Young Man in whom a Healthy Habit caused erectile dysfunction
1. 30-year-old Rijo consulted me for 3-month history of problem with erection. He was evaluated by Urologist/Andrologist & no cause for the same was found. Therefore, he was referred to rule out neurological disease.
1. 30-year-old Rijo consulted me for 3-month history of problem with erection. He was evaluated by Urologist/Andrologist & no cause for the same was found. Therefore, he was referred to rule out neurological disease.
2. Rijo was well three months ago, when he noticed erectile dysfunction (ED). He also had numbness in penis and surrounding regions, which was worse in mornings and better in evenings. There was no back pain or leg pain.
#MedTwitter #erectile #dysfunction #ED
#MedTwitter #erectile #dysfunction #ED
3. On enquiring about his fitness regime, he mentioned that he was passionate about #cycling and he cycled about 400 km per week (including 100+ km on Sundays). I could now guess the reason for his ED.
4. I did not order any investigations, nor did I prescribe any medicines.
I offered him a few tips: sit on a no-nose saddle while cycling, stand on the pedals & cycle every 10 minutes (while cycling), reduce the mileage to 300 km or lesser per week.
I offered him a few tips: sit on a no-nose saddle while cycling, stand on the pedals & cycle every 10 minutes (while cycling), reduce the mileage to 300 km or lesser per week.
5. At one month review, Rijo reported significant improvement- numbness in perineal region had reduced and his sexual functions were much better. *The final diagnosis was: ED and perineal numbness caused by excessive cycling.
6. The mechanism of perineal numbness and ED in cycling is compression of nerve and blood supply to perineal region.
7. Tips to avoid ED and perineal numbness among cyclists-
*Limit cycling mileage to 300 km per week,
*Use a no-nose saddle,
*Cycle with standing on the pedals every 10 minutes (for a few minutes).
*Limit cycling mileage to 300 km per week,
*Use a no-nose saddle,
*Cycle with standing on the pedals every 10 minutes (for a few minutes).
9. Use of no-nose saddles and standing on the pedals every 10 minutes can reduce the negative effects of cycling on perineum in healthy males.
doi.org/10.1007%2Fs402…
doi.org/10.1007%2Fs402…
10. 19% of cyclists with weekly training distance >400 km complained of erectile dysfunction. Numbness in genital region was reported by 61% of cyclists. The study showed that there is a deficiency in penile perfusion due to perineal arterial compression.
doi.org/10.1055/s-2001…
doi.org/10.1055/s-2001…
11. Cycling can adversely affect women too.
Genital numbness is common in women who cycle and is associated with increased risk of Female sexual dysfunction. Higher handlebar height was associated with less numbness.
doi.org/10.1016/j.esxm…
Genital numbness is common in women who cycle and is associated with increased risk of Female sexual dysfunction. Higher handlebar height was associated with less numbness.
doi.org/10.1016/j.esxm…
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