Background/Objectives: The aim of this study was to investigate the experiences of Swedish patients with inflammatory bowel disease (IBD) regarding intimacy and sexu-ality-related issues, and to explore both patient and healthcare professionals perspec-tives on discussing these topics. Methods: This cross-sectional cohort study used two in-ternet-based questionnaires: one targeting patients and the other healthcare profession-als. The patient survey examined the impact of IBD and its treatment on relationships and sexuality, and expectations on healthcare support. The survey to healthcare profes-sionals focused on experiences of discussing sexuality-related topics with IBD patients. Responses were analyzed with quantative analysis and content analysis. Results: A to-tal of 556 IBD patients and 118 healthcare professionals responded. Among patients, 78% reported difficulties related to relationships and sexuality, with physical symptoms like pain, fecal urgency, bloating, and psychological problems such as fear of leakage and reduced sexual desire. Over half wished for these issues to be addressed in routine care, yet 84% had never themselves initiated such discussions. Among healthcare pro-fessionals, 23% never addressed issues on relationship and sexuality with patients, and another 50% did so only occasionally. Only 15% had access to qualified sexologists for referrals and just 8% offered sexual rehabilitation after pelvic surgery. Conclusions: Sexual health is frequently compromised in IBD patients, but remains insufficiently addressed in clinical practice. Both patients and healthcare professionals expressed a need for more open discussions about relationships and sexuality. Improving care re-quires routine screening, multidisciplinary support, and the development of guidelines for managing sexual dysfunction in IBD.

Background/Objectives: The aim of this study was to investigate the experiences of Swedish patients with inflammatory bowel disease (IBD) regarding intimacy and sexuality-related issues, and to explore both patients’ and healthcare professionals’ perspectives on discussing these topics. Methods: This cross-sectional cohort study used two internet-based questionnaires: one targeting patients and the other healthcare professionals. The patient survey examined the impact of IBD and its treatment on relationships and sexuality, as well as expectations on healthcare support. The survey of healthcare professionals focused on experiences of discussing sexuality-related topics with IBD patients. Responses were analyzed using both quantitative and content analysis. Results: A total of 556 IBD patients and 118 healthcare professionals responded. Among patients, 78% reported difficulties related to relationships and sexuality, with physical symptoms like pain, fecal urgency, and bloating, and psychological problems such as fear of leakage and reduced sexual desire. Over half wished for these issues to be addressed in routine care, yet 84% had never initiated such discussions themselves. Among healthcare professionals, 23% never addressed issues of relationship and sexuality with patients, and another 50% did so only occasionally. Only 15% had access to qualified sexologists for referrals, and just 8% offered sexual rehabilitation after pelvic surgery. Conclusions: Sexual health is frequently compromised in IBD patients, especially in women, but remains insufficiently addressed in clinical practice. Both patients and healthcare professionals expressed a need for more open discussions about relationships and sexuality. Improving care requires routine screening, multidisciplinary support, and the development of guidelines for managing sexual dysfunction in IBD.

Background: Patients with childhood‐onset inflammatory bowel disease (IBD) more often present with severe disease phenotypes and are at increased risk of low school performance, later psychiatric disorders and low attachment to the labour market. The transition to adult care can be challenging, as it involves changes in care routines and relationships with healthcare providers. An unsuccessful transition can result in increased disease burden, increased loss to follow‐up and increased emotional stress for patients and parents. This study aimed to explore the experiences of transition to adult care among patients with childhood‐onset IBD and their parents, both before and after transfer and to identify key processes and influences shaping the transition process. Methods: Semi‐structured interviews were conducted with 15 patients (9 pre‐ and 6 post‐transfer) and 8 parents. The interview data were analysed using reflexive thematic analysis. Results: Four overarching themes were identified: developing autonomy through the transition , clarifying the unknown , shifting from familiar bonds to new connections and experiencing emotional strain during the transition . Pre‐transfer patients expressed concerns about leaving familiar paediatric healthcare environments and establishing relationships with new healthcare professionals. Post‐transfer patients described increased responsibility for managing their healthcare and recognised the challenges associated with greater autonomy; however, they generally reported satisfaction with adult care despite initial concerns. Parents worried about losing involvement in their child's care and feared reduced emotional support and lower‐quality care after transfer. Across all groups, participants emphasised the emotional and practical adjustments required during the transition, particularly the need to establish new relationships with healthcare providers. Suggested improvements included clearer communication, written information and better preparation regarding the differences between paediatric and adult care. Conclusions: Transition from paediatric to adult care in IBD involves emotional, relational and practical challenges for both patients and parents. Structured transition pathways, clear communication and adequate preparation may facilitate continuity of care and support the development of autonomy. Although most participants reported positive experiences after transfer, further research is needed to determine how adult healthcare services can best support young adults with IBD and optimise long‐term transition outcomes.