Inflammatory bowel diseases (IBD) typically affect patients in their reproductive years. It has been shown that reproductive issues are of key concern to IBD patients, 1 especially women. 2 In this respect, it is important to note that IBD patients remain voluntary childless more frequently than non-IBD controls. 1, 3, 4 A recent study reported that IBD patients refrain from having children due the concerns about the adverse reproductive outcome. 1 Fear of side-effects of the medication on the child and medical advice given by physicians, were the most important reasons for voluntary childlessness in this study.