Osteoarthrosis of the hip joint and sexual activity.

Sexual Activity before and after Total Hip Arthroplasty

“…The impact of sexual difficulties on quality of life, tension or dissatisfaction in relationship with the partner is more easily expressed anonymously. Several studies showed that more than half of the patients suffer from sexual difficulties directly related to chronic hip pain [10,11], and in 5 to 10% patients, it caused sexual intercourse's cessation [9][10][11]. The main causes are pain, apprehension of pain, asthenia and joint stiffness [9,18].…”

“…Other factors may be involved [11,18,19]: decreased libido, involvement of other joints, such as those of the rachis [20], which is observed early in chronic inflammatory rheumatism in young subjects [21]. Women are affected more often than men by these sexual difficulties, in term of frequency, intensity and age of illness [9][10][11]. In these cases, THR usually ameliorates these symptoms [9,21].…”

“…There is a lack of information about sexual difficulties induced by chronic hip diseases [7,[9][10][11]13,15]. Dahm et al [15] emphasize that 80% of physicians rarely, if never, talk about sexuality after THR with their patients.…”

“…Our questionnaire took up the items devised by Currey [11] and Meyer et al [13], associated with the functional scale of Womac [14].…”

“…Sexual satisfaction and performance's improvement were reported after successful THR in several studies [7,[9][10][11]. However, it is clear that sexual activity's problem in patients with THR are underestimated and should be looked for by medical staff, even if patients do not ask explicitly [12].…”