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Apps, online dating sites, texting and late night booty calls have really changed the scene, making dating complicated even under the best of circumstances.

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“Don’t even tempt me.”That was Ashley Pierce’s response when her friend Tammi tried to set her up with Walter.Having spent a good portion of the last 10 years in a Las Vegas hospital bed, Pierce didn’t even want to entertain the thought of dating. He never backed out.“I never thought someone would marry me with my conditions,” 26-year-old Pierce recently wrote in a Facebook status. Crohn’s Disease and ulcerative colitis—chronic inflammatory conditions that affect the gastrointestinal and digestive tracts and include complications ranging from abdominal cramps to malnutrition.Over the past five years, several sites—such as Prescription4love.com, Nolongerlonely.com, and Cisforcupid.com—have launched to serve the needs of people with conditions ranging from bipolar disorder to Crohn's disease.Together these sites now boast tens of thousands of members.The more extreme physical chronic illnesses can make dating seem unrealistic or especially difficult, causing people like Pierce to think, “don’t even tempt me.”One major issue chronically ill people face in dating is disclosure.

The question of when to share the illness with a prospective partner fills online forums, videos, articles, blogs, conferences, and discussions.

According to a report published by the National Health Council, nearly half of Americans have at least one chronic illness, with that number expected to grow in coming years.

If this number sounds high, it’s worth noting that the category of “chronic illness” can include minor cases of asthma or oral herpes or major conditions like Crohn’s.

You constantly have to put yourself out there, act confident even though you’re probably feeling vulnerable, and just be the best possible version of yourself.

Now imagine how hard it would be to navigate the dating field while living with a chronic illness.

"And lets face it, depending on what [the illness] is, it could very well make you uncompetitive in the larger dating pool." Fortunately, there are a number of alternatives.