Skip to main content

Advertisement

Log in

Sport and male sexuality

  • Review
  • Published:
Journal of Endocrinological Investigation Aims and scope Submit manuscript

Abstract

The relationships between sport and sexuality in males are of great social and clinical interest, because of sports and motor activities that highly promote social and sexual relationships. Even if few literature exist, two main questions should be taken into account: whether and how physical exercise and sport positively or negatively influence sexual health and behavior and/or whether and how sexual behavior may affect a sub-sequent sport performance. Physical exercise and sport per se can influence, positively or negatively, the hypothalamic-pituitary-testicular axis function and, consequently, the individual’s reproductive and/or sexual health. This depends on individual factors such as genetic and epigenetic ones and on different variables involved in the practice of sport activities (type of sport, intensity and duration of training, doping and drug use and abuse, nutrition, supplements, psychological stress, allostatic load, etc.). If well conducted, motor and sport activities could have beneficial effects on sexual health in males. Among different lifestyle changes, influencing sexual health, regular physical activity is fundamental to antagonize the onset of erectile dysfunction (ED). However, competitive sport can lead both reproductive and/or sexual tract damages and dysfunctions, transient (genital pain, hypoesthesia of the genitalia, hypogonadism, DE, altered sexual drive, etc.) or permanent (hypogonadism, DE, etc.), by acting directly (traumas of the external genitalia, saddle-related disorders in cyclists, etc.) or indirectly (exercise-related hypogonadism, drug abuse, doping, stress, etc.). Sexual activities shortly performed before a sport competition could differently influence sport performance. Due to the few existing data, it is advisable to avoid an absolute pre-competition sexual abstinence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Limoncin E, Ciocca G, Gravina GL, Carosa E, Mollaioli D, Cellerino A, Mennucci A, Di Sante S, Lenzi A, Jannini EA (2015) Pregnant women’s preferences for men’s faces differ significantly from nonpregnant women. J Sex Med 12(5):1142–1151

    Article  CAS  PubMed  Google Scholar 

  2. Postma E (2014) A relationship between attractiveness and performance in professional cyclists. Biol Lett 10(2):20130966

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schulte-Hostedde AI, Eys MA, Emond M, Buzdon M (2012) Sport participation influences perceptions of mate characteristics. Evol Psychol 10(1):78–94.

    Article  PubMed  Google Scholar 

  4. Galinsky AD, Hall EV, Cuddy AJ (2013) Gendered races: implications for interracial marriage, leadership selection, and athletic participation. Psychol Sci 24(4):498–506

    Article  PubMed  Google Scholar 

  5. Richter M, Luchters S, Ndlovu D, Temmerman M, Chersich MF (2012) Female sex work and international sport events—no major changes in demand or supply of paid sex during the 2010 Soccer World Cup: a cross-sectional study. BMC Public Health 12:763

    Article  PubMed  PubMed Central  Google Scholar 

  6. Deering KN, Chettiar J, Chan K, Taylor M, Montaner JS, Shannon K (2010) Sex work and the public health impacts of the 2010 Olympic Games. Sex Transm Infect 88(4):301–303

    Article  Google Scholar 

  7. Habel MA, Dittus PJ, De Rosa CJ, Chung EQ, Kerndt PR (2010) Daily participation in sports and students’ sexual activity. Perspect Sex Reprod Health 42(4):244–250

    Article  PubMed  Google Scholar 

  8. Marks S, Mountjoy M, Marcus M (2012) Sexual harassment and abuse in sport: the role of the team doctor. Br J Sports Med 46(13):905–908

    Article  PubMed  Google Scholar 

  9. Psutka R, Priest P, Dickson N, Connor J, Azariah S, Kennedy J, Morgan J, McIlraith J (2012) Sexual health and the Rugby World Cup 2011: a cross-sectional study of sexual health clinics in New Zealand. Sex Health 9(5):466–471

    Article  PubMed  Google Scholar 

  10. Anderson E (2011) Masculinities and sexualities in sport and physical cultures: three decades of evolving research. J Homosex 58(5):565–578

    Article  PubMed  Google Scholar 

  11. Campbell J, Cothren D, Rogers R, Kistler L, Osowski A, Greenauer N, End C (2011) Sport fans’ impressions of gay male athletes. J Homosex 58(5):597–607

    Article  PubMed  Google Scholar 

  12. Cavalier ES (2011) Men at sport: gay men’s experiences in the sport workplace. J Homosex 58(5):626–646

    Article  PubMed  Google Scholar 

  13. Ciocca G, Limoncin E, Carosa E, Di Sante S, Gravina GL, Mollaioli D, Gianfrilli D, Lenzi A, Jannini EA (2016) Is testosterone a food for the brain? Sex Med Rev 4(1):15–25

    Article  PubMed  Google Scholar 

  14. Crewther BT, Cook C, Cardinale M, Weatherby RP, Lowe T (2011) Two emerging concepts for elite athletes: the short-term effects of testosterone and cortisol on the neuromuscular system and the dose-response training role of these endogenous hormones. Sports Med 41(2):103–123

    Article  PubMed  Google Scholar 

  15. Wood RI, Stanton SJ (2012) Testosterone and sport: current perspectives. Horm Behav 61(1):147–155

    Article  CAS  PubMed  Google Scholar 

  16. Felici F, Bazzucchi I, Sgrò P, Quinzi F, Conti A, Aversa A, Gizzi L, Mezzullo M, Romanelli F, Pasquali R, Lenzi A, Di Luigi L (2016) Acute severe male hypo-testosteronemia affects central motor command in humans. J Electromyogr Kinesiol 28:184–192

