Domestic Meeting of the European Hip Society edition:8 location:Madrid, Spain date:11-13 June 2008
Chronic systemic arthritis negatively affects patients’ sexual activities and relationships. Patients with inflammatory arthritis are less sexually active than controls and a considerable number of both male and female patients have trouble with their joints during sexual activities. This leads to difficulties in sexual performance, diminution of sexual desire and satisfaction and psychological sexual problems. In juvenile chronic arthritis 58% of the patients have disease-related sexual problems. Moreover hip joint stiffness may hinder giving childbirth in a natural way. Of the women with juvenile chronic arthritis having a caesarean, 80% is due to either reduced hip mobility or short stature.
Thirty-three patients (18 male and 15 female patients) with 57 THR were questioned about the influence of their THR on sexual activity. Thirty patients (91%) reported a major improvement of their sexual life, relationship and desire after having their total hip replacement. Six women had 12 children born in a natural way after their THR. Two of these gave birth to twins in a natural way. One patient needed a caesarian for her 2 children.
Conclusions: THR has a major beneficial effect on the sexual life and relationship in young patients with inflammatory arthritis.