Sexual Relations After Total Hip Replacement

Hip Replacement Sexual Precautions

If you’ve had a posterior incision (along the back of your hip on your buttock), precautions must be taken to prevent hip dislocation.

Precautions include:

  • Avoid bending at your hip more than 90 degrees
  • Avoid moving your operated leg across the midline of your body
  • Avoid rotating the toes of your operated leg inward

Positioning restrictions must be strictly followed for about 4 weeks after surgery.   You can usually resume sex around 4 weeks if you’re feeling up to it.  Restrictions still need to be kept in mind however.  If you have questions about what you can and can’t do, talk to your surgeon.

If you have an anterior incision (in the front of your hip near the groin), you don’t have to be as concerned with dislocating your hip.  However, you should still wait approximately one month to have sex to allow your incision to heal completely.  Avoid positions that cause your leg to extend back behind your body.

Recovering from surgery can still present challenges to your sex life.  Your hip can hurt at first, pain medicines might make you drowsy or uninterested in sex, it might be difficult to get in a comfortable position, and you could be nervous about dislocating your hip.  But studies show that most men and women who undergo hip replacement find their sex lives significantly improve.  They become more interested in sex, find it more comfortable, and they can perform for longer duration and more often.

Waiting up to 4 weeks after total hip replacement to resume sex provides several advantages.  Your incision will be almost completely healed and less sensitive to touch.  Your hip muscles will be recovered enough to control your movements and position of your leg during sex.  Your hip will be more stable with less risk of dislocating during sexual relations.

Once you are ready to resume sexual relations, several measures can be taken to enhance intimacy. 


At first, you should take a passive role, assuming sexual positions after a total hip replacement that are as natural and relaxed as possible.

If tolerated, taking pain medication, either narcotic or over-the-counter, prior to sex might make it more comfortable.  Pillows can be used to support your operated leg, especially when the side-lying position is used.

During sex, your partner can help you stay within a safe range of motion and control the amount and speed of movement.  Your partner should try to limit the amount of weight they put on your operated leg.

Sexual Positioning…