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Humans are sexual beings. We live, we love, we have intimate relationships and some of us will have children. This doesn’t automatically change now that you or someone you care about has been diagnosed with Crohn’s disease or ulcerative colitis. There will be some concerns to discuss and issues that may require adjustment. Those issues may include symptoms, treatment approaches, medication and surgery – as well as how Crohn’s or colitis might impact such psychological factors as self-esteem, fatigue and depression.