Bicycle Riding and Erectile Dysfunction: A Review

For many years, reports in the literature have implicated bicycle riding as causing increased risk of erectile dysfunction (ED). Perineal compression during cycling has been associated with the development of sexual complications. To review current literature on the rationale for ED from bicycle rid...

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Bibliographic Details
Published in:Journal of sexual medicine 2010-07, Vol.7 (7), p.2346-2358
Main Authors: Sommer, Frank, Goldstein, Irwin, Korda, Joanna Beate
Format: Article
Language:English
Subjects:
Bicycling
Bicycling - injuries
Bicycling - physiology
Endothelium, Vascular
Erectile Dysfunction
Ergonomics
Humans
Impotence, Vasculogenic - epidemiology
Impotence, Vasculogenic - etiology
Impotence, Vasculogenic - prevention & control
Male
Penile Blood Supply
Penis - blood supply
Perineal Compression
Risk Factors
Saddle
United States - epidemiology
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Summary:For many years, reports in the literature have implicated bicycle riding as causing increased risk of erectile dysfunction (ED). Perineal compression during cycling has been associated with the development of sexual complications. To review current literature on the rationale for ED from bicycle riding and outcome of bicycle riding on erectile function and to present available research on preventative measures specifically regarding bicycle riding. A systematic comprehensive literature review. There is a significant relationship between cycling-induced perineal compression leading to vascular, endothelial, and neurogenic dysfunction in men and the development of ED. Research on female bicyclists is very limited but indicates the same impairment as in male bicyclists. Preventative measures including use of a properly fitted bicycle, a riding style with a suitable seat position and an appropriate bicycle seat can help prevent impairment of erectile function. There is a need for further research on safe bicycle and bicycle seat design and investigations that address the underlying mechanisms leading to cycling-related sexual dysfunction in both male and female bicyclists. Sommer F, Goldstein I, and Korda JB. Bicycle riding and erectile dysfunction: A review.
ISSN:1743-6095
1743-6109
DOI:10.1111/j.1743-6109.2009.01664.x