Topic Explanation
The forum topic is about seeking advice regarding painful intercourse after undergoing abdominal perineal resection, which involves the removal of the rectum and anus along with a permanent colostomy. The original poster is experiencing painful intercourse since the surgery and is seeking advice from others who may have had similar experiences.

Advice and Insights
- Adhesions from surgery could have tightened the backside of the vaginal wall, and seeing a gut/woman specialist is suggested.
- Vaginal tissue can tear and form scar tissue after surgery, causing pain during intercourse.
- Using a vaginal estrogen cream called "Premarin" can help thicken the vaginal walls and make them moist and supple again.
- Radiation can cause the walls of the vagina to narrow, and using dilators or having vaginal reconstruction surgery can help.
- Physical therapy for the pelvic area can help stretch and strengthen muscles, potentially alleviating pain during intercourse.
- Some individuals have found alternative ways to enjoy intimacy and sexual satisfaction without engaging in painful intercourse.
- It's important to communicate openly with partners about the challenges and explore other forms of sexual intimacy.
- Patience, adaptation, and a positive mindset can contribute to overcoming sexual challenges after surgery.