    Article  PubMed  Google Scholar 

  17. Sgrò P, Romanelli F, Felici F, Sansone M, Bianchini S, Buzzachera CF, Baldari C, Guidetti L, Pigozzi F, Lenzi A, Di Luigi L (2014) Testosterone responses to standardized short-term sub-maximal and maximal endurance exercises: issues on the dynamic adaptive role of the hypothalamic-pituitary-testicular axis. J Endocrinol Invest 37(1):13–24

    Article  PubMed  CAS  Google Scholar 

  18. Lombardo F, Sgrò P, Salacone P, Gilio B, Gandini L, Dondero F, Jannini EA, Lenzi A (2005) Androgens and fertility. J Endocrinol Invest 28(3 Suppl):51–55

    CAS  PubMed  Google Scholar 

  19. Francomano D, Fattorini G, Gianfrilli D, Paoli D, Sgrò P, Radicioni A, Romanelli F, Di Luigi L, Gandini L, Lenzi A, Aversa A (2016) Acute endothelial response to testosterone gel administration in men with severe hypogonadism and its relationship to androgen receptor polymorphism: a pilot study. J Endocrinol Invest 39(3):265–271

    Article  CAS  PubMed  Google Scholar 

  20. Isidori AM, Balercia G, Calogero AE, Corona G, Ferlin A, Francavilla S, Santi D, Maggi M (2015) Outcomes of androgen replacement therapy in adult male hypogonadism: recommendations from the Italian society of endocrinology. J Endocrinol Invest 38(1):103–112

    Article  CAS  PubMed  Google Scholar 

  21. Di Luigi L, Guidetti L, Baldari C, Romanelli F (2003) Heredity and pituitary response to exercise-related stress in trained men. Int J Sports Med 24(8):551–558

    Article  CAS  PubMed  Google Scholar 

  22. Goldstein DS, Kopin IJ (2008) Adrenomedullary, adrenocortical and sympathoadrenal responses to stressors: a meta-analysis. Endocr Regul 42(4):111–119

    PubMed  PubMed Central  Google Scholar 

  23. Maresh CM, Whittlesey MJ, Armstrong LE, Yamamoto LM, Judelson DA, Fish KE, Casa DJ, Kavouras SA, Castracane VD (2006) Effect of hydration state on testosterone and cortisol responses to training-intensity exercise in collegiate runners. Int J Sports Med 27(10):765–770

    Article  CAS  PubMed  Google Scholar 

  24. Kajantie E, Phillips DI (2006) The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology 31(2):151–178

    Article  CAS  PubMed  Google Scholar 

  25. Minetto MA, Lanfranco F, Baldi M, Termine A, Kuipers H, Ghigo E, Rainoldi A (2007) Corticotroph axis sensitivity after exercise: comparison between elite athletes and sedentary subjects. J Endocrinol Invest 30(3):215–223

    Article  CAS  PubMed  Google Scholar 

  26. Hill EE, Zack E, Battaglini C, Viru M, Viru A, Hackney AC (2008) Exercise and circulating cortisol levels: the intensity threshold effect. J Endocrinol Invest 31(7):587–591

    Article  CAS  PubMed  Google Scholar 

  27. Ceci R, Duranti G, Rossi A, Savini I, Sabatini S (2011) Skeletal muscle differentiation: role of dehydroepiandrosterone sulfate. Horm Metab Res 43(10):702–707

    Article  CAS  PubMed  Google Scholar 

  28. Derbré F, Vincent S, Maitel B, Jacob C, Delamarche P, Delamarche A, Zouhal H (2010) Androgen responses to sprint exercise in young men. Int J Sports Med 31(5):291–297

    Article  PubMed  CAS  Google Scholar 

  29. Mani Maran RR, Sivakumar R, Ravisankar B, Valli G, Ravichandran K, Arunakaran J, Aruldhas MM (2000) Growth hormone directly stimulates testosterone and oestradiol secretion by rat Leydig cells in vitro and modulates the effects of LH and T3. Endocr J 47(2):111–118

    Article  CAS  PubMed  Google Scholar 

  30. Maran RR, Arunakaran J, Aruldhas MM (2001) Prolactin and Leydig cells: biphasic effects of prolactin on LH-, T3- and GH-induced testosterone/oestradiol secretion by Leydig cells in pubertal rats. Int J Androl 24(1):48–55

    Article  CAS  PubMed  Google Scholar 

  31. Brownlee KK, Moore AW, Hackney AC (2005) Relationship between circulating cortisol and testosterone: influence of physical exercise. J Sports Sci Med 4(1):76–83

    PubMed  PubMed Central  Google Scholar 

  32. Daly W, Seegers CA, Rubin DA, Dobridge JD, Hackney AC (2005) Relationship between stress hormones and testosterone with prolonged endurance exercise. Eur J Appl Physiol 93(4):375–380

    Article  CAS  PubMed  Google Scholar 

  33. Hardy MP, Gao HB, Dong Q, Ge R, Wang Q, Chai WR, Feng X, Sottas C (2005) Stress hormone and male reproductive function. Cell Tissue Res 322(1):147–153

    Article  CAS  PubMed  Google Scholar 

  34. Baldari C, Di Luigi L, Emerenziani GP, Gallotta MC, Sgrò P, Guidetti L (2009) Is explosive performance influenced by androgen concentrations in young male soccer players? Br J Sports Med 43(3):191–194

