Archive for the ‘bike seat’ Category

What’s Causing Your Erectile Dysfunction? (ED)

December 2, 2015

Erectile dysfunction or impotence affects nearly 14 million American men.  The condition is often associated with diabetes, heart disease, high blood pressure and literally hundreds of medications that side effects of ED.  There are a number of conditions that can be treated that can significantly improve your erection that doesn’t require medication or surgery.

  1. Vitamin D deficiency: vitamin D is a necessary vitamin and when the vitamin D level is decreased, which can be identified by a simple blood test, a man’s erection can be affected. A study has shown that men with severe erectile dysfunction had lower Vitamin D. The solution is as simple as getting outside in the fresh air and getting some sunshine as the sun helps convert inactive vitamin do to the active vitamin that is vital to good health. Many factors affect the skin’s ability to produce vitamin D, including season, time of day, latitude or how far you live from the equator, air pollution, cloud cover, sunscreen, body parts exposed, color, and age. Dermatologists recommend using sunscreen and getting vitamin D from food and supplements rather than risk the harmful rays of the sun.
  2. Diabetes: Erectile dysfunction could be caused by undiagnosed or diagnosed diabetes. If your ED is sudden, consider getting screened and if you know you already have diabetes, expect this to be a risk factor. By getting the glucose level under control and lowering the HbgA1C to normal levels, you can improve your erections.
  3. Your drinking: Alcohol has a reputation of increasing the desire for sexual intimacy but decreasing the performance or make getting and holding an erection difficult. If you have issues getting it up and you have also started increasing the amount of drinks you have, including the frequency, then consider cutting back. Heavy drinking increases your risk of ED.  One to two drinks per day is acceptable will not impact your erections.  More alcohol will certainly impact your performance in the bedroom.
  4. Stress: If you are stressed at work, home or in your relationship, it will affect your sex life. You need to be a relaxed to get in the mood for sex. This problem can also be a catch-22, because if you cannot get it up, you start to stress about that too, making it even more unlikely you will have an erection. So, basically, just relax and take a deep breath and practice mindfulness.
  5. Coffee to the rescue: Studied have found that 42 percent of men who drink between two to three cups of coffee a day are less likely to have erectile dysfunction. Caffeine helps relax the arteries and the smooth muscle within the penis which, in turn, helps increase blood flow.
  6. Not enough sex: The more sex you have, the less likely you are to suffer from ED. What is considered regular? Experts say you can shoot for two – three sexual engagements including orgasms per week.
  7. Smoking: The more you smoke, the more you risk have a flat, flaccid penis. 23 percent of erectile dysfunction occur among men who smoked.
  8. Lack of exercise: Exercises, especially weight resistance ones, do a lot to increase a man’s testosterone which helps reduce the likely of ED. Your levels or testosterone normally drop about 1%a year after age 25.
  9. Bicycle riding: Studies have shown that the longer you ride your bicycle, the higher your chance of developing ED. You do not have to stop riding though, just make some modifications. You can ride shorter distances, get off of the seat every 10-15 minutes for 30 seconds, find comfortable seat and get a bike that is sized appropriately.
  10. Your medications: Some medications like antihypertensive drugs and antidepressants (SSRIs) can cause erectile dysfunction.

 

Bottom Line:  ED is a common problem affecting millions of American men.  Often times the problem can be related to diet, lack of exercise, and poor lifestyle choices. Take a look at these 10 factors that can significantly affect a man’ erection.  Make some adjustments and you will soon be “back in the saddle”!

 

 

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Your Bike May Cause Your Erections To Take a Hike

October 28, 2015

There are many cause of impotence or ED but one of the most common in younger men is bike riding. This blog will discuss the relationship of bike riding to ED and what can be done to prevent problems with bikers erections.

Bicycle seat neuropathy is one of the more common injuries reported by cyclists. The injuries and symptoms are due to the cyclist supporting his or her body weight on a narrow seat, and they are believed to be related to either vascular and\or neurologic injury to the pudendal nerve.

A wide frequency range has been reported for bicycle seat neuropathy, but it is believed to be underreported.

 A study of cyclists who ride for long period of time noted that 22% reported symptoms of either numbness or pain in the pudendal area. 21% reported penile numbness, with 6% cyclists reporting symptoms that lasted longer than 1 week. In addition, 13% reported symptoms of impotence, some men having experienced symptoms for longer than 1 week, and a smaller number reported impotence lasting longer than 1 month.

The cause of bicycle seat neuropathy has been attributed to several different events. One study hypothesized that compression of the pudendal nerve as it passes through the Alcock canal causes the condition. The Alcock canal is enclosed laterally by the ischial bone and medially by the fascial layer of the obturator internus muscle. The pudendal nerve exits the canal ventrally, below the symphysis pubis, and innervates the penis and perineal regions.

Long-distance cycling results in the indirect transmission of pressure onto the perineal nerve within the Alcock canal. Bicycle seat neuropathy is due to temporary and transient injury to the dorsal branch of the pudendal nerve secondary to compression of the nerve between the bicycle seat and the symphysis pubis.

Bicycle seat design (eg, shape) may be the major extrinsic factor for the development of bicycle seat neuropathy. Results of computer modeling showed that wider bicycle seats that support the ischial tuberosities or sit bones decrease pressure on the perineal area. Other studies have also demonstrated the effect bicycle seat design has on penile blood flow.

A recreational or elite cyclist who complains of numbness or impotence after cycling is the typical presentation of bicycle seat neuropathy. The amount of time the athlete spent cycling before the onset of symptoms is variable; however, studies have focused upon longer distance, multiday rides. Use of a stationary bicycle has also been reported as a cause of bicycle seat neuropathy.

Medical issues and complications include continued injury or insult to the area, resulting in continuation of the neuropathy and long-term sequelae such as impotence. Reevaluate the patient after making changes to the bicycle or riding style or after decreasing the training volume to ensure that improvement in symptoms is occurring. Continued symptoms despite changes in the bicycle seat position and training volume may indicate a different source of the symptoms and should warrant reevaluation by the physician.

The mainstay of treatment of bicycle seat neuropathy is the adjustment of the bike seat and bike position, such as tilting the nose of the seat down or lowering the seat height to relieve pressure off the perineum. Other recommendations include having the rider change the style of riding (eg, change positions more frequently or stop riding more frequently).

Newer bicycle seats with a split nose or a center cutout may also help to reduce the prevalence of neuropathy by limiting compression on the perineal area (see below). Some of the newer seats reduced perineal pressure by approximately 50%.

Bottom Line: Bike riding is a very popular form of exercise and recreation. However, long rides can affect a man’s potency and increase the risk of ED. I suggest that if you experience numbness after a long bike ride that you check your seat and speak to someone at the bike shop about a new seat that takes the pressure off of your sit bones so there is less compression of your nerves and blood supply to the penis.

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