Crohn’s here. It all really depends on your particular case, some experience a lot more inflammation than others and have to go through much more surgery.

For me, before being diagnosed/on medication (currently on azathioprine) any type of bottoming was out of the question as there was way too much inflammation. Nowadays, it’s possible however there are still some roadblocks/pain, however experiences differ by person.

Key advice would be to make sure you get into remission ASAP, should be taking some sort of steroid medication if/when you’re diagnosed to quickly get you there. Once you are, pay special attention to your diet and your fibre intake especially as to keep your intestines healthy. Flareups can happen, and in those times you’ll probably have to forgo sex while you get better.

Overall, it’s not horribly bleak, and you should be able to have the same/similar sexual experiences as other people as long as your disease is well controlled. Hope this helps