    Article  CAS  PubMed  Google Scholar 

  35. Del Corral P, Schurman RC, Kinza SS, Fitzgerald MJ, Kordick CA, Rusch JL, Nadolski JB (2016) Salivary but not plasma cortisone tracks the plasma cortisol response to exercise: effect of time of day. J Endocrinol Invest 39(3):315–322

    Article  CAS  PubMed  Google Scholar 

  36. Di Luigi L, Romanelli F, Lenzi A (2005) Androgenic-anabolic steroids abuse in males. J Endocrinol Invest 28(3 Suppl):81–84

    CAS  PubMed  Google Scholar 

  37. Di Luigi L, Guidetti L, Pigozzi F, Baldari C, Casini A, Nordio M, Romanelli F (1999) Acute amino acids supplementation enhances pituitary responsiveness in athletes. Med Sci Sports Exerc 31(12):1748–1754

    Article  CAS  PubMed  Google Scholar 

  38. Di Luigi L, Rossi C, Sgrò P, Fierro V, Romanelli F, Baldari C, Guidetti L (2007) Do non-steroidal anti-inflammatory drugs influence the steroid hormone milieu in male athletes? Int J Sport Med 28(10):809–814

    Article  CAS  Google Scholar 

  39. Di Luigi L (2008) Supplements and endocrine system in athletes. Clin Sports Med 27(1):131–151

    Article  PubMed  Google Scholar 

  40. Di Luigi L, Baldari C, Sgrò P, Emerenziani GP, Gallotta MC, Bianchini S, Romanelli F, Pigozzi F, Lenzi A, Guidetti L (2008) The type 5 phosphodiesterase inhibitor tadalafil influences salivary cortisol, testosterone, and dehydroepiandrosterone sulfate responses to maximal exercise in healthy man. J Clin Endocrinol Metab 93(9):3510–3514

    Article  CAS  PubMed  Google Scholar 

  41. Handelsman DJ (2011) Androgen misuse and abuse. Best Pract Res Clin Endocrinol Metab 2011, 25(2):377–389

    Article  CAS  PubMed  Google Scholar 

  42. Di Luigi L, Sgrò P, Baldari C, Gallotta MC, Emerenziani GP, Crescioli C, Bianchini S, Romanelli F, Lenzi A, Guidetti L (2012) The phosphodiesterases type 5 inhibitor tadalafil reduces the activation of the hypothalamus-pituitary-adrenal axis in men during cycle ergometric exercise. Am J Physiol Endocrinol Metab 302(8):E972–E978

    Article  CAS  PubMed  Google Scholar 

  43. Di Luigi L, Baldari C, Pigozzi F, Emerenziani GP, Gallotta MC, Iellamo F, Ciminelli E, Sgrò P, Romanelli F, Lenzi A, Guidetti L (2008) The long-acting phosphodiesterase inhibitor tadalafil does not influence athletes’ VO2max, aerobic, and anaerobic thresholds in normoxia. Int J Sports Med 29(2):110–115

    Article  CAS  PubMed  Google Scholar 

  44. Scolletta S, Colletti M, Di Luigi L, Crescioli C (2013) Vitamin D receptor agonists target CXCL10: new therapeutic tools for resolution of inflammation. Mediators Inflamm 2013:876319

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  45. Brunelli A, Dimauro I, Sgrò P, Emerenziani GP, Magi F, Baldari C, Guidetti L, Di Luigi L, Parisi P, Caporossi D (2012) Acute exercise modulates BDNF and pro-BDNF protein content in immune cells. Med Sci Sports Exerc 44(10):1871–1880

    Article  CAS  PubMed  Google Scholar 

  46. Sabatini S, Sgrò P, Duranti G, Ceci R, Di Luigi L (2011) Tadalafil alters energy metabolism in C2C12 skeletal muscle cells. Acta Biochim Pol 58(2):237–241

    CAS  PubMed  Google Scholar 

  47. Ceci R, Duranti G, Sgrò P, Sansone M, Guidetti L, Baldari C, Sabatini S, Di Luigi L (2015) Effects of tadalafil administration on plasma markers of exercise-induced muscle damage, IL6 and antioxidant status capacity. Eur J Appl Physiol 115(3):531–539

    Article  CAS  PubMed  Google Scholar 

  48. Pittaluga M, Sgadari A, Tavazzi B, Fantini C, Sabatini S, Ceci R, Amorini AM, Parisi P, Caporossi D (2013) Exercise-induced oxidative stress in elderly subjects: the effect of red orange supplementation on the biochemical and cellular response to a single bout of intense physical activity. Free Radic Res 47(3):202–211

    Article  CAS  PubMed  Google Scholar 

  49. Sgrò P, Sansone M, Parisi A, Sartorio A, Sansone A, Romanelli F, Lenzi A, Di Luigi L (2016) Supra-physiological rhGH administration induces gender-related differences in the hypothalamus-pituitary-thyroid (HPT) axis in healthy individuals. J Endocrinol Invest 39(12):1383–1390

    Article  PubMed  CAS  Google Scholar 

  50. Di Luigi L, Botrè F, Sabatini S, Sansone M, Mazzarino M, Guidetti L, Baldari C, Lenzi A, Caporossi D, Romanelli F, Sgrò P (2014) Acute effects of physical exercise and phosphodiesterase’s type 5 inhibition on serum 11β-hydroxysteroid dehydrogenases related glucocorticoids metabolites: a pilot study. Endocr 47(3):952–958

