United Ostomy Associations of America
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        Ostomy 101:
        Easily communicate “What is an ostomy?" with our infographic.

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        Roadmap to Establishing Outpatient Ostomy Services
        Documents that are available as PDFs to download and print.

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Sexuality

Yes, people with ostomies do find intimacy and have active sexual lives after recovering from surgery. Surgery type and emotional confidence factor in sexual health.

Sexual problems may emerge after surgery beyond any physical challenges.  Emotional issues may include embracing your new body image. Having confidence in a pouching system fit can also be critical. Tips and adjustments can help put your mind at ease. Our guide can help you and your partner in these intimate matters.

This Guide is also available in Spanish:

Intimacy after ostomy surgery
Intimidad, Sexualidad con una Ostomía

Sex and Stomas: Myths and Truths

  • Myth: And they lived happily ever after.

    TRUTH: This is a fairy tale. Relationships are like tides; sometimes they’re up and sometimes they’re down. Adjustments can be made to keep the joy of sex alive, but sex alone doesn’t make a relationship secure.

  • Myth: Intercourse is the only way to be intimate with a person.

    TRUTH: Regardless of your sexual orientation or gender identity, giving and receiving pleasure can be expressed in many ways-hugging, kissing, cuddling, holding hands, masturbation, oral sex, stimulation with the hands, and even sleeping in the same bed.

  • Myth: My partner should know what pleases me. I shouldn’t have to explain it.

    TRUTH: Unless your partner has extrasensory perception (ESP), they can’t read your mind. Tell your partner what you like, what you don’t like.

  • Myth: You can’t get pregnant with a stoma.

    TRUTH: People with stomas can and do get pregnant and have healthy babies. It is important, however, to be followed by healthcare professionals throughout the pregnancy.

  • Myth: No one will ever love me because I have a stoma.

    TRUTH: It’s reasonable to feel this way. People who’ve lost a breast to cancer or lost a limb feel this way too. Your attitude and how you treat yourself sets the tone on how others treat you. If you feel comfortable and accepting of your new body, your partner is likely to do the same.

  • Myth: I’ll never have an erection again.

    TRUTH: If there’s no erection the first time you try after surgery, don’t convince yourself this is the way it’s going to be. Rest. Relax. Regain your strength and try again. If the problem persists, talk to your doctor.

  • Myth: You must ejaculate to have an orgasm.

    TRUTH: It is possible to have an orgasm without ejaculating (a dry orgasm).

  • Myth: Having sex will spread my cancer to my partner.

    TRUTH: Cancer isn’t spread through sexual contact. However, ‘safe sex’ should be used to prevent sexually transmitted infections.

  • Myth: The odor from my stoma will be a turn-off for my partner.

    TRUTH: Deodorizers especially designed for use with an ostomy are available to help reduce odors from stool and urine. Some are used in the pouch and some are taken by mouth. Modern pouches are made of odor free materials. To remain fresh, keep your body and pouching system clean.

  • Myth: Body movements and pressure of our bodies during sex will hurt my stoma.

    TRUTH: Close body contact and movement during sex won’t hurt your stoma. However, nothing (fingers, objects) should be put into the stoma. A stoma is not a sexual organ.

  • Myth: Older people don’t have sex.

    TRUTH: Ha! Many seniors, including ones with an ostomy, are sexually active.

READ OUR LATEST POSTS ABOUT SEXUALITY

10 Tips for Intimacy with an Ostomy

Body Image, Colostomy, Digital Sponsor, Emotional Health, Ileostomy, Sexuality, Social Life, Urostomy, Young Adult
Life with an ostomy can stir up deeply vulnerable questions: Will anyone love me like this? Does my ostomy bag make me unattractive? How can I be intimate while managing it? These anxieties often settle in the quieter corners of ostomy life, where many ostomates fear their bodies may never be chosen or desired. Chloe Olsen has spent her whole life learning what it means to live with an ostomy. In this blog, she draws on more than 20 years of lived experience to share an honest perspective on connection, communication, and confidence. Her insights offer reassurance, perspective, and a reminder to fellow ostomates that they are worthy of love without conditions.  
February 11, 2026
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0 Comments
https://www.ostomy.org/wp-content/uploads/2026/02/Chloe-Olsen-Intimacy-with-an-ostomy.png 550 1000 Contributor https://www.ostomy.org/wp-content/uploads/2017/02/UOAAlogofinal2.png Contributor2026-02-11 10:18:502026-02-11 15:38:3310 Tips for Intimacy with an Ostomy

Sexual well-being and intimacy after ostomy surgery

Colostomy, Digital Sponsor, Emotional Health, Ileostomy, Ostomy Tips, Sexuality, Urostomy
After ostomy surgery, it’s natural to feel sensitive about how your body has changed and be concerned about how it might affect intimacy and your sex life in the future.
February 22, 2024
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2 Comments
https://www.ostomy.org/wp-content/uploads/2024/02/Intimacy-Blog-Image-2-21-24.png 907 1629 Contributor https://www.ostomy.org/wp-content/uploads/2017/02/UOAAlogofinal2.png Contributor2024-02-22 16:02:552024-02-23 10:38:37Sexual well-being and intimacy after ostomy surgery

Telling People About Your Ostomy

Colostomy, Digital Sponsor, Emotional Health, Ileostomy, Ostomy Basics, Ostomy Tips, Sexuality, Urostomy
Who you tell about your ostomy and when you tell them is completely up to you. Most likely others won’t know you have an ostomy unless you bring it up. 
April 25, 2023
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1 Comment
https://www.ostomy.org/wp-content/uploads/2023/04/coloplast.png 552 830 Contributor https://www.ostomy.org/wp-content/uploads/2017/02/UOAAlogofinal2.png Contributor2023-04-25 09:57:482023-05-11 10:44:05Telling People About Your Ostomy
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United Ostomy Associations of America
P.O. Box 2293
Biddeford, ME 04005-2293

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Call us toll-free at: 1-800-826-0826.
Our Information Line hours are Monday-Friday, 9am to 3pm EST. If you have an emergency, please dial 911 or contact your local medical professional.

Please understand that UOAA is a private, nonprofit, advocacy and informational organization. We are not a medical facility and we do not have medical or legal professionals on staff. Therefore, UOAA does not provide Medical, Mental Health, Insurance or Legal Advice. Visit UOAA Virtual Ostomy Clinic provided by The Wound Company for non-emergency, virtual ostomy support.

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UOAA is the leading organization proactively advocating on behalf of the ostomy community. Recognizing that we are always stronger together, we encourage everyone to get involved by joining our Advocacy Network. We’ve also created several Advocacy Tools and Resources to help you successfully advocate on behalf of the ostomy community to ensure every ostomate receives quality care.

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