Topic Explanation:
The forum topic is about a 65-year-old man who had ileostomy surgery due to Crohn's disease in 2009. He is seeking advice on reviving intimacy and romance in his marriage, as he feels that since the surgery, he and his wife have become nothing more than roommates, with the loss of sex and romance. He also mentions experiencing mild erectile dysfunction (ED) after the surgery.

Advice and Insights:
- The issues with intimacy and sex may not be solely related to the ileostomy, as the problems existed before the surgery.
- Seeking couples therapy or counseling to work on the relationship from a different angle, not necessarily focusing on the ileostomy or ED, could be beneficial.
- It's important to consider the emotional and practical care provided by the spouse, as it may have displaced sexual activity but is still valuable in terms of an ongoing relationship.
- It's crucial to communicate openly and honestly with the spouse about the challenges and desires regarding intimacy and sex.
- Seeking medical help for ED, such as consulting a urologist for potential solutions like Trimix compound or penile implants, could be beneficial.
- Exploring alternative ways to maintain intimacy and closeness, thinking outside the box, and being creative in the relationship can help revive romance.
- Understanding that menopause and hormonal changes in women, as well as the challenges of raising children, can also impact a couple's sex life.
- Considering the impact of changes in the relationship dynamics and finding ways to adapt and make the best out of the situation.

Notable Omitted Replies:
- Replies 5, 6, 18, and 19 were omitted as they did not contribute to the advice and insights related to the topic of intimacy after ileostomy surgery.