    Article  CAS  Google Scholar 

  51. Sgrò P, Guidetti L, Crescioli C, Baldari C, Romanelli F, Bianchini S, D’Armiento M, Lenzi A, Di Luigi L (2010) Effect of supra-physiological dose administration of rhGH on pituitary-thyroid axis in healthy male athletes. Regul Pept 165(2–3):163–167

    Article  PubMed  CAS  Google Scholar 

  52. Tremblay MS, Copeland JL, Van Helder W (2005) Influence of exercise duration on post-exercise steroid hormone responses in trained males. Eur J Appl Physiol 94(5–6):505–513

    Article  CAS  PubMed  Google Scholar 

  53. Crewther B, Keogh J, Cronin J, Cook C (2006) Possible stimuli for strength and power adaptation: acute hormonal responses. Sports Med 36(3):215–238

    Article  PubMed  Google Scholar 

  54. Hackney AC, Hosick KP, Myer A, Rubin DA, Battaglini CL (2012) Testosterone responses to intensive interval versus steady-state endurance exercise. J Endocrinol Invest 35(11):947–950

    Article  CAS  PubMed  Google Scholar 

  55. Kraemer WJ, Ratamess NA (2005) Hormonal responses and adaptations to resistance exercise and training. Sports Med 35(4):339–361

    Article  PubMed  Google Scholar 

  56. Vingren JL, Kraemer WJ, Ratamess NA, Anderson JM, Volek JS, Maresh CM (2010) Testosterone physiology in resistance exercise and training: the up-stream regulatory elements. Sports Med 40(12):1037–1053

    Article  PubMed  Google Scholar 

  57. Lutoslawska G, Obminski Z, Krogulski A, Sendecki W (1991) Plasma cortisol and testosterone following 19-km and 42-km kayak races. J Sports Med Phys Fitness 31(4):538–542

    CAS  PubMed  Google Scholar 

  58. Snegovskaya V, Viru A (1993) Steroid and pituitary hormone responses to rowing: relative significance of exercise intensity and duration and performance level. Eur J Appl Physiol Occup Physiol 67(1):59–65

    Article  CAS  PubMed  Google Scholar 

  59. Ponjee GA, De Rooy HA, Vader HL (1994) Androgen turnover during marathon running. Med Sci Sports Exerc 26(10):1274–1277

    Article  CAS  PubMed  Google Scholar 

  60. Sherk VD, Sherk KA, Kim S, Young KC, Bemben DA (2011) Hormone responses to a continuous bout of rock climbing in men. Eur J Appl Physiol 111(4):687–693

    Article  CAS  PubMed  Google Scholar 

  61. Yarrow JF, McCoy SC, Borst SE (2012) Intracrine and myotrophic roles of 5α-reductase and androgens: a review. Med Sci Sports Exerc 44(5):818–826

    Article  CAS  PubMed  Google Scholar 

  62. Di Luigi L, Romanelli F, Sgrò P, Lenzi A (2012) Andrological aspects of physical exercise and sport medicine. Endocr 42(2):278–284

    Article  CAS  Google Scholar 

  63. Shkurnikov MU, Donnikov AE, Akimov EB, Sakharov DA, Tonevitsky AG (2008) Free testosterone as marker of adaptation to medium-intensive exercise. Bull Exp Biol Med 146(3):354–357

    Article  CAS  PubMed  Google Scholar 

  64. Grandys M, Majerczak J, Duda K, Zapart-Bukowska J, Kulpa J, Zoladz JA (2009) Endurance training of moderate intensity increases testosterone concentration in young, healthy men. Int J Sports Med 30(7):489–495

    Article  CAS  PubMed  Google Scholar 

  65. Ahtiainen JP, Hulmi JJ, Kraemer WJ, Lehti M, Nyman K, Selänne H, Alen M, Pakarinen A, Komulainen J, Kovanen V, Mero AA, Häkkinen K (2011) Heavy resistance exercise training and skeletal muscle androgen receptor expression in younger and older men. Steroids 76:183–192

    Article  CAS  PubMed  Google Scholar 

  66. Hackney AC (2008) Effects of endurance exercise on the reproductive system of men: the “exercise-hypogonadal male condition”. J Endocrinol Invest 31(10):932–938

    Article  CAS  PubMed  Google Scholar 

  67. Rastrelli G, Corona G, Tarocchi M, Mannucci E, Maggi M (2016) How to define hypogonadism? Results from a population of men consulting for sexual dysfunction. J Endocrinol Invest 39(4):473–484

    Article  CAS  PubMed  Google Scholar 

  68. Di Luigi L, Guidetti L, Baldari C, Fabbri A, Moretti C, Romanelli F (2002) Physical stress and qualitative gonadotropin secretion: LH biological activity at rest and after exercise in trained and untrained men. Int J Sports Med 23(5):307–312

    Article  CAS  PubMed  Google Scholar 

  69. Cairney J, Veldhuizen S, Kwan M, Hay J, Faught BE (2014) Biological age and sex-related declines in physical activity during adolescence. Med Sci Sports Exerc 46(4):730–735

    Article  PubMed  Google Scholar 

  70. Allouh MZ (2015) Effects of swimming activity on the copulatory behavior of sexually active male rats. Int J Impot Res 27(3):113–117

    Article  CAS  PubMed  Google Scholar 

  71. Hsiao W, Shrewsberry AB, Moses KA, Johnson TV, Cai AW, Stuhldreher P, Dusseault B, Ritenour CW (2012) Exercise is associated with better erectile function in men under 40 as evaluated by the International Index of Erectile Function. J Sex Med 9(2):524–530

