From the Frequently Asked Questions Vault: Renewing Intimacy after Hip Surgery

Posted on Apr 2, 2015, by

When Can You Safely Resume Sexual Intimacy after a Hip Replacement?

blogpost imageOne of the more common questions that we get at the Kennedy Center is when they can safely resume sexual intimacy after a hip replacement.

We recommend that patients wait 3-4 weeks before resuming sexual activity, but we always remind patients that pain should be their guide. If something hurts, don’t do it.

 

 

Safe Sexual Positions after a Hip Replacement

Another common question pertains to what are safe sexual positions after a hip replacement.

The following are a few general guidelines to make the experience comfortable and keep your hip joint safe from injury.

• Don’t bend the leg with the joint replacement more than 90 degrees at the hip
• When lying on your back, don’t turn or roll the leg with the replacement toward the other leg
• Don’t turn your toes inward on the leg with the joint replacement
• If you are lying on your side, make sure you have pillows between your legs, especially between your knees. Don’t let the toes on your joint replacement leg turn downward.

We encourage patients to go slowly and be in the most passive position possible.

For Women – the following two positions are the safest:

1. Lie on your back.
Place one or two pillows under your thigh on the affected leg. Keep your toes on the leg with the joint replacement pointed up and slightly out – never inward.

2. Side – Lying Position
Lie on the side that does not have the hip replacement.
Place enough pillows between your legs to support the leg with the hip replacement. You and your partner should both be facing the same direction. Make sure the affected leg doesn’t fall off the pillows during intercourse. Your partner should assume the “spooning” position behind you. Don’t bend the hip with your joint replacement more than 90 degrees and don’t let the toes of your affected leg turn downward.

For Men – the following three positions are the safest:

1. Lie on your back.
Place one or two pillows under your thigh on the affected leg. Keep your toes on the leg with the joint replacement pointed up and slightly out – never inward.

2. Top position – this position is safe for men only.
Don’t bend your new hip joint more than 90 degrees while getting into position. Keep your affected leg out to the side with your toes pointed slightly outward. (Women should not attempt being on the top position as it will require you to bend more than 90 degrees at the hip)

3. Side-Lying Position
Lie on the side that does not have the hip replacement. Both you and your partner should be facing the same direction. Lie behind your partner in a “spooning” position. Your partner should place at least two pillows between her legs and your affected leg and foot should rest on top of hers during intercourse. Remember not to bend your leg more than 90 degrees. It’s important that your toes don’t turn downward on the affected leg.

Dislocated Hip: If you dislocate your hip during sexual intercourse, you will experience pain, your affected leg will appear shorter and your foot will turn inward. If this happens, lie down, don’t move and ask your partner to call an ambulance.

If you have questions about your hip surgery, contact Nurse Direct or your physician.