Underwear Choices and Scrotal Temperature
So, how does your choice of underwear come into play? The debate of “boxers vs. briefs” has been around for ages – and science has finally weighed in. Snug-fitting underwear like briefs or tight boxer-briefs tend to hold the testicles closer to the body and often use less breathable fabrics, which can raise scrotal temperature [2]. Looser styles (like classic boxers) allow more airflow and let the testicles hang a bit farther from the body, keeping them cooler. As the Cleveland Clinic bluntly puts it: “Heat isn’t a friend of male fertility. Regular exposure to higher temperatures for your testicles can cause sperm counts to drop. Wearing underwear that keeps things packed tight doesn’t exactly offer a cooling effect.” [1]. In fact, men who wear boxers tend to have higher sperm counts than men who wear briefs, according to multiple studies [1].
A large study published in the journal Human Reproduction (with over 600 male participants) provides some eye-opening numbers. The men who reported usually wearing loose boxer shorts had significantly better sperm metrics than those who wore tight underwear like briefs or jockeys [2]. On average, the boxer-wearers had about 25% higher sperm concentration (sperm per milliliter) and 33% more motile sperm (swimmers) in each ejaculation compared to the tight-underwear group [2]. They also had higher total sperm counts overall [4]. Crucially, these differences remained even after accounting for other factors that affect fertility – such as age, weight (BMI), smoking, hot bath use, and activity level [2].
What about hormonal effects? Interestingly, the same study found that men in tight underwear had higher levels of follicle-stimulating hormone (FSH) [2]. FSH is a hormone the brain uses to signal the testes to produce sperm. Higher FSH in the tight-underwear group suggests that the body was attempting to “compensate” for testicles being a bit too warm and not making quite enough sperm, essentially pushing them to work harder [4]. This provides a biological clue that the heat from snug underwear was indeed affecting testicular function – albeit mildly in most cases.
It’s worth noting that in all groups of that study, average sperm counts were still within the normal range [2]. Wearing briefs daily isn’t likely to sterilize a man outright, and some experts note that a lower sperm count doesn’t always mean infertility if it’s still in a healthy range [2][4]. However, if you’re trying to conceive or just want to maximize your fertility, why not stack the odds in your favor? As Professor Richard Sharpe, a reproductive health expert, advises: switching to looser underwear and avoiding excess heat (like hot tubs and saunas) are easy lifestyle adjustments that “can only be beneficial” for a man’s sperm quality and chances of pregnancy [4]. It’s a simple, no-cost change with no real downside.