You’ve had joint replacement surgery, and your healthcare provider has said it’s OK to have sex.
You may be wondering what positions are safe? These positions should be safe after either a hip or a knee replacement. Try to avoid putting too much pressure on your new joint. Also, take the same care getting out of a position as you did getting into it. If you have had a hip replacement, always keep the joint within a safe range of motion.
For hip replacements
After a hip replacement, be sure the knee on the affected side:
- Remains level with or below the hip.
- Does not cross the belly button (the body’s midpoint)
Setting the scene
Having sex can be a little easier if you plan ahead.
Here are a few tips:
- Take a mild pain medication about 20 to 30 minutes before sex. This can help prevent minor aches. Avoid taking medication so strong that it masks warning pain.
- Have pillows and rolled towels nearby. They can be used for body support.
- Relax. Do a few easy stretches within a safe range of motion.
- This position works after either a hip or a knee replacement. Being on the bottom is safe for a man or a woman with a new joint.
- The partner on the bottom keeps his or her legs apart and turned out slightly. Use pillows to support the legs on the outside.
- Depending on comfort, the person on the bottom can recline propped up on pillows or lie flat.
- If the man has a new hip joint, place pillows between his knees. This keeps his knees from crossing his body’s belly button, or midpoint.
Sitting in a chair
- This position works after a hip or knee replacement. It is a safe position for a man or a woman with a new joint.
- The man sits on a straight chair. His feet are supported or are flat on the floor.
- The woman sits on the man’s lap.
Woman lying and man kneeling
- This position works for a woman with a new hip or knee joint.
- The woman lies on the bed on her back, buttocks near the edge of the bed. Both feet should be supported or flat on the floor.
- The man kneels in front of the woman, on pillows placed on the floor. His hands are placed on either side of her body.
- This position works for a man with a replaced knee joint.
- He should lie on his side, with the new joint on the bottom.
- A woman with a replaced hip or knee joint can also use this position. She lies on her side, with the new joint on the bottom.
- Use pillows for support.
Man propped on elbows
- This position is for a man with a new hip joint.
- He lies on top of his partner.
- His legs are stretched out behind him, with a pillow between his knees.
- He supports his weight on his elbows.
If your partner has had a hip replacement:
- Make sure your partner’s provider says it’s OK to have sex.
- Help your partner stay within a safe range of motion.
- Control the amount and speed of movement during sex.
- Don’t put all your weight on your partner’s hips.