    Article  PubMed  Google Scholar 

  72. Derby CA, Mohr BA, Goldstein I, Feldman HA, Johannes CB, McKinlay JB (2000) Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk? Urology 56(2):302–306

    Article  CAS  PubMed  Google Scholar 

  73. Derby CA, Araujo AB, Johannes CB, Feldman HA, McKinlay JB (2000) Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts male aging study. Int J Impot Res 12(4):197–204

    Article  CAS  PubMed  Google Scholar 

  74. Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D’Andrea F, D’Armiento M, Giugliano D (2004) Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA 291(24):2978–2984

    Article  CAS  PubMed  Google Scholar 

  75. Esposito K, Ciotola M, Giugliano F, Maiorino MI, Autorino R, De Sio M, Giugliano G, Nicoletti G, D’Andrea F, Giugliano D (2009) Effects of intensive lifestyle changes on erectile dysfunction in men. J Sex Med 6(1):243–250

    Article  CAS  PubMed  Google Scholar 

  76. Shiri R, Koskimaki J, Hakkinen J, Tammela TL, Huhtala H, Hakama M, Auvinen A (2004) Tampere ageing male urological study effects of age, co morbidity and lifestyle factors on erectile function: tampere ageing male urological study (TAMUS). Eur Urol 45(5):628–633

    Article  PubMed  Google Scholar 

  77. Moyad MA, Barada JH, Lue TF, Mulhall JP, Goldstein I, Fawzy A (2004) Sexual medicine society nutraceutical committee. Prevention and treatment of erectile dysfunction using lifestyle changes and dietary supplements: what works and what is worthless, part I. Urol Clin North Am 31(2):249–257

    Article  PubMed  Google Scholar 

  78. Revnic CR, Nica AS, Revnic F (2007) The impact of physical training on endocrine modulation, muscle physiology and sexual funcion in elderly men. Arch Gerontol Geriatr 44(1):339–342

    Article  CAS  PubMed  Google Scholar 

  79. Cheng JY, Ng EM (2007) Body mass index, physical activity and erectile dysfunction: an U-shaped relationship from population-based study. Int J Obes (Lond) 31(10):1571–1578

    Article  CAS  Google Scholar 

  80. Cheng JY, Ng EM, Ko JS, Chen RY (2007) Physical activity and erectile dysfunction: meta-analysis of population-based studies. Int J Impot Res 19(3):245–252

    Article  CAS  PubMed  Google Scholar 

  81. Maio G, Saraeb S, Marchiori A (2010) Physical activity and PDE5 inhibitors in the treatment of erectile dysfunction: results of a randomized controlled study. J Sex Med 7(6):2201–2208

    Article  PubMed  Google Scholar 

  82. Khoo J, Tian HH, Tan B, Chew K, Ng CS, Leong D, Teo RC, Chen RY (2013) Comparing effects of low- and high-volume moderate-intensity exercise on sexual function and testosterone in obese men. J Sex Med 10(7):1823–1832

    Article  CAS  PubMed  Google Scholar 

  83. La Vignera S, Condorelli R, Vicari E, D’Agata R, Calogero A (2011) Aerobic physical activity improves endothelial function in the middle-aged patients with erectile dysfunction. Aging Male 14(4):265–272

    Article  CAS  PubMed  Google Scholar 

  84. La Vignera S, Condorelli R, Vicari E, D’Agata R, Calogero AE (2012) Physical activity and erectile dysfunction in middle-aged men. J Androl 33(2):154–161

    Article  PubMed  Google Scholar 

  85. Adeniyi AF, Adeleye JO, Adeniyi CY (2010) Diabetes, sexual dysfunction and therapeutic exercise: a 20 year review. Curr Diabetes Rev 6(4):201–206

    Article  PubMed  Google Scholar 

  86. Kalka D, Domagała Z, Dworak J, Womperski K, Rusiecki L, Marciniak W, Adamus J, Pilecki W (2013) Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training. Kardiol Pol 71(6):573–580

    Article  PubMed  Google Scholar 

  87. Booth FW, Roberts CK, Laye MJ (2012) Lack of exercise is a major cause of chronic diseases. Compr Physiol 2(2):1143–1211

    PubMed  PubMed Central  Google Scholar 

  88. Debeaumont D, Tardif C, Folope V, Castres I, Lemaitre F, Tourny C, Dechelotte P, Thill C, Darmon A, Coquart JB (2016) A specific prediction equation is necessary to estimate peak oxygen uptake in obese patients with metabolic syndrome. J Endocrinol Invest 39(6):635–642

    Article  CAS  PubMed  Google Scholar 

  89. Kazemi F (2016) The correlation of resistance exercise-induced myostatin with insulin resistance and plasma cytokines in healthy young men. J Endocrinol Invest 39(4):383–388

    Article  CAS  PubMed  Google Scholar 

  90. Bryan AD, Hutchison KE (2012) The role of genomics in health behavior change: challenges and opportunities. Public Health. Genomics 15(3–4):139–145

    CAS  Google Scholar 

  91. Teran-Garcia M, Rankinen T, Bouchard C (2008) Genes, exercise, growth, and the sedentary, obese child. J Appl Physiol (1985) 105(3):988–1001

