Men or women who have had an ostomy (the surgical creation of an artificial opening for elimination of body waste) may feel self-conscious and uncomfortable with sexual activity. United Ostomy Associates of America Inc. provides guidebooks and fact sheets about having sex with an ostomy.

Here are suggestions that many survivors find helpful:

• Be careful about the amount and types of food you eat (or about drinking fluids if you have a urinary ostomy). It may be difficult for sexual activity to be spontaneous. Instead, make a "date" with your partner at a time when you don't expect to have a lot of ostomy activity. If you are able to irrigate your colostomy, it may be easier to schedule sex during a quiet period and to wear just a cap over the ostomy itself.
• Change your ostomy pouch, even if it is less than one-third full.
• Make sure your ostomy bag is empty and flat. You can tape it down or roll it up to keep it out of the way.
• If you feel discomfort, change positions. If you feel uncomfortable or self-conscious and want to cover up the pouch, consider wearing a camisole, shirt, or other sexy top or bottom. Women may choose to wear crotchless panties.
• Manufacturers make products that may help ease your concerns. Consider purchasing deodorant for the pouch, a pouch with a filter for odor or a colorful cover, or a pouch made for exercise that hangs sideways.