Can I get pregnant with Crohn's disease?

Jun 11, 2025 Source: Cainiu Health
Disease description:

Recently, I have been experiencing frequent stomach pain and diarrhea. After visiting the hospital for examination, I was diagnosed with Crohn's disease. May I ask, is it possible to get pregnant with Crohn's disease?

Doctor's answer (1)
Dr. Yang Ziqi

Crohn's disease is a chronic inflammatory bowel disease, and its impact on pregnancy mainly depends on the control status of the condition. During periods of disease remission, most women can safely become pregnant and give birth without an increased risk of fetal malformations or preterm birth. However, during active disease phases, Crohn's disease may lead to severe complications such as abdominal pain, diarrhea, and malnutrition, which could affect pregnancy outcomes.

Pregnancy during active disease phases may carry risks of miscarriage or preterm birth. Therefore, it is recommended that patients actively use medication before pregnancy to ensure the disease is stable. Patients with Crohn's disease require regular monitoring during pregnancy to allow timely adjustment of treatment plans and prevent disease relapse. The mode of delivery should be determined according to the individual circumstances of the pregnant woman; for example, cesarean section might be a safer option if there is severe intestinal inflammation or fistula formation. During pregnancy, patients should maintain a balanced diet, emotional stability, and an optimistic mindset. If medication is required during pregnancy, it should be strictly taken under medical supervision to ensure no adverse effects on the fetus.