Topic Explanation:
The discussion focuses on managing an ostomy during sexual intimacy to ensure comfort and minimize the interference of the ostomy pouch. The initial topic text suggests that proper maintenance of the ostomy appliance should prevent issues during intercourse, and mentions that smaller pouches can be used to reduce discomfort caused by larger pouches.

Advice and Helpful Insights:
1. Creative Covering Solutions:
- Use a thick elastic band sewn into a loop to hold the ostomy bag up and out of the way, potentially under lingerie for discretion.
- Employ a cumberbund to cover the ostomy bag, which can be both functional and stylish, available in various colors and fabrics.
- Consider using a boob tube top or wide material belts for women as an alternative to cover the ostomy pouch attractively.
- Some participants have mentioned custom-made covers, like those from "My Heart Ties," which are aesthetically pleasing and could be a confidence booster.

2. Irrigation and Smaller Pouches:
- Irrigation can reduce the dependency on larger bags, as it allows for the use of smaller cap bags which are less intrusive and offer more freedom during intimate moments. It's advisable to consult with an ostomy nurse to see if you are a candidate for irrigation.

3. DIY and Custom Solutions:
- One participant mentioned having a friend stitch a custom device that fits around the waist to cover the ostomy appliance effectively, suggesting a potential for patenting such innovations.
- The idea of making your own ostomy pouch covers, possibly even for commercial purposes, was floated, highlighting the opportunity for personalized and potentially profitable creations.

These insights reflect various practical and creative strategies to manage an ostomy during intimacy, emphasizing comfort, aesthetics, and personal adaptation.