Can I Have Sex After Pelvic and Spinal Fractures?

Can I have sex with a fracture?

I have a pelvic fracture, as well as compression fractures of the 11th and 12th thoracic vertebrae, and burst fractures of the 1st, 2nd, and 3rd lumbar vertebrae.
I underwent pelvic reduction and fixation surgery, as well as minimally invasive spinal screw surgery, on July 21 and July 23, respectively.
Can I have sexual intercourse? If so, what positions should I avoid, or which positions are safe? If not, how long should I wait before resuming sexual activity?

Shu, 20~29 year old female. Ask Date: 2022/08/17

Dr. Wang Shouji reply Orthopedics

Hello, based on what you mentioned about multiple fractures, it is necessary to wait for the initial healing of the fractures, which typically takes at least two to three months before considering recovery.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2022/08/17

More Info

Engaging in sexual activity after experiencing pelvic and spinal fractures, particularly after undergoing surgical interventions such as pelvic fixation and spinal stabilization, requires careful consideration and consultation with your healthcare provider. Given the complexity of your injuries, including pelvic fractures and multiple vertebral compression fractures, it is crucial to prioritize your recovery and overall well-being.

Understanding the Risks
1. Healing Process: After significant injuries like yours, the body needs time to heal. Generally, pelvic fractures can take anywhere from three to six months to heal adequately, depending on the severity and type of fracture. Spinal fractures may have a similar or extended healing timeline. Engaging in sexual activity too soon can potentially disrupt the healing process, leading to complications such as misalignment of surgical hardware (like screws and plates) or delayed healing.

2. Pain and Discomfort: Given your history of fractures and surgeries, pain during sexual activity is a significant concern. If you experience discomfort or pain, it is a clear signal from your body that you may need to wait longer before resuming sexual activity.

3. Neurological Considerations: If your injuries have affected the spinal cord or nerve roots, as indicated by your mention of potential nerve damage, this could impact sexual function. Nerve injuries can lead to altered sensations, erectile dysfunction, or other sexual health issues. It is essential to discuss these concerns with your doctor, as they can provide insights based on your specific condition.

Recommendations for Sexual Activity
1. Consult Your Doctor: Before resuming sexual activity, it is imperative to have a thorough discussion with your orthopedic surgeon or a specialist in rehabilitation medicine. They can assess your healing progress through physical examinations and imaging studies (like X-rays or CT scans) to determine if it is safe to engage in sexual activity.

2. Timing: If your doctor gives you the green light, they will likely provide a timeline based on your healing progress. This could range from several weeks to a few months post-surgery, depending on individual recovery rates.

3. Safe Positions: If cleared for sexual activity, consider positions that minimize strain on your pelvis and spine. Generally, positions that allow you to maintain control over your movements and avoid excessive pressure on your lower back and pelvis are advisable. For example:
- Side-lying positions: These can reduce pressure on the pelvis and spine.

- Modified missionary position: With pillows for support, this can help maintain comfort.

- Avoiding deep penetration: This can help prevent discomfort and potential injury.

4. Communication with Your Partner: Open communication with your partner about your comfort levels, any pain experienced, and the need for adjustments during sexual activity is crucial. This can help create a supportive environment as you navigate intimacy during your recovery.

5. Gradual Approach: If you are cleared for sexual activity, start slowly and pay attention to your body’s signals. If you experience pain or discomfort, stop and consult your healthcare provider.

Conclusion
In summary, while it may be possible to resume sexual activity after pelvic and spinal fractures, it is essential to prioritize your healing and consult with your healthcare provider for personalized advice. They can guide you on when it is safe to engage in sexual activity and suggest appropriate positions to minimize risks. Remember, your health and recovery should always come first, and taking the time to heal properly will benefit your overall well-being in the long run.

Similar Q&A

Understanding Pelvic Fractures and Sexual Activity After Injury

Hello Doctor, I had an accident on August 13th where I fell from a height of 12.7 meters, resulting in a complex pelvic fracture and internal bleeding. On October 6th, my husband was very eager to engage in sexual activity. I felt guilty for not fulfilling my marital duties, so I...

Dr. Shi Guozheng reply Orthopedics
Your attending physician is the most familiar with your condition, so make sure to ask questions clearly during your appointment or write them down beforehand to address them one by one. Typically, pelvic fractures heal in about three to six months; if you are still experiencing ...

Recovery from Pelvic Fractures After a Car Accident: What to Expect

Dear Doctor, due to a car accident, I have suffered severe fractures in my fifth lumbar vertebra and first sacral vertebra. Three months have passed, and I have noticed that stretching no longer feels as comfortable as before, and I even lack sensation. Additionally, I am experie...

Dr. Wang Shouji reply Orthopedics
Hello, when it comes to sexual function, it is important to determine whether the injury affected the cauda equina. If so, the recovery time will depend on the severity of the injury, and it is difficult to assess without considering the initial recovery status. Changhua Hospital...

Can Pelvic Fractures Be Repaired? A Case Study of Recovery Options

My sister was in a car accident, and her pelvis was run over by a garbage truck. The doctor diagnosed her with a shattered pelvis, and the section near the femur is almost completely broken. There is significant bleeding from the nerves, and she has already undergone surgery to c...

Dr. Zhou Lizhi reply Orthopedics
Pelvic fractures are a serious major trauma, and their impact extends beyond the pelvic bones themselves to include issues related to nerves, blood vessels, the reproductive system, and the presence of open wounds. Therefore, each patient's condition is different. If there i...

Recovery Timeline for Pelvic and Sacral Fractures: What to Expect

Sacral and pubic bone fractures are currently being managed with bed rest as advised by the doctor. When can I expect to be able to sit up or use a wheelchair? Will this affect my menstrual cycle (as it was regular before the injury and is now delayed)?

Dr. Wang Shouji reply Orthopedics
Hello, for fractures of the sacrum and pubis, you may attempt to sit and stand while walking, but avoid excessive pressure on the fracture site. It is advisable to discuss with your physician, as the recovery time may vary depending on the severity of the fracture. Changhua Hospi...