    Article  PubMed  Google Scholar 

  92. Bouchard C (2015) Exercise genomics–a paradigm shift is needed: a commentary. Br J Sports Med 49(23):1492–1496

    Article  PubMed  Google Scholar 

  93. Ahmetov II, Fedotovskaya ON (2015) Current Progress in Sports Genomics. Adv Clin Chem 70:247–314

    Article  PubMed  Google Scholar 

  94. Brown WM (2015) Exercise-associated DNA methylation change in skeletal muscle and the importance of imprinted genes: a bioinformatics meta-analysis. Br J Sports Med 49(24):1567–1578

    Article  PubMed  Google Scholar 

  95. Zimmer P, Bloch W (2015) Physical exercise and epigenetic adaptations of the cardiovascular system. Herz 40(3):353–360

    Article  CAS  PubMed  Google Scholar 

  96. Pareja-Galeano H, Sanchis-Gomar F, García-Giménez JL (2014) Physical exercise and epigenetic modulation: elucidating intricate mechanisms. Sports Med 44(4):429–436

    Article  PubMed  Google Scholar 

  97. Denham J, Marques FZ, O’Brien BJ, Charchar FJ (2014) Exercise: putting action into our epigenome. Sports Med 44(2):189–209

    Article  PubMed  Google Scholar 

  98. Ehlert T, Simon P, Moser DA (2013) Epigenetics in sports. Sports Med 43(2):93–110

    Article  PubMed  Google Scholar 

  99. Nogueira Avelar E Silva R, Wijtzes A, van de Bongardt D, van de Looij-Jansen P, Bannink R, Raat H (2016) Early Sexual Intercourse: Prospective Associations with Adolescents Physical Activity and Screen Time. PLoS One 11(8):e0158648

    Article  PubMed  PubMed Central  Google Scholar 

  100. Di Luigi L, Sgrò P, Fierro V, Bianchini S, Battistini G, Magini V, Jannini EA, Lenzi A (2010) Prevalence of undiagnosed testosterone deficiency in aging athletes: does exercise training influence the symptoms of male hypogonadism? J Sex Med 7(7):2591–2601

    Article  CAS  PubMed  Google Scholar 

  101. Plinta R, Sobiecka J, Drosdzol-Cop A, Nowak-Brzezińska A, Skrzypulec-Plinta V (2015) Sexuality of disabled athletes depending on the form of locomotion. J Hum Kinet 12(48):79–86

    Google Scholar 

  102. Plinta R, Sobiecka J, Drosdzol-Cop A, Nowak-Brzezińska A, Kobiołka A, Skrzypulec-Plinta V (2015) Sexual health of polish athletes with disabilities. Int J Environ Res Public Health 12(7):7417–7429

    Article  PubMed  PubMed Central  Google Scholar 

  103. Limoncin E, Galli D, Ciocca G, Gravina GL, Carosa E, Mollaioli D, Lenzi A, Jannini EA (2014) The psychosexual profile of sexual assistants: an internet-based explorative study. PLoS One 11;9(2):e98413

    Article  PubMed  PubMed Central  Google Scholar 

  104. Tasiemski T, Brewer BW (2011) Athletic identity, sport participation, and psychological adjustment in people with spinal cord injury. Adapt Phys Activ Q 28(3):233–250

    Article  PubMed  Google Scholar 

  105. Dinomais M, Gambart G, Bruneau A, Bontoux L, Deries X, Tessiot C, Richard I (2010) Social functioning and self-esteem in young people with disabilities participating in adapted competitive sport. Neuropediatrics 41(2):49–54

    Article  CAS  PubMed  Google Scholar 

  106. Di Luigi L, Gentile V, Pigozzi F, Parisi A, Giannetti D, Romanelli F (2000) Physical activity as a possible aggravating factor for athletes with varicocele: impact on the semen profile. Hum Repr 16(6):1180–1184

    Article  Google Scholar 

  107. Di Luigi L, Pelliccia A, Bonetti A, Francavilla G, Ganzit Gp, Veicsteinas A, Accettura D, Bagnini B, Cantore R, Castagna W, Ciacciarelli C, Costini G, Cuffari B, Drago E, Federici V, Gribaudo Cg, Iacovelli G, Landolfi L, Menichetti G, Olla Atzeni U, Parisi A, Pizzi A, Rosa M, Santelli F, Santilio F, Culasso F (2004) Clinical efficacy and preventive role of the pre-partecipation physical examination in Italy: results of a national study on 32 652 athletes examined at the operative units of sports medicine associated with the italian federation of sport medicine (FMSI). Medicina Dello Sport 57:243–270

    Google Scholar 

  108. De Rose AF, Giglio M, De Caro G, Corbu C, Traverso P, Carmignani G (2001) Arterial priapism and cycling: a new worrisome reality? Urology 58(3):462

    Article  PubMed  Google Scholar 

  109. Goldstein I, Lurie AL, Lubisich JP (2007) Bicycle riding, perineal trauma, and erectile dysfunction: data and solutions. Curr Urol Rep 8(6):491–497

    Article  PubMed  Google Scholar 

  110. Schrader SM, Breitenstein MJ, Clark JC, Lowe BD, Turner TW (2002) Nocturnal penile tumescence and rigidity testing in bicycling patrol officers. J Androl 23(6):927–934

    PubMed  Google Scholar 

  111. Dettori JR, Koepsell TD, Cummings P, Corman JM (2004) Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics. J Urol 172(2):637–641

