Special Considerations for Women With IBD

Cervical Dysplasia Cervical Dysplasia Menstruation/contraception Menstruation/contraception Body image/sexuality Body image/sexuality Conception/pregnancy/breast-feeding Conception/pregnancy/breast-feeding Menopause/hormone replacement therapy Menopause/hormone replacement therapy Risk of osteoporosis Risk of osteoporosis Adherence Adherence –Physician-patient partnership Overlapping IBS Overlapping IBS

Incidence of Abnormal Pap Smears in IBD Abnormal Pap smears associated with both infection and progression to cancer Abnormal Pap smears associated with both infection and progression to cancer Incidence study of women with IBD and a history of abnormal Pap smears Incidence study of women with IBD and a history of abnormal 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 Pap Women with IBD were more likely to have an abnormal Pap Use of azathioprine increased risk 3 fold Use of azathioprine increased risk 3 fold Kane SV Am J Gastro 2008;103(3):631-6.