosisRisk of osteoporosis

AdherenceAdherence– Physician-patient partnershipPhysician-patient partnership

Overlapping IBSOverlapping IBS

Incidence of Abnormal Pap Incidence of Abnormal Pap Smears in IBDSmears in IBD

Abnormal Pap smears associated with both infection Abnormal Pap smears associated with both infection and progression to cancerand progression to cancer

Incidence study of women with IBD and a history of Incidence study of women with IBD and a history of abnormal Pap smearsabnormal Pap smears

Adjusted for smoking, OCP use and parity Adjusted for smoking, OCP use and parity

Women with IBD were more likely to have an abnormal Women with IBD were more likely to have an abnormal PapPap

Use of azathioprine increased risk 3 foldUse of azathioprine increased risk 3 fold

Kane SV Am J Gastro 2008;103(3):631-6.Kane SV Am J Gastro 2008;103(3):631-6.