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Aug 21, 2017

Intimacy with Two Ostomates - Seeking Advice

This topic is about exploring intimacy between two people who both have ostomies. The main focus is on understanding any restrictions, complications, or special considerations that might come into play when both partners wear pouches. Here are some helpful insights and advice:

1. Healing first: Ensure that neither partner is fresh out of surgery. Once healed, there are generally no medical restrictions, and a sexual relationship can be as normal and satisfying as any other.

2. Communication & confidence:
- Talk openly about desires, worries, and the possibility of leaks.
- Disclose the ostomy to new partners early on; this helps to quickly identify those who are comfortable with it.

3. Secure the pouch during intimacy:
- Empty the pouch beforehand.
- Fold or tape the pouch upward, or tuck it under an ostomy belt.
- Consider using elastic "ostomy wraps" or supportive lingerie to keep the appliance flat and out of the way.

4. Product-specific tips:
- For those using Coloplast two-piece systems, be aware that the pouch can detach if caught. Tucking it under a belt or using a wrap can prevent this.

5. Positioning:
- Most positions work well; adjustments can be made if the pouch slaps or hangs, such as taping or folding it.
- The position of the stomas (same or opposite sides) usually doesn't matter unless the partners are of similar height and the pouches touch. Experiment to find what’s comfortable.

6. "Ass-play" is generally off-limits for those without a rectum, but otherwise, there are no universal prohibitions.

7. Practical life issues: When two ostomates live together, plan for extra bathroom and storage space. Showering together can be a good alternative to shared baths.

8. Emotional perspective: Love, humor, compassion, and mutual understanding are far more important than matching appliances. Many partners, including those without ostomies met through dating sites, are accepting and unfazed.
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