Surgeons rarely discuss sexual activity with patients after THA: a survey of members of the American Association of Hip and Knee Surgeons

Abstract

A survey of members of the American Association of Hip and Knee Surgeons was done to document surgeons' attitudes and practices regarding discussion of return to sexual activity, timing of return, and safety of various sexual positions for patients after total hip arthroplasty. Surveys were returned by 254 of 821 surgeons (31%). Two hundred thirty-three (80%) surgeons reported they rarely or never discuss sexual activity with their patients who have had hip arthroplasty. Of surgeons who stated they did discuss this topic, 96% spent 5 minutes or less. Most respondents (67%) recommended delaying return to sexual activity until 1-3 months postoperatively. Fifty-one respondents (20%) reported knowledge of patients experiencing dislocation of the total hip replacement during sexual activity. Five specific sexual positions for men and three positions for women were considered acceptable by more than 90% of respondents. Most agreed that sexual activity could be resumed safely 1-3 months postoperatively if acceptable positions were used.