Instead, for the first 3 to 6 weeks, and possibly beyond, slow and steady is the pace for safe and comfortable sex. The post-op period is not a time for fast, aggressive sexual escapades. If it’s before your post-surgery appointment, they can ask you a series of questions to determine whether you’re ready or let you know to wait until being examined in person. That said, if you’re in the post-op period and feeling frisky, give your doctor a call. Ideally, this is a conversation you have before surgery. Here are some other tips to help you get started. She also cautions against lying on your stomach or on the operated side during sex.įinding a comfortable position that allows you to enjoy sex while recovering from hip replacement surgery is the first step to resuming sexual activity. Also, avoid crossing your leg or externally rotating it out. If you’ve had surgery that was an anterior approach, which is a replacement through the front of the hip, avoid hip extension or moving your leg backward, Gelman says. “The majority of the risk for dislocation is borne by the women as they are typically more flexible, to begin with,” he said. Hips flexed past 90 degreesīlais recommends avoiding positions where the hips are flexed past 90 degrees because this can increase the chance of dislocation, especially if the force is applied to the flexed legs. Kneeling on top of your partner bends your hips too far and should be avoided. If your partner is in a chair, sitting on top of them with your hips open should be avoided, at least initially. Gelman recommends avoiding positions where the recovering person is on their hands and knees, such as “doggy-style,” or crouching on top of their partner. Here are four additional positions to avoid during the recovery period. More specifically, be cautions of excessive:ĭon’t move your knee across the body’s midpoint, and avoid raising your hip past knee level. You can have sex in a side-lying position on your nonsurgical side with your bottom leg supported to avoid twisting or crossing the top leg (operated leg).Īfter surgery, avoid positions that require your hip to move in extreme ranges of motion. Your partner can stand or kneel facing you with their legs touching the end of the bed. Lie on your back on the bed with your buttocks close to the edge of the bed so that your knees are bent, and your feet can rest on a stack of pillows placed on the floor. If you can, use the wall for support so you can slightly bend over at the waist. If your balance is steady, physical therapist Rachel Gelman, DPT, says standing could be a safe position. However, Blais says that if the person on top has a vagina, it may be more difficult initially, but it should not be a problem after a few months. This includes the person on top or bottom. Missionary positionīlais says common positions such as missionary are safe for both people. With that in mind, here are four positions that are safe to try after hip replacement surgery. Similarly, different leg positions affect surgeries differently, so be sure to talk with your doctor first. However, individual return times may vary and depends on wound healing and range of motion.Īlso, the ability to do any exercises or try sexual positions will vary from person to person based on levels of stability. In fact, Blais says most people should be able to return to intercourse within 3 weeks after the surgery, with full activity possible in 8 weeks. “Sexual activity after total hip replacement should be more comfortable as your hip will be more flexible and less painful,” said board-certified orthopedic surgeon Robert Blais, MD, of Texas Orthopedics. The physicians presented their findings in 2013 to the American Academy of Orthopaedic Surgeons. In fact, a 2017 systematic review found that of 1,694 patients, 44 percent reported improvements in sexual satisfaction and a 27 percent increase in sexual intercourse frequency post hip replacement surgery.Īlso, a group of New York physicians measured the quality of sex after total hip and knee surgery in patients under 70 years of age and found that 90 percent of patients surveyed reported an overall improvement in sexual function after surgery compared to before.įurthermore, a higher number of women indicated an improvement in sex after hip replacement surgery than men. Sex after hip replacement surgery is often more comfortable and enjoyable. Best positions for sex after hip replacement
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