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Biking and Impotence

Matthew Mahar M.D.

For centuries concern about riding-related impotence has existed. Hippocrates wrote that "…sexual problems were common among horsemen". Today, as the popularity of cycling grows, research continues to confirm the relationship between extended periods of riding and perineal injury in both male and female cyclists. Newly designed bike saddles and preventive riding strategies offer hope to this growing problem.

Injury occurs primarily when the bike seat focuses body weight on the nerves and blood vessels surrounding sexual organs. The increased pressure can lead to nerve damage and a decrease in blood flow to these sensitive areas. Temporary symptoms include numbness, pain, decreased orgasm sensitivity, and impotence. In some individuals the damage can be permanent. New research is beginning to reveal the increased incidence of urinary tract infections and sexual dysfunction in females.

Controversy exists over the prevalence of injury. Researchers estimate between 4% and 50% of bicyclists experience seat-related numbness, pain, or sexual dysfunction. The incidence increases with the length of time spent on the bike.

Improved equipment and mindful riding strategies can offset the harmful effects of prolonged cycling. The "Body Geometry Sport Saddle" by Specialized is currently available in stores and has a groove down the middle and wedge-shaped cut out at the back of the saddle. This new saddle is more anatomically correct and will presumably relieve pressure for the male rider.
Female sensitive saddles have been on the market for a couple of years and have received positive reviews.

Other riding tips to prevent impotence and sexual dysfunction include:

  1. Point the nose of the seat slightly downward to reduce pressure.
  2. Lower the seat so that the legs support more of the weight.
  3. Stand up and pedal every 10 minutes to encourage blood flow in the perineum.
  4. Rise out of the seat when going over bumps.
  5. Avoid crush injuries involving the top tube of the bicycle.
  6. The top tube should be 3-4 inches below the crotch when standing over the bike in bare feet.
  7. Consider replacing your current seat with a new more anatomically correct saddle.
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