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<b>Background/Objectives</b>: Chronic diseases, such as inflammatory bowel disease (IBD), influence patients' sexuality. Therefore, the aim of this study was to analyze the sexual functioning (SF) of patients with IBD. <b>Methods:</b> We perform a prospective survey study on male and female individuals with IBD using an anonymous questionnaire including 60 inquiries concerning patients' intimate relationships and SF. The following statistical tests were used: chi-square test of independence, Spearman's rank correlation coefficient, and Wilcoxon and Mann-Whitney U tests. A significance level of <i>p</i> = 0.05 was assumed as statistically significant. <b>Results</b>: There were 110 respondents with IBD (41% with Crohn's disease and 57% with ulcerative colitis): 52 women (47%) and 58 men (53%), with a mean age of between 31 and 40 (45%). In 34% of respondents, the assessment of satisfaction with sex after diagnosis decreased, and the difference was statistically significant (<i>p</i> = 0.007). Statistically significant correlations were found between IBD clinical activity and the impact of the disease on sexual desire (<i>p</i> < 0.001), the need for sex after diagnosis (<i>p</i> < 0.001), satisfaction with sex after diagnosis (<i>p</i> = 0.003), the average frequency of intercourse (<i>p</i> = 0.004), the average duration of intercourse after diagnosis (<i>p</i> = 0.001), feeling guilty in the sexual sphere due to the disease (<i>p</i> = 0.006), assessment of one's attractiveness since diagnosis (<i>p</i> = 0.032), and change in the partner's erotic perception after diagnosis (<i>p</i> < 0.001). The more aggressive the course of the disease, the more negative the impact on patients' sexuality. <b>Conclusions:</b> The diagnosis of IBD has a negative impact on patients' SF-disease flare leads to a decrease in sexual needs, worse experiences and negative body image.