Inﬂ ammatory bowel disease (IBD) is often diagnosed during the reproductive years; psychological adjustment to the disease often coinciding with the formation of partner relationships and the making of reproductive decisions. Sexuality and contraception are important considerations, and these topics can be especially difﬁ cult to discuss with patients in the setting of physician patient gender mismatch and where acute disease or new disease onset are the focus of care. The traditional reactive model of IBD care is particularly poorly suited to addressing sexuality, which can be best managed in a chronic disease management setting (Andrews et al. 2010). IBD care teams must identify and address sexual concerns as part of optimising quality of life (QoL), and provide information and assistance before family planning decisions are made.