    Article  PubMed  Google Scholar 

  112. Leibovitch I, Mor Y (2005) The vicious cycling: bicycling related urogenital disorders. Eur Urol 47(3):277–286

    Article  PubMed  Google Scholar 

  113. Asplund C, Barkdull T, Weiss BD (2007) Genitourinary problems in bicyclists. Curr Sports Med Rep 6(5):333–339

    PubMed  Google Scholar 

  114. Nanka O, Sedý J, Jarolím L (2007) Sulcus nervi dorsalis penis: site of origin of Alcock’s syndrome in bicycle riders? Med Hypotheses 69(5):1040–1045

    Article  CAS  PubMed  Google Scholar 

  115. Colpi GM, Contalbi G, Ciociola E, Mihalca R (2008) Erectile dysfunction and amatorial cycling. Arch Ital Urol Androl 80(3):123–126

    PubMed  Google Scholar 

  116. Goldstein I (2008) The A, B, C’s of the. Journal of sexual medicine: awareness bicycle seats choices. J Sex Med 5(8):1773–1775

    Article  PubMed  Google Scholar 

  117. Sommer F, Goldstein I, Korda JB (2010) Bicycle riding and erectile dysfunction: a review. J Sex Med 7(7):2346–2358

    Article  PubMed  Google Scholar 

  118. Mulhall JP, Honig SC (1996) Priapism: etiology and management. Acad Emerg Med 3(8):810–816

    Article  CAS  PubMed  Google Scholar 

  119. Nayal W, Schwarzer U, Klotz T, Heidenreich A, Engelmann U (1999) Transcutaneous penile oxygen pressure during bicycling. BJU Int 83(6):623–625

    Article  CAS  PubMed  Google Scholar 

  120. Cohen JD, Gross MT (2005) Effect of bicycle racing saddle design on transcutaneous penile oxygen pressure. J Sports Med Phys Fitness 45(3):409–418

    CAS  PubMed  Google Scholar 

  121. Huang V, Munarriz R, Goldstein I (2005) Bicycle riding and erectile dysfunction: an increase in interest (and concern). J Sex Med 2(5):596–604

    Article  PubMed  Google Scholar 

  122. Munarriz R, Huang V, Uberoi J, Maitland S, Payton T, Goldstein I (2005) Only the nose knows: penile hemodynamic study of the perineum-saddle interface in men with erectile dysfunction utilizing bicycle saddles and seats with and without nose extensions. J Sex Med 2(5):612–619

    Article  PubMed  Google Scholar 

  123. Kendirci M, Trost L, Sikka SC, Hellstrom WJ (2007) The effect of vascular risk factors on penile vascular status in men with erectile dysfunction. J Urol 178(6):2516–2520

    Article  PubMed  Google Scholar 

  124. Silbert PL, Dunne JW, Edis RH, Stewart-Wynne EG (1991) Bicycling induced pudendal nerve pressure neuropathy. Clin. Exp Neurol 28:191–196

    CAS  Google Scholar 

  125. Oberpenning F, Roth S, Leusmann DB, van Ahlen H, Hertle L (1994) The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol 151(2):423–425

    Article  CAS  PubMed  Google Scholar 

  126. Andersen KV, Bovim G (1997) Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand 95(4):233–240

    Article  CAS  PubMed  Google Scholar 

  127. Jeong SJ, Park K, Moon JD, Ryu SB (2002) Bicycle saddle shape affects penile blood flow. Int J Impot Res 14(6):513–517

    Article  PubMed  Google Scholar 

  128. Schwarzer U, Sommer F, Klotz T, Cremer C, Engelmann U (2002) Cycling and penile oxygen pressure: the type of saddle matters. Eur Urol 41(2):139–143

    Article  PubMed  Google Scholar 

  129. Spears IR, Cummins NK, Brenchley Z, Donohue C, Turnbull C, Burton S, Macho GA (2003) The effect of saddle design on stresses in the perineum during cycling. Med Sci Sports Exerc 35(9):1620–1625

    Article  PubMed  Google Scholar 

  130. Wilson C, Bush TR (2007) Interface forces on the seat during a cycling activity. Clin Biomech (Bristol Avon) 22(9):1017–1023

    Article  Google Scholar 

  131. Gemery JM, Nangia AK, Mamourian AC, Reid SK (2007) Digital three-dimensional modelling of the male pelvis and bicycle seats: impact of rider position and seat design on potential penile hypoxia and erectile dysfunction. BJU Int 99(1):135–140

    Article  PubMed  Google Scholar 

  132. Ramsey S (2007) Digital three-dimensional modelling of the male pelvis and bicycle seats: impact of rider position and seat design on potential penile hypoxia and erectile dysfunction. BJU Int 100(4):947

    Article  PubMed  Google Scholar 

  133. Marceau L, Kleinman K, Goldstein I, McKinlay J (2001) Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts male aging study (MMAS). Int J Impot Res 13(5):298–302

    Article  CAS  PubMed  Google Scholar 

  134. McGlone S, Shrier I (2000) Does sex the night before the competition decrease performance? Clin J Sport Med 10(4):233–234

    Article  CAS  PubMed  Google Scholar 

  135. White JR Case DA, McWhirter D, Mattison AM (1990) Enhanced sexual behaviour in exercising men. Arch Sex Behav 19(3):193–209

    Article  PubMed  Google Scholar 

  136. Stefani L, Galanti G, Padulo J, Bragazzi NL, Maffulli N (2016) Sexual activity before sports competition: a systematic review. Front Physiol 7:246

    Article  PubMed  PubMed Central  Google Scholar 

  137. Palmeri ST, Kostis JB, Casazza L, Sleeper LA, Lu M, Nezgoda J, Rosen RS (2007) Heart rate and blood pressure response in adult men and women during exercise and sexual activity. Am J Cardiol 100(12):1795–1801

