I had a hip replacement back on ‘04. I was 41 yrs old w/ a 2 yr old at home & pregnant/ my 2nd. They scheduled a c-section & 6 weeks after, I had my hip replaced. It was metal on metal. I too was quite active (until the last part of 2nd pregnancy). I had AVN, of which I had no idea until I could barely walk w/ all the pregnancy weight gain. I was not over weight for my size…when I was pregnant, no diabetes…I was healthy. 16 years later, I had what basically was a “pocket” of metal ions that burst & flooded my body. It was really indescribable. It was like having dementia..(I realize in hindsight). When I could finally get out of bed, we went straight to an orthopedic surgeon who tested me for metal, which of course was positive. I never knew there was such a thing. I was so sick before the revision (mentally) & otherwise. I say to you now, from an orthopedic surgeon’s mouth…if you have metal in your body, it comes with the territory…so to speak…
I would go as long as you possibly can before having an implant. I wish I had been tested before I had mine, not sure what else I could’ve done, but maybe be tested for metal or concrete every few months or so. Even then, I don’t know what options there are. I had my rev 16 years after 1st implant.
Good luck!