The monopile is currently the preferred foundation type for most offshore wind farms. Whilst static capacity of the monopile is important, a safe design must also address issues of accumulated rotation and stiffness after long-term cyclic loading. Design guidance on this issue is limited. To address this, a series of laboratory tests were conducted where a stiff pile in drained sand was subjected to between 8000 and 60000 cycles of combined moment and horizontal loading. A typical design for an offshore wind turbine monopile was used as a basis for the study, to ensure that pile dimensions and loading ranges were realistic. A complete non-dimensional framework for stiff piles in sand is presented and applied to interpret the test results. The accumulated rotation was found to be dependent on relative density and was strongly affected by the characteristics of the applied cyclic load. The pile stiffness increased with number of cycles, which contrasts with the current methodology where static p - y curves are degraded to account for cyclic loading. Methods are presented to predict the change in stiffness and the accumulated rotation of a stiff pile due to long-term cyclic loading. The use of the methods developed is demonstrated for a typical full-scale monopile.