
Originally Posted by
cyclingmom01
Good morning Ladies, I'm new to cycling. Have been a marathon runner for years and am struggling with PF, hence here I am on a bike. I must say that I absolutely love it. I logged 500 miles my very first month and am struggling with one issue. My perineum is tender after riding. I'm not chaffing, although I do feel a little burning when I urinate initally after my ride.I am trying to make a conscious effort to sit on the seat correctly. I have not been able to have an orgasm since I started riding. I have a doctor's appt in a little over a week, but am wonder WTF have I done? I am 42 y/o and have never struggled with this before. I've read about women getting vaginal nerve damage. Is this temporary? The joke with DH is that I'm going to apply for a handicap parking sticker, but it really is bothering me.
Also, how do I go about getting measured for a new saddle and how do I know what will work for me. The LBS is all guys and I would feel a bit uncomfortable talking to them about this issue.

I just (as in 1 hour ago) finished my certificate in pelvic rehab. (Physical therapy.) My whole class was darn near dancing out of the exam room! I don't think anyone failed the final exam.
Let me tell ya, I'm *full* of information right now! (dang, I hope I don't forget any of it later!)
First off, let's blame your saddle or saddle position, since you didn't have these issues before riding.
We won't blame *cycling*, cuz we all know cycling is faaaaabuuuulous!
We won't blame core strength or posture, cuz I can't see those and evaluate them. (go to a PT who does bikes or women's health or BOTH to really get checked out. Forum info is never as good as face-to-face info. If you need resources or contacts in your area please PM me.)
Something is pressing on your soft tissues. What is it, and why is it pressing?
1. Is your saddle too narrow?
A narrow saddle might feel ok for a bit, but if you are weightbearing on your soft tissue or pubic rami or pelvic floor tendons rather than your ischial tuberosities ("sit bones") you will compress things that will protest. A well-fitting saddle should be as comfortable as a wooden chair.
2. Is your saddle too soft?
Soft saddles will also feel nice for a bit. Unfortunately, most wider aka "women's" saddles also seem to be very overly padded saddles. Cushy stuff will press upward between your sit bones as they sink down into the cush, and crush the life out of the soft tissue between the sitz.
3. Do you truly need a cut-out?
Ok, I've seen more female genitalia than I ever expected to when I began working in PT. And here's what I've learned: all women are built differently!! You might need a cut out, cuz your tissue might be "fluffier" than someone else's! Don't be shy! In the past I poo-pooed cut-outs because they don't work for me. Now I have seen the error of my ways. Lo, I must be a non-fluffy type. 
4. Is your saddle/bar relationship wrong?
If you cannot maintain your weight on your ischial tuberosities on a saddle that is wide enough, you might want to look at how far forward ("reach") your bars are relative to the saddle or how far down relative to the saddle they are ("rise"). Reach and rise contribute to the anterior/posterior tilt of your pelvis on the saddle. Tilt has an awful lot to do with what tissues or bones are weightbearing.
Core strength is also vitally important, as is the tendency to lock your elbows (cuz then the jolts and bumps go straight to your butt) but you need face-to-face to work on that and other postural/riding habits.
BTW: elbow locking can also be a sign of too long a reach or too low a rise.
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