Vulval symptoms in female recreational cyclists

Harrison L, Edey K. Vulval symptoms in female recreational cyclists. Int J Reprod Contracept Obstet Gynecol 2023;12:3446-51.

This study identified that 44% of recreational female cyclists have been deterred from cycling due to vulval/perineal discomfort. Vulval symptoms of pain, redness, chafing and numbness may be the start of more serious cycling related vulval pathology. Management advice including using women specific saddles with a central cut out, professional bike fits, using chamois or barrier cream and avoidance of pubic hair removal may reduce the incidence of vulval complications. The benefit of topical oestrogen to counter the effects of atrophy may be useful for the perimenopausal and menopausal cyclist.