Posedla Academy | Urinary tract infections in cycling
Urinary tract infections (UTIs) can be a frustrating issue for cyclists, especially those spending long hours in the saddle. If you’re experiencing discomfort, pain, or frequent infections after riding, it’s time to look at potential causes and solutions.
1 | What Are Urinary Tract Infections?
UTIs are bacterial infections affecting the urethra, bladder, and in some cases can rise through the urogenitary tract to kidneys. In cyclists, prolonged pressure on the perineal area, sweat accumulation, and friction can create a breeding ground for bacteria, while potentially decreasing increasing the risk of infection.
2 | Common Symptoms
-
Frequent urge to urinate
-
Burning sensation or pain when urinating
-
Changes in flow speed, rate or volume
-
Cloudy, dark, or strong-smelling urine
-
Pelvic discomfort or lower abdominal pain
-
In severe cases, fever and fatigue
3 | What Causes UTIs in Cyclists?
-
Prolonged saddle pressure restricting blood flow
-
Moisture and sweat buildup creating bacterial growth
-
Tight or non-breathable cycling shorts trapping bacteria
-
Dehydration reducing natural urinary tract flushing
-
Poor hygiene before and after long rides
4 | Diagnosis: How to Identify a UTI?
-
Symptom assessment – frequency, pain, and urine changes
-
Urinalysis – lab tests to detect bacteria and change in white blood cell count
-
Medical consultation – ruling out other potential causes like saddle sores or irritation
5 | How to Prevent and Treat UTIs?
-
Optimal saddle fit – reduce pressure and improve blood circulation
-
Breathable cycling gear – moisture-wicking materials help keep the area dry
-
Hydration – drink plenty of fluids to flush bacteria naturally
-
Post-ride hygiene – change out of cycling shorts immediately and wash the area with mild soap
-
Medical treatment – antibiotics if the infection persists
Expert Sources:
Awad, M., Gaither, T., Chumnarnsongkhroh, T., Metzler, I., Sanford, T., Murphy, G., Osterberg, E. C., & Breyer, B. (2017). THE IMPACT OF CYCLING ON WOMEN’S SEXUAL AND URINARY FUNCTIONS. Journal of Urology, 197(4S). https://doi.org/10.1016/j.juro.2017.02.2060
Gaither, T. W., Awad, M. A., Murphy, G. P., Metzler, I., Sanford, T., Eisenberg, M. L., Sutcliffe, S., Osterberg, E. C., & Breyer, B. N. (2018). Cycling and Female Sexual and Urinary Function: Results From a Large, Multinational, Cross-Sectional Study. The Journal of Sexual Medicine, 15(4), 510–518. https://doi.org/10.1016/j.jsxm.2018.02.004
McCollum, B. J., Garigan, T., & Earwood, J. (2020). Can drinking more water prevent urinary tract infections? The Journal of Family Practice, 69(3), E19–E20.
Cycling should be about freedom, not discomfort. If UTIs are interfering with your ride, it's time to take action and find a setup that supports your health and performance.