This topic is about the unique challenges that gay and bisexual men face when it comes to intimacy while having an ostomy. The person sharing their experience feels embarrassed, especially during intimate moments, because the ostomy pouch can be quite noticeable. They are seeking practical advice and reassurance. Here are some helpful suggestions:

1. Clothing and bag coverage:
- Consider wearing high-waisted underwear or crotchless/high-rise panties that can stay on and keep the pouch covered.
- A body wrap or a horizontal Stealth Belt can help secure the appliance flat against the abdomen.
- You can fold the pouch upward once and tape it in place with Hypafix tape. If you have a 2-piece system, use IGGIE clips to clamp both sides of the flange to prevent swinging and shield the stoma.

2. Preparing the pouch before intimacy:
- Apply a fresh bag just before intimate moments to reduce odor and noise.
- Eating 2–3 marshmallows about 45–60 minutes beforehand can help slow output and minimize any surprises.

3. Technique and mindset:
- You can simply "flick the bag out of the way" or position it to the side, a technique many straight couples also use.
- Get creative with lingerie, accessories, or partial clothing to shift attention away from the appliance.
- Build your confidence by communicating openly with partners about your comfort levels and any practical adjustments needed.

4. Finding community and tailored advice:
- There are LGBT-specific ostomy threads available on forums. Use the site’s navigation or icons to find them and connect with others who share similar concerns.