Understanding the link between Motorcycle Riding and Erectile Dysfunction
Motorcycle riding is more than a means of transport, it’s a lifestyle, a passion, and for many, an income stream. However, emerging research has revealed a concern that few riders talk about: the potential risk of Erectile Dysfunction (ED) linked to prolonged time in the saddle.
While it may seem surprising, extended periods of pressure on the perineum or “poerkie-njorts” (Afrikaans slang) and constant exposure to vibration can impact a rider’s long-term health. At the Motorcycle Safety Institute of South Africa, we believe in a holistic approach to rider safety, which includes physical well-being on and off the road.
In this article, based on my research on case studies, I’ll highlight the issue every male rider faces, and I explore practical steps every rider can take to minimise the risk of ED and stay healthy in the saddle. But first, let’s look at the problem!
Several studies suggest a potential link, primarily due to factors such as perineal compression and exposure to vibrations during extended periods of riding.
Key Research Findings
- Japanese Study on Motorcyclists: A preliminary study conducted in Japan evaluated 234 motorcyclists and found that 69% were diagnosed with ED based on the International Index of Erectile Function (IIEF-5). The prevalence of ED increased with age among motorcyclists: 58% in their 20s, 63% in their 30s, 76% in their 40s, and 93% in their 50s. The study concluded that motorcycling was a significant risk factor for ED, although the severity was generally mild to moderate.
- Study on Online Motorcycle Taxi Operators: Research focusing on commercial motorcycle operators found a 57.7% prevalence of ED among participants. The study highlighted that longer distances covered daily and more years spent working as a motorcycle taxi operator were associated with increased severity of ED.
- Comparative Study in Nigeria: A comparative cross-sectional study in Ibadan, Nigeria, assessed long-distance commercial vehicle drivers and commercial motorcycle riders. The findings indicated a higher prevalence of ED among commercial motorcycle riders compared to other groups.
Possible Mechanisms
The proposed mechanisms linking motorcycle riding to ED include:
- Perineal Compression: Prolonged sitting on motorcycle seats can compress the perineum, potentially affecting blood flow and nerve function related to erectile performance.
- Vibration Exposure: Continuous exposure to engine vibrations may impact the neurovascular structures involved in erectile function.
Considerations
While these studies suggest a correlation between prolonged motorcycle riding and ED, it’s important to note that factors such as age, overall health, and lifestyle also play significant roles in erectile function.
If you are concerned about this issue, it may be beneficial to consult a healthcare professional for personalised advice and potential preventive measures, which I’ll highlight below.
What can you do to minimise risk?
Based on my observations, riding experience, and opinions by experts in the field, here are practical steps a motorcycle rider can take to minimise the risk of erectile dysfunction (ED) due to prolonged riding:
1. Upgrade to an Ergonomic Seat
- Use a well-padded, anatomically designed seat to reduce pressure on the perineum.
- Look for seats with cut-outs or grooves that relieve pressure on sensitive areas.
- Consider gel or air cushion seat pads for added shock absorption.
2. Adjust your Riding Position
- Avoid a forward-leaning posture for long periods; it increases perineal pressure.
- Use handlebar risers to maintain a more upright and relaxed posture.
- Take frequent breaks (every 60–90 minutes) to stand and relieve pressure.
3. Wear Padded, Supportive Gear
- Invest in motorcycle shorts or padded cycling shorts that offer perineal protection.
- Avoid tight clothing that restricts blood flow or increases friction.
4. Limit Prolonged Daily Riding
- If you’re a daily commuter or delivery rider, limit continuous riding time where possible.
- Plan rest periods during long rides to walk or stretch to improve blood circulation.
5. Reduce Exposure to Vibration
- Fit your motorcycle with vibration-dampening accessories, like anti-vibration handlebars or seat foam inserts.
- Use bikes with smoother engines (e.g., those with balance shafts or modern suspensions) for less vibration.
6. Maintain General Health
- Exercise regularly, focusing on cardiovascular health and pelvic floor strength.
- Maintain a healthy weight, control blood pressure and sugar levels.
- Avoid smoking and excessive alcohol, both of which contribute to ED risk.
7. Monitor and Seek Medical Advice
- If you notice early signs of ED (difficulty maintaining an erection, reduced libido), consult a urologist early.
- Routine checkups can help identify and address contributing issues before they get worse.
Here is a simple rider tip sheet summarising these steps for distribution or awareness.
