Topic Explanation
The forum topic is about a person seeking support and advice regarding their decision to make their ileostomy permanent. They express concerns about the impact on their life, including fertility, body changes, and skin issues.

Advice and Insights
- It's common to have concerns and fears about making an ileostomy permanent, but many have successfully coped with it and led fulfilling lives.
- It's important to address skin issues by using barrier wipes/sprays, trying different products, and seeking medical advice if necessary.
- Joining support groups or attending conferences can provide valuable support and information.
- It's possible to have children after a permanent ileostomy, and adoption is also a viable option.
- Letting the skin breathe and using calamine lotion can help with itchiness and skin irritation.
- Consider the long-term implications and potential complications of a J-pouch before making a decision.
- Humor and a positive mindset can help in coping with the challenges of living with an ostomy.
- Adoption can be a fulfilling alternative for those concerned about fertility issues.
- Seek firsthand opinions from individuals with a J-pouch to make an informed decision.
- It's important to focus on the positive aspects of life and find ways to adapt to the changes brought about by the ileostomy.