    Article  PubMed  Google Scholar 

  138. Boone T, Gilmore S (1995) Effect of sexual intercourse on maximal aerobic power, oxygen pulse, and double product in male sedentary subjects. J Sports Med Phys Fitness 35(3):214–217

    CAS  PubMed  Google Scholar 

  139. Sztajzel J Périat M, Marti V, Krall P, Rutishauser W (2000) Effect of sexual activity on cycle ergometer stress test parameters, on plasmatic testosterone levels and on concentration capacity. A study in high-level male athletes performed in the laboratory. J Sports Med Phys Fitness 40(3):233–239

    PubMed  Google Scholar 

  140. Vignozzi L, Corona G, Petrone L, Filippi S, Morelli AM, Forti G, Maggi M (2005) Testosterone and sexual activity. J Endocrinol Invest 28(3 Suppl):39–44

    CAS  PubMed  Google Scholar 

  141. Corona G, Isidori AM, Aversa A, Burnett AL, Maggi M (2016) Endocrinologic control of men’s sexual desire and arousal/erection. J Sex Med 13(3):317–337

    Article  PubMed  Google Scholar 

  142. Carosa E, Benvenga S, Trimarchi F, Lenzi A, Pepe M, Simonelli C, Jannini EA (2002) Sexual inactivity results in reversible reduction of LH bioavailability. Int J Impot Res 14(2):93–99

    Article  CAS  PubMed  Google Scholar 

  143. Jannini EA Screponi E, Carosa E, Pepe M, Lo Giudice F, Trimarchi F, Benvenga S (1999) Lack of sexual activity from erectile dysfunction is associated with a reversible reduction in serum testosterone. Int J Androl 22(6):385–392

    Article  PubMed  Google Scholar 

  144. Dabbs JM, Mohammed S (1992) Male and female salivary testosterone concentrations before and after sexual activity. Physiol Behav 52(1):195–197

    Article  CAS  PubMed  Google Scholar 

  145. Escasa MJ Casey JF, Gray PB (2011) Salivary testosterone levels in men at a U.S. sex club. Arch Sex Behav 40(5):921–926

    Article  PubMed  Google Scholar 

  146. Baume N, Schumacher YO, Sottas PE, Bagutti C, Cauderay M, Mangin P, Saugy M (2006) Effect of multiple oral doses of androgenic anabolic steroids on endurance performance and serum indices of physical stress in healthy male subjects. Eur J Appl Physiol 98(4):329–340

    Article  CAS  PubMed  Google Scholar 

  147. Butt DS (1990) The sexual response as exercise. A brief review and theoretical proposal. Sports Med 9(6):330–343

    Article  CAS  PubMed  Google Scholar 

  148. Thornton J (1990) Sexual activity and athletic performance: is there a relationship? Phys Sport Med 18(3):148–153

    Article  CAS  Google Scholar 

  149. Roney JR, Lukaszewski AW, Simmons ZL (2007) Rapid endocrine responses of young men to social interactions with young women. Horm Behav 52(3):326–333

    Article  CAS  PubMed  Google Scholar 

  150. Hesdon B, Salmon P (2003) Relationship of sexual abuse to motivation for strenuous exercise. J Sports Med Phys Fitness 43(2):213–219

    CAS  PubMed  Google Scholar 

  151. Oman RF, Vesely SK, Kegler M, McLeroy K, Aspy Cheryl BA (2003) Youth development approach to profiling sexual abstinence. Am J Health Behav 27(1):S80–S93

    PubMed  Google Scholar 

  152. Krieger L. (1997). Scoring before a big event. Winning 1, 88–89

    Google Scholar 

  153. Vouyoukas E (2011). The Influence of Sexual Activity on Athletic Performance. Doctoral thesis, Degree of Master Applied Science (Exercise Science) Concordia University-Montreal (Quebec) Canada

  154. Sagoe D, Molde H, Andreassen CS, Torsheim T, Pallesen S (2014) The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. Ann Epidemiol 24(5):383–398

    Article  PubMed  Google Scholar 

  155. Nieschlag E, Vorona E (2015) Mechanisms in endocrinology: medical consequences of doping with anabolic androgenic steroids: effects on reproductive functions. Eur J Endocrinol 173(2):R47–R58

    Article  CAS  PubMed  Google Scholar 

  156. Pope HG Jr, Wood RI, Rogol A, Nyberg F, Bowers L, Bhasin S (2014) Adverse health consequences of performance-enhancing drugs: an endocrine society scientific statement. Endocr Rev 35(3):341–375

    Article  CAS  PubMed  Google Scholar 

  157. Pope HG Jr, Katz DL (1990) Homicide and near-homicide by anabolic steroid users. J Clin Psychiatry 51(1):28–31

    PubMed  Google Scholar 

  158. Katz DL, Pope HG Jr (1990) Anabolic-androgenic steroid-induced mental status changes. NIDA Res Monogr 102:215–223

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L. Di Luigi.

Ethics declarations

Conflict of interest

The authors have nothing to declare and no competing interests. All authors have read and approved the final manuscript.

Ethical approval

This manuscript is not a research study on humans or animals.

Informed consent

For this type of manuscript formal consent is not required.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sgrò, P., Di Luigi, L. Sport and male sexuality. J Endocrinol Invest 40, 911–923 (2017). https://doi.org/10.1007/s40618-017-0652-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40618-017-0652-8

Keywords

Navigation