Sexual expression after total joint replacement

Although patients and health care professionals often hesitate to talk about the effects of disease, illness, or surgery on sexuality, it is imperative that sexuality issues be addressed. For many orthopaedic patients, alterations in sexual function secondary to musculoskeletal changes are a major concern. This article provides guidelines for identification of fears and needs, ideas for approaching total joint replacement (TJR) patients on the topic of sexuality, and appropriate intercourse and outercourse activities.