By your photo, I'm going to guess that you are male New_Life? Just in the last few days, someone else posted on the survey about the impact of a j-pouch on relationships that he developed ED after surgery. I've also seen it noted in some of the literature on IPAA surgery (probably pretty easy to find if you google "ileal anal anastomosis erectile dysfunction" or something like that). Women have potential for some sexual dysfunction issues arise too.