Protecting Your Hip During Sex

hip-replacement-sexual-relations
If you have a posterior incision (toward the back of your hip on your buttock), precautions must be taken to prevent hip dislocation for the first four weeks after surgery.

  • Don’t bring your knee higher than your hip.  Keep them level with each other.
  • Don’t move your operated leg across the midline of your body.
  • Don’t turn the toes of your operated leg inward (pigeon toe).

If you have an anterior incision (in the front of your hip near the groin), your precautions are less but you should still be careful.

  • Don’t extend your leg back behind your body.
  • Don’t lay on your stomach.

You can usually resume sex around 4 weeks if you’re feeling up to it. Until then, you need to be very careful about your positioning.  Even at 4 weeks, restrictions still need to be kept in mind. If you have questions about what you can and can’t do, talk to your surgeon.

When you feel ready, recovering from surgery can still create challenges for 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 periods of time 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 the position of your leg during sex. Your hip will be more stable with less risk of dislocating during sex.

Once you are ready to have sex, there are things you can do to make it pleasant and comfortable.

At first, you should take a passive role, using positions for your replaced hip  that are as natural and relaxed as possible.

If you need to,take pain medicine, either narcotic or over-the-counter, before you have sex to make it more comfortable. Pillows can be used to support your operated leg, especially if you lay on your side to have sex.

During sex, your partner can help make sure your hip is in a good position and control the amount and speed of movement. Your partner should try to limit the amount of weight they put on your operated leg.