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Ostomy: Adapting to life after colostomy, ileostomy or urostomy

You can have sex and intimate relationships if you have an ostomy

You'll need time to recover after surgery. And depending on what type of ostomy surgery you have, you may experience some temporary sexual side effects, such as erectile dysfunction or vaginal dryness. But sexual intimacy can continue after you have an ostomy.

If you feel less attractive with your ostomy, take your return to intimacy slowly. Maybe you aren't ready to have sex right away. Discuss this with your partner. Suggest starting with touching and kissing. Your partner can help make you feel more comfortable and reassure you that you are just as attractive with an ostomy.

Take steps before intimacy to feel more confident. Empty and clean your ostomy pouch. Check the seal to make sure it's tight. Use an opaque pouch or try a pouch cover. Lingerie and cummerbunds made to conceal a pouch or hold it in place are available from specialty retailers. Ask your ostomy nurse about companies that sell these products.

Certain aspects of sex may change with an ostomy. You might find that some sexual positions put pressure on your ostomy and are uncomfortable. Experiment with new positions, such as lying on your side.

People with ostomies who are dating often worry about when to tell new companions about their ostomies. That's up to you. Some people feel more comfortable getting it out in the open right away, while others want to get to know and trust a potential partner first. Do what feels right for you. Know that rejection is possible, and give a new partner time to consider what an ostomy means to your relationship. Answer questions openly and honestly.