Can cycling cause erectile dysfunction?
Cycling is a heart-healthy, low-impact workout that many men rely on to stay fit, especially as they age. But can logging too many hours on the saddle put your sexual health at risk?
The short answer: it can in certain cases—but it’s not a guaranteed cause of erectile dysfunction (ED), and there are ways to reduce the risk.
Why Cycling May Affect Erectile Function
According to the Massachusetts Male Aging Study, prolonged cycling—especially more than three hours per week—can put pressure on the perineum (the area between the genitals and anus). This pressure can:
Compress arteries
Reduce blood flow
Cause nerve damage
Over time, this may lead to tingling, numbness, or even erectile difficulties.
“Bike riding can damage nerves and compress arteries in the penis, which may lead to erectile problems,” notes Harvard’s Special Health Report on Erectile Dysfunction.
What the Research Says
Before you hang up your helmet, know this: not all studies agree that cycling is a major risk factor.
A large 2014 study published in the Journal of Men's Health surveyed over 5,300 cyclists and found no strong link between cycling and ED or infertility—even among those who rode long hours.
So, what gives? The difference often comes down to bike setup and riding posture, not just time spent pedaling.
How to Protect Your Sexual Health While Cycling
If you're concerned about ED, focus on these key adjustments to reduce pressure and improve comfort:
1. Choose the Right Saddle
Avoid narrow seats or V-shaped saddles.
A study in European Urology showed these can reduce penile oxygen levels by over 70%.
Use a wide, padded, gel-filled saddle with a short nose (under 6 cm) for better support.
2. Adjust Handlebar Height
Handlebars higher than the seat may increase pressure on the perineum.
Lower handlebars reduce the angle of pressure and improve circulation.
Get fitted by a professional at your local bike shop.
3. Consider a Recumbent Bike
Recumbent bikes reduce pressure on the perineum entirely.
A study found no significant drop in penile oxygen in riders using recumbent bikes compared to upright ones.
This may also help if you have back or neck pain.
Know When to Take a Break
If you notice numbness or tingling in your genitals after a ride, that’s a red flag. “These are warning signs that your cycling could lead to erectile problems,” experts warn.
Try this:
Take a week or two off cycling.
Wear padded shorts.
Take breaks during long rides.
Shift positions in the saddle regularly.
Final Thoughts: Do You Need to Stop Cycling?
Not at all—cycling is still a great exercise. Just be aware of your body and make small changes to your gear and riding habits. Most men can ride safely without affecting erectile function, especially with the right bike fit.
If you’re concerned about cycling-related sexual health issues, Bastion Health offers expert virtual care and personalized guidance to keep you riding strong—covered through your employer-sponsored benefits.
