Impact of Total Hip Arthroplasty on Sexual Activity and Life Satisfaction: An Underexplored Aspect
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Abstract
Materials and Methods: Retrospective study with paired pre- and postopera- tive evaluations in 40 adults (20 women, 20 men). Variables analyzed included sexual activity (yes/no), hip pain limiting sexual activity (yes/no), pain during sexual activity (frequency), and sexual satisfaction (5-point scale).
Results: The proportion of sexually active patients increased from 60% (24/40) to 75% (30/40), an absolute change of +15 percentage points. Patients reporting hip pain that limited sexual activity decreased from 12 (30%) to 6 (15%) (p = 0.031). Among the 30 patients who were sexually active postoperatively, 13.3% reported pain during sexual activity (“often”). High sexual satisfaction (scores 4–5) increased from 12.5% to 62.5%. Of the 10 patients (25%) who remained inactive after surgery, 7 attributed it to lack of desire or absence of a partner, and 3 to concern or fear.
Conclusions: Total hip arthroplasty was associated with increased sexual activity, reduced limiting pain, and a marked improvement in reported sexual satisfaction. Prospective studies are needed to confirm these findings.
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