This topic is about finding ways to enhance sexual intimacy for those who have an ileostomy. The goal is to make sexual activity more comfortable, secure, and enjoyable. Here are some practical tips and insights that might help:

1. Keep the pouch secure and out of the way:
- Consider using a stretchy bandeau or sash around your abdomen.
- Look into commercial wraps and underwear from OstomySecrets, which are designed to hold the pouch flat against your body.
- The Stealth Belt Pro can be worn slightly loose. Some people enhance it with a homemade stoma guard by cutting a piece of PVC pipe lengthwise, smoothing the edge with weather-stripping or firm foam, placing it over the pouch, and then zipping the belt closed to keep the bag to the side while protecting the stoma.

2. DIY ideas:
- A simple sash, like something Zorro might wear, can serve as a quick pouch cover.
- A "two-pocket tap" found online has been reported to work well for support.

3. Prepare beforehand:
- Empty the pouch before engaging in sexual activity with a partner. If you're alone, this might not be necessary.
- Confidence is key—planning ahead can help reduce worries about spontaneity.

4. Perspective and reassurance:
- Even with major postoperative challenges, intimacy is still possible for many. Maintaining a positive outlook can be very helpful.