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Hip pain during sex is more common than people think, but those who suffer are often uncomfortable telling their providers, said Elizabeth Scott, MD , a hip specialist and orthopaedic surgeon at Duke Health. In many cases, hip impingement or a labral tear is the culprit. Scott advises people who experience hip pain during sex to speak up.
Here, Dr. Scott answers questions about what causes hip pain during and after intercourse and how to get relief. There are several possible sources of hip pain during sex. One of the most common is hip impingement -- when the top of the thigh bone and the hip socket don't fit together properly.
Another is labral tears, which occur when the tissue that holds the ball and socket together is injured. Although labral tears can occur alone, they often result from hip impingement. When someone with these issues flexes their hips, pain can occur in the moment or hours later, said Dr.
Since position matters more than gender, anyone with hip impingement or labral tears can be affected. Lying face up, flexing the hips, and abduction -- moving the leg away from the midline of the body -- can aggravate the problem. Not necessarily, said Dr. Physical therapists can give advice about which sexual positions to avoid because they force hip flexion.