Introduction
Recovering from hip replacement surgery can bring many changes to your daily life, including your intimate relationships. Sexual activity is an important part of emotional well-being, but with a new hip joint, it’s essential to take certain precautions to stay safe and comfortable. This guide provides clear, practical advice on how to resume a healthy sex life after hip replacement so you and your partner can enjoy intimacy with confidence.
Understanding Your New Hip and How It Affects Movement
A hip replacement replaces your damaged hip joint with artificial parts that increase mobility and relieve pain. While most people do very well after surgery, your new joint has some limitations—particularly with bending, twisting, or rotating the hip. These movements can put you at risk for discomfort or even joint dislocation. By learning which positions and movements to avoid, you can return to sexual activity more safely and comfortably.
Safe Sexual Positions to Try
The Modified Missionary
A frequently recommended position is the “Modified Missionary.” In this arrangement, the person who had surgery lies on their back with a pillow under their operated hip for support and alignment. The partner is on top but supports their own weight with their arms to avoid pressing down. This keeps the hip in a safe range of motion and reduces strain, helping you both feel more relaxed and connected during intimacy.
The Side-by-Side
Another excellent option is the “Side-by-Side” or “spooning” position, where both partners lie next to each other on their sides. The operated leg should remain straight or be gently supported by a pillow to prevent uncomfortable bending or twisting. This position promotes close contact and allows more control over movement, all while minimizing pressure on the new joint. It’s a gentle, safe, and often recommended choice for those recovering from hip replacement.
Why Communication Matters
Open communication is key as you ease back into sexual activity. Talk honestly with both your partner and your healthcare team about your comfort and any worries you may have. For example, let your partner know if you’re nervous about certain movements, and don’t hesitate to ask your surgeon or physiotherapist for personalized advice. These conversations can help you set reasonable expectations, reduce anxiety, and make intimacy more enjoyable for both of you.
Take It Slowly and Watch for Warning Signs
Give yourself time to recover and don’t rush back into sexual activity. If you feel pain, swelling, or stiffness in your hip, slow down and consider speaking to your physiotherapist or surgeon for guidance. Gradually returning to intimacy lets your body adjust without unnecessary stress. Gentle stretches and pelvic floor exercises recommended by your healthcare provider can also help increase comfort and confidence over time.
Conclusion
Restoring your sex life after hip replacement is possible with a little patience, care, and open communication. Positions like Modified Missionary and Side-by-Side respect your joint’s limits while helping you and your partner stay close and connected. By discussing your concerns with both your healthcare team and your partner, and moving at your own pace, you can enjoy safe and satisfying intimacy as you recover. Remember, sexual well-being is an important part of overall health and happiness—and with a thoughtful approach, it’s well within your reach after hip surgery.
References
Couch, C. G., Nicholas, R. W., & Montgomery, C. (2018). Safe Positioning for Sexual Intercourse After Proximal Femoral Replacement. Orthopedics, 41(2), e292-e294. https://doi.org/10.3928/01477447-20170918-09
Pritchett, J. W. (2017). Adventure sports and sexual freedom hip replacement: the tripolar hip. European Journal of Orthopaedic Surgery & Traumatology, 28(1), 37-43. https://doi.org/10.1007/s00590-017-2010-0
Shah, A., Whyne, C., Kiss, A., Kreder, H. J., Gulta, D., Chen, S. R., & Chaudhry, H. (2025). Safe Activity Participation Following Elective Total Hip Replacement: the SAFE-T investigation. British Journal of Sports Medicine, 59(9), 676-682.
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