2023 ISAKOS Biennial Congress ePoster
To Determine if Femoroacetabular Impingement (FAI) Syndrome Interferes with Sexual Relations and to Evaluate the Change in Hip Symptoms Experienced During Intercourse Following Operative Management
Nicole Danielle Rynecki, MD, New York, NY UNITED STATES
Matthew T Kingery, MD, New York, NY UNITED STATES
Michael Buldo-Licciardi, BS, New York UNITED STATES
Taylor Jazrawi, Masters, New York, New York UNITED STATES
Jordan Eskenazi, BS, Boca Raton, Florida UNITED STATES
Rae Lan, BS, New York, NY UNITED STATES
Dhruv Sundar Shankar, BS, New York, New York UNITED STATES
Thomas Youm, MD, FACS, New York, NY UNITED STATES
NYU Langone Medical Center, New York, New York, UNITED STATES
FDA Status Not Applicable
Summary
Hip pain secondary to FAI interferes with sexual intercourse, particularly for patients who participate in the receptive role.
ePosters will be available shortly before Congress
Abstract
Purpose
To determine if femoroacetabular impingement (FAI) syndrome interferes with sexual relations and to evaluate the change in hip symptoms experienced during intercourse following operative management.
Methods
This was a retrospective cohort study of patients undergoing hip arthroscopy for FAI between January 2019 and January 2022. Hip symptoms during sexual intercourse were evaluated using a Likert-style questionnaire. Patients were asked to rate the severity of their hip pain with 12 common sexual positions before and after surgery. Patients who primarily participate as the penetrative role during intercourse were compared to those who participate as the receptive role.
Results
61 patients with a mean age of 33.8 +/- 8.48 and a mean follow up time of 1.96 +/- 0.88 years were included in the analysis. 47.5% of patients primarily assume the receptive role during sexual intercourse (36.1% primarily receptive role, 13.1% both receptive and penetrative). A significantly greater proportion of patients participating in receptive intercourse reported hip symptoms that interfered with sexual intercourse before surgery compared to patients participating in penetrative intercourse (p=0.007). Furthermore, a greater proportion of patients in the receptive group reported that the hip pain during intercourse contributed to the decision to pursue hip surgery (p=0.009). Patients resumed sexual intercourse at a mean of 7.6 +/- 3.4 weeks postoperatively. Among patients who participate in the receptive role, the preoperative to postoperative change in hip pain varied based on sexual position. Positions that involve greater degrees of hip flexion and abduction were associated with worse pain preoperatively and a significantly greater improvement in pain after surgery.
Conclusion
Hip pain secondary to FAI interferes with sexual intercourse, particularly for patients who participate in the receptive role. Following hip arthroscopy, the greatest improvement in pain was seen in receptive patients during sexual positions that involve hip flexion and abduction.