Cycling and Erectile Dysfunction

In this article, we’ll look at whether cycling could cause erectile dysfunction. We’ll explore how sitting on a bike saddle for extended periods might affect blood flow and nerve function, and whether this could lead to problems getting or keeping an erection. We’ll also cover what current research says about the link between cycling and ED, and offer practical tips to help reduce your risk, such as choosing the right saddle, adjusting your riding position and taking regular breaks.

Key Takeaways

Here are the five biggest takeaways from this article about the link between cycling and erectile dysfunction:

• Prolonged pressure on the perineal area may contribute to ED.

• The longer and more intensely you cycle, the greater the pressure on sensitive areas.

• An uncomfortable or incorrectly fitted saddle can make perineal pressure worse, increasing the chance of numbness.

• Extensive studies have found no apparent connection between cycling and long-term erectile dysfunction or infertility.

• Practical tips such as choosing the right saddle, adjusting your riding posture, wearing padded shorts and taking regular breaks can all help lower the risk of cycling-related sexual health problems.

How could cycling potentially cause ED?

Compression of nerves & blood vessels in the perineal area

Cycling may contribute to erectile dysfunction in some men due to prolonged pressure on the perineal area, the region between the genitals and anus. Sitting on a narrow bicycle seat for extended periods can compress important nerves and blood vessels in this area. This pressure may reduce blood flow and affect nerve function, leading to symptoms such as numbness, tingling or discomfort in the genitals. 

In some cases, these issues can interfere with the ability to get or maintain an erection. While genital numbness is more commonly reported, affecting up to 91% of cyclists, studies suggest that erectile dysfunction has been reported in around 13–24% of cyclists [1]. Other cycling-related urogenital problems are less common but can include conditions such as prostatitis, penile thrombosis, or perineal lumps.

Cycling at high intensity for a long time

Cycling at a high intensity or for extended periods may increase the risk of developing erectile dysfunction. This is because extended time in the saddle can place greater pressure on the perineal area, especially during long-distance or competitive rides. Over time, this added strain may reduce blood flow and compress the nerves linked to sexual function.

Men who cycle regularly for long distances may be more likely to notice symptoms such as numbness or tingling in the genital area. To help reduce this risk, it’s recommended to use a road bike rather than a mountain bike, position the handlebars slightly lower than the saddle, and consider switching to a saddle without a cutout if perineal numbness occurs [2].

A poorly fitted saddle

A poorly fitted or poorly designed saddle can increase pressure on the perineal area and make symptoms such as genital numbness more likely. Over time, this discomfort may raise concerns about erectile function, particularly in men who cycle frequently or for long distances. 

Research has shown that genital numbness is more common in those who spend more time on their bike, regardless of age or body weight [3]. While numbness doesn’t always lead to erectile dysfunction, it may be a sign that changes are needed to reduce pressure and improve comfort. Using a wider saddle or one with a cutout may help to relieve pressure in sensitive areas and lower the risk of related problems.

Does cycling actually cause erectile dysfunction?

Current research suggests that cycling does not directly cause erectile dysfunction in most men. A large observational study looked at over 5,000 male cyclists and found no clear link between high levels of cycling and ED or infertility [4]. 

While symptoms such as genital numbness are common, this does not necessarily mean that cycling will lead to long-term sexual health problems. However, if you are concerned about the potential risks, it may be helpful to focus on key factors that can make a difference, including the shape of your saddle, the height of your handlebars, and the type of bike you use. These adjustments can help reduce pressure in sensitive areas and improve comfort on longer rides.

Practical tips to reduce the risk of ED when cycling

If you’re a regular cyclist and concerned about the potential impact on your sexual health, there are several simple steps you can take to reduce the risk of erectile dysfunction.

Choose the right saddle

Look for a wider saddle that supports you and helps distribute your weight more evenly. Some men find that a saddle without a central cutout can reduce numbness and discomfort, while others prefer a cutout to relieve pressure on the perineal area.

Adjust your riding position

Keep your handlebars slightly lower than your saddle to encourage a more forward-leaning posture, which helps shift pressure away from the perineum.

Take regular breaks

If you’re cycling for long periods, take short breaks to stand up on the pedals or get off the bike. This helps restore blood flow and reduce nerve compression.

Wear padded cycling shorts

Well-fitted padded shorts can provide extra cushioning and comfort, especially during longer rides.

Final Thoughts

While cycling has been linked to symptoms such as genital numbness and discomfort, current research does not show a strong connection between regular cycling and long-term erectile dysfunction for most men. However, certain factors, including saddle design, riding position and the duration or intensity of your rides, can increase pressure on the perineal area and potentially affect blood flow and nerve function. 

Fortunately, there are practical steps you can take to reduce your risk, such as using a well-fitted saddle, adjusting your bike setup, wearing padded shorts and taking regular breaks during longer rides. If you’re experiencing ongoing symptoms or have concerns about your sexual health, it’s best to speak to a healthcare professional for further advice.

Sources

[1] The Vicious Cycling: Bicycling Related Urogenital Disorders - ScienceDirect

[2] Erectile dysfunction is common with long-distance cycling - PMC

[3] Bicycle riding: Good or bad for men’s health? - Urology Times

[4] Can cycling cause erectile dysfunction? - Harvard Health