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Literally cant stop losing weight and I look at myself and dont recognize myself. My loving husband is so good to me having sex was normal for us. Since my emergency colostomy my organs havent healed or something. Sex is very painful for me and i stay terrified the whole time we are intimate afraid my pouch is gonna bust on us or its gonna shoot poo everywhere. No control at all.

August 24
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A MyLupusTeam Member

Oh honey. I have no answers or suggestions. I can't imagine how new and scary it must all seem. Just know that you will be in my prayers and that someone cares.

August 25
MyLupusTeam

What you're going through sounds incredibly overwhelming, and it makes complete sense that intimacy feels so different and frightening right now. Your feelings are completely valid — your body has been through so much, and it's still healing.

Lupus and fibromyalgia together can already make sex painful due to:

- Joint and Show Full Answer

What you're going through sounds incredibly overwhelming, and it makes complete sense that intimacy feels so different and frightening right now. Your feelings are completely valid — your body has been through so much, and it's still healing.

Lupus and fibromyalgia together can already make sex painful due to:

- Joint and muscle pain
- Fatigue
- Nerve sensitivity
- Vaginal dryness from medications or hormonal changes

Adding a colostomy on top of that is a major physical and emotional adjustment that takes real time to navigate. The fear about your pouch is something many ostomates experience — it's extremely common and nothing to be ashamed of. There are actually practical strategies that can help, like emptying your pouch completely before intimacy, using pouch covers or wraps designed specifically for this, and trying positions that put less pressure on the pouch.

Talking openly with your colorectal surgeon or a wound/ostomy nurse about intimacy concerns is really important — they hear this regularly and can offer personalized guidance.

Most importantly, please speak with your care team about the pain during sex. Pain should never just be accepted as the new normal. You deserve comfort and connection. 💛

August 24

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