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♀ For Young Women IPAA (J-pouch) reduces female fertility up to 3-fold due to pelvic adhesions and tubal damage from the pelvic dissection Egg (oocyte) cryopreservation — freezing eggs or embryos before surgery — preserves future fertility if IPAA is unavoidable IRA is the preferred surgical option for women who wish to conceive, as it avoids pelvic dissection entirely and preserves fertility fully Many women choose IRA first, complete their family, then proceed to J-pouch construction at a planned time Pregnancy after J-pouch is possible
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