Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Female (PD36)1 Apr 2020PD36-04 THE ASSOCIATION BETWEEN BICYCLE-RELATED GENITAL NUMBNESS AND FEMALE SEXUAL DYSFUNCTION: RESULTS FROM A LARGE, MULTINATIONAL, CROSS-SECTIONAL STUDY Hansen Lui*, Mohannad Awad, Micha Zheng, Nikan Namiri, Nnenaya A. Mmonu, Andrew Cohen, Michael L. Eisenberg, and Benjamin Breyer Hansen Lui*Hansen Lui* More articles by this author , Mohannad AwadMohannad Awad More articles by this author , Micha ZhengMicha Zheng More articles by this author , Nikan NamiriNikan Namiri More articles by this author , Nnenaya A. MmonuNnenaya A. Mmonu More articles by this author , Andrew CohenAndrew Cohen More articles by this author , Michael L. EisenbergMichael L. Eisenberg More articles by this author , and Benjamin BreyerBenjamin Breyer More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000907.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The association of cycling with genital numbness has been well-documented in male cyclists. There is a paucity of data on cycling associated genital numbness and its long-term impacts on female sexual function. Our study aims to further characterize the risk factors for genital numbness in female cyclists and examine associations with female sexual dysfunction. METHODS: Participants were recruited through Facebook® advertisements and online outreach to athletic clubs. Surveys on cycling characteristics, genital numbness, and female sexual function using the Female Sexual Function Index were administered. Risk factors for genital numbness and the associations with female sexual dysfunction (FSD) were examined. Multivariate analyses assessing the association between genital numbness and FSD were adjusted for age, BMI, race, marital status, smoking, medical co-morbidities, and urinary symptoms. RESULTS: The study included 875 female cyclists of which 44% reported genital numbness with a greater prevalence reported in younger cyclists. Total lifetime miles cycled, average biking duration, frequency, distance, speed, and biking surface were not associated with genital numbness. Higher handlebar height was associated with less genital numbness. After stratifying for age, there were no differences between total FSFI score among participants who did or did not report numbness (Figure 1). Adjusted odds ratios demonstrated that cyclists with genital numbness had higher odds of FSD (OR=1.43, 95% CI=1.05-1.95). Female cyclists who reported perineal and vaginal numbness had higher odds of FSD (OR=2.72, 95% CI=1.05-7.02 and OR=1.55, 95% CI=1.13-2.13, respectively). Cyclists with longer duration of genital numbness had the highest odds of FSD (OR=6.58, 95% CI=2.27-19.07). CONCLUSIONS: Genital numbness is common in female cyclists and is associated with FSD. These associations are stronger for duration of genital numbness and location of numbness, such as the perineum and vagina. These findings suggest that genital numbness associated with cycling may have an impact on female sexual function. Additional prospective studies are necessary to uncover the temporal nature of these associations. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e724-e724 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hansen Lui* More articles by this author Mohannad Awad More articles by this author Micha Zheng More articles by this author Nikan Namiri More articles by this author Nnenaya A. Mmonu More articles by this author Andrew Cohen More articles by this author Michael L. Eisenberg More articles by this author Benjamin Breyer More articles by this author Expand All Advertisement PDF downloadLoading ...

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