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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2025; 66(01): e4-e12
DOI: 10.1055/s-0045-1809037
Artículo Original | Original Article

Sexual Activity in Patients with Femoroacetabular Impingement: Narrative Review of the Literature

Article in several languages: español | English
María Jesús Lira 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
,
Ianiv Klaber 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
,
Catalina Vidal 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
,
Pamela Mery 
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
,
Daniel Schweitzer
1   Departamento de Ortopedia y Traumatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
› Author Affiliations Funding SCHOT Research Funding 2017.
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Abstract

Introduction Femoroacetabular impingement (FAI) is a common cause of hip pain in young patients, affecting deep flexion and rotation movements, including sexual activity (SA). This study aimed to synthesize the evidence on SR in patients with FAI.

Methods A narrative review of the literature was performed in the Pubmed, Scielo, PEDro, and Epistemonikos databases. Primary studies on sexual relations in patients with FAI were included.

Results Seven papers published between 2014-2024 on SR in patients with FAI were found. In the published studies, difficulties in SR associated with FAI have been described in 61-91% of patients, with the main causes being pain and stiffness, which began one to two months after symptoms. Post-surgical improvements have been described in 29-89% of patients, with a resumption of sexual activity between 29-48 days. No evidence was found regarding traumatologists' assessment of sexual activity in patients with AFP in clinical practice (e.g., frequency, difficulty, pain, etc.). Finally, there is little evidence regarding specialists' education of patients about sexual relations.

Conclusion FAI significantly impacts sexual activity, with improvements reported after arthroscopy in a group of patients. SR is a topic rarely addressed by surgeons, both in the evaluation of patients and in their education.

Level of evidence: V

Keywords

Femoroacetabular impingement - Sexual Activity - Sexual Behavior - Sexual Function


Publication History

Received: 27 September 2024

Accepted: 21 March 2025

Article published online:
20 May 2025

© 2025. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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