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I think I have cycling induced erectile dysfunction

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February 13th, 2012
I'm in my twenties, and about a year and a half ago I did a big cycling trip. I didn't notice any difference until after I had finished the trip, I do remember sometimes feeling a bit numb or whatever, but it would just get better and I'd carry on the next day.

It's now hard for me to get an erection, I can usually manage it myself, but it's very difficult if i'm with a girl. I wake up quite often with an erection though. I've also noticed that when I am erect it doesn't throb as much as it used to unless I make it...

Is there anything I can do to fix this? I've been reading up on it and apparently cycling a lot compresses the arteries that go to the penis. If I went to the doctor could this be sorted out?
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replied March 18th, 2012
Welcome to e health forum.

A male cyclist can place a significant percentage of his weight on his perineum, an area between the scrotum and the anus where the nerves and arteries to the penis pass. This pressure - and a narrow saddle seat - can injure the arteries and nerves.

The earliest signs indicative of damage include numbness, pain and decreased erectile function.

In case, a trial of medications of Cialis or Viagra are helpful, then psychologic causes could be the main cause of your symptoms.

The best way to make sure, there is nothing wrong with blood flow in the penis, would be with a color doppler sonography (with prostaglandin injections).

This test will help to grade the level of erections, achieved, and help to rule out vascular insufficiency as cause of your issues. In such a situation proper surgical intervention (venous ligation) might be the solution.

You might consult with your doctor or a urologist for additional evaluation and proper advice.
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