Bicycle riding and erectile dysfunction: a review.

@article{Sommer2010BicycleRA,
  title={Bicycle riding and erectile dysfunction: a review.},
  author={Frank Sommer and Irwin Goldstein and Joanna Beate Korda},
  journal={The journal of sexual medicine},
  year={2010},
  volume={7 7},
  pages={
          2346-58
        }
}
INTRODUCTION 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. AIM 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. METHODS A systematic… 

Bicycle Riding, Arterial Compression and Erectile Dysfunction

TLDR
The objective of this study is to build a device to measure the forces exerted on the perennial arteries and develop a method to correlate the forces with each riders occlusion force.

Bicycle Riding: Impact on Lower Urinary Tract Symptoms and Erectile Function in Healthy Men

TLDR
It is suggested that bicycle riding as exercise or hobby has no negative effect on LUTS and erectile function in healthy general men, although this research data were limited to the questionnaire analysis.

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TLDR
Cycling is usually associated with perineal numbness, but that numbness did not lead to lower International Index of Erectile Function scores, and in conclusion amateur cycling has no effect on EF.

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TLDR
While gender-specific cycling products offer a promising direction for protecting women riders, studies addressing FSD and pelvic floor injuries in women cyclists are inadequate to indicate clear etiology or provide treatment recommendations.

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TLDR
Although a number of studies have described mechanisms for cycling-related sexual dysfunction, further validated studies are needed to both better describe the dysfunction, as well as to develop strategies for prevention and treatment.

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Research on female cyclists is very limited but indicates similar geni tourinary disorders as in male cyclists as well as on research considering changes of perineal pressure, hemodynamics and nerve conduction when cy cling.

An Insight into the Perineum Protection Issue

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The lower capacity of BAS to reduce the peak pressure on the corresponding perineal area after 20 min of testing, together with its positive comfort evaluation, suggest that a balance between protection and perceived comfort should be taken into account in the choice of the pad.
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Bicycle riding and erectile dysfunction: an increase in interest (and concern).

TLDR
Bicycle riders should take precautionary measures to minimize the risk of ED associated with bicycle riding: change the bicycle saddle with a protruding nose to a noseless seat, change the posture to a more upright/reclining position, changes the material of the saddle (GEL), and tilt the saddle/seat downwards.

Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics.

TLDR
If the associations described are causal, then cyclists on a long-distance ride may be able to decrease the risk of erectile dysfunction by riding a road bicycle instead of a mountain bicycle, keeping handlebar height lower than saddle height and using a saddle without a cutout if perineal numbness is experienced.

Bicycle riding, perineal trauma, and erectile dysfunction: Data and solutions

TLDR
Because some younger men with erectile dysfunction may have underlying vasculogenic erectile Dysfunction, sexual medicine practitioners should perform sophisticated testing procedures to evaluate erectile function that can be reestablished with penile revascularization surgery.

Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS)

TLDR
Data revealed that there may be a reduced probability of ED in those who ride less than 3 h per week and ED may be more likely in bikers who ride more than3’s per week, and more population-based research is needed to better define this relationship.

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TLDR
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TLDR
With few exceptions, bicycle police officers were able to effectively use no-nose saddles in their police work and penile health improved after 6 month as measured by biothesiometry and IIEF.

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TLDR
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