Inflammatory bowel disease (IBD) is a chronic disease of the gastrointestinal tract that affects men and women in their young and reproductive years of life. Anxieties about potentially harmful medication, the effect of pregnancy on disease, the effect of disease on the foetus, and the potential of passing on of disease to offspring result in a relatively high “voluntary” childlessness in young women with IBD. A careful consultation with the parents-to-be on these justified concerns is necessary and involves a proactive approach.