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Recto vaginal fistula and trying to conceive

Hi all, I have CD and a vaginal fistula, currently have seton in place and in humira treatment I've been trying to concieve for awhile now. Has anyone had difficulties in this area. I also have an ileoanal pouch, and have suffered 4 miscarriages in recent years. I do have one child who is my little miracle. Would love some advice. Thank you :ysmile: