Topic Explanation:

The discussion centers around an individual who underwent an emergency colectomy in January 2018 and is contemplating whether to opt for a J-pouch. They are currently living with an ileostomy and have recently been diagnosed with HSV2 (Herpes). The individual is struggling with the stigma associated with both conditions and is seeking encouragement and advice on how to cope with frequent HSV2 outbreaks and the emotional impact of these health challenges on their intimate life and self-esteem.

Advice and Insights:

1. Emotional Coping and Self-Compassion:
- Allow yourself time to grieve the changes in your life and be gentle with yourself. Recognize that none of this is your fault and let go of any guilt.
- Accept that there will be good and bad days. Permit yourself to experience these emotions but focus on how you want to live your life moving forward.
- Engage in "mindful" walks to help clear your mind and focus on the present moment. This can help shift attention away from negative thoughts.

2. Gratitude and Positivity:
- Keep a gratitude journal to remind yourself of the positive aspects of your life, such as clean air, water, and supportive family and friends.
- Regularly remind yourself of what you are grateful for to help maintain a positive outlook.

3. Knowledge and Support:
- Arm yourself with knowledge by consulting doctors, reputable internet sources, and support groups. Accurate information can help you navigate your situation.
- Seek out partners who are emotionally mature and can see beyond superficial aspects. There are people who will accept and love you for who you are.

4. Medical Management of HSV2:
- Consider daily medication like Valacyclovir to manage HSV2 outbreaks. Some individuals find that 500mg daily as a preventative and 1000mg during outbreaks is effective.
- Over time, outbreaks may become less frequent, and medication can help maintain a normal social and love life.

5. Self-Love and Acceptance:
- Focus on loving yourself and recognizing your worth. You are deserving of love and acceptance regardless of physical conditions.
- Remember that physical changes do not make you less lovable. Embrace your strength and resilience.

6. Encouragement and Hope:
- Understand that life changes and challenges have a beginning, middle, and end. Things will improve over time.
- Recognize your