If you were born with an anorectal malformation or Hirschsprung's disease, this may also play a role in your adult life. Both physically and psychologically it can affect your sexuality. Do you find it difficult to enter into intimate relationships because your lower body looks different? Are you afraid that your body is not suitable for sexual intercourse? Are you afraid of farting or faecal accidents during sex and intimacy? Do you have any questions about your fertility or pregnancy? Even though you have learned to live with the consequences of your condition, you may still have questions or problems.