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Bicycle Riding and Erectile Dysfunction: A Review
Authors:Frank Sommer  Irwin Goldstein  Joanna Beate Korda
Affiliation:2. Sexual Medicine, Alvarado Hospital, San Diego, CA, USA;2. Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO, USA;3. National Institute for Occupational Safety and Health—Reproductive Health Assessment, Cincinnati, OH, USA;4. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA;1. Hospital Ipiranga, Sao Paulo, Brazil;2. Department of Urology, University of California, San Francisco, CA, USA;3. Department of Urology, Tulane University Health Sciences Center, New Orleans, LA, USA
Abstract:IntroductionFor 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.AimTo 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.MethodsA systematic comprehensive literature review.ResultsThere 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.ConclusionsThere 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.
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