Regaining intimacy after hip replacement surgery
By Mr. Khaldoun Bitar Consultant Hip Surgeon in Wolverhampton
Many people find it awkward to talk about sex after hip replacement surgery with their surgeon — but it’s an important part of life, and you are not alone if you have questions or worries. Unfortunately, sexual activity is rarely discussed openly in clinic, yet many patients find that hip arthritis affects their sex life long before surgery ever happens.
Severe hip arthritis can cause pain, stiffness, and loss of movement, which can make intimacy difficult, uncomfortable, or even impossible. Over time, this can understandably lower your desire for intimacy, and some patients worry whether things will ever return to normal. The good news is that hip replacement surgery often helps improve this part of life as well as your mobility.
When can I have sex again?
Most patients can safely return to routine gentle daily activity about 6 to 8 weeks after surgery, but this varies for each person. The first few weeks are focused on healing the soft tissues, reducing swelling, and protecting your new hip joint. Always follow your surgeon’s advice and check if you are unsure. If you feel ready sooner, ask for guidance — safety comes first.
Safe positions after hip replacement
It’s important to avoid certain movements in the first few months to protect your new hip. Deep bending at the hip, twisting, or crossing your legs can increase the risk of dislocation so better avoided.
Generally, it is safest to choose positions where:
- You are on your back or lying on your non-operated side.
- Your operated hip is supported and not forced into uncomfortable angles.
- You use pillows between your knees if lying on your side.
These small steps can help you return to intimacy at your own pace without putting strain on your new hip.
It’s normal to feel nervous — Talk to your partner
It’s very common to feel worried about pain, awkwardness, or “doing something wrong” the first time you return to sex after surgery. Be open with your partner about how you feel. Take things slowly and stop if you feel any pain or discomfort. Clear communication can make intimacy feel less stressful and more enjoyable as you regain your confidence.
Low sex drive: Why it happens and why it improves
Many people feel their desire for intimacy drops when they are in pain from arthritis — or during the early days or weeks of recovery as they are focused on healing. This is completely normal. As your hip pain improves and you regain movement, you may find that things naturally regain some normality.
When to seek advice
If you feel pain in your hip during sex, or have worries about dislocation, don’t be embarrassed to speak with your surgeon. There is no “silly question” when it comes to your safety and wellbeing.
Finally…
Hip replacement can restore not just your mobility, but also your confidence and intimacy. Take things at your own pace, protect your hip by following safe positions, and keep talking with your partner. You’ve taken a big step to get your life back — and that includes every part of it. Read more about how to protect your new hip following surgery.
Disclaimer: This information is general advice and does not replace personalised guidance from your surgical team.