Men’s Cotton Underwear: Why It Might Not Be as Fertility-Friendly as You Think
For many men, slipping on a pair of mens cotton underwear each morning is just a habit. It’s comfortable, it’s natural, and it feels like a no-brainer choice. But have you ever wondered if your everyday cotton boxers or briefs could be affecting your fertility? Surprisingly, factors like heat retention, breathability, and even chemical residues in fabrics can play a role in male reproductive health. And with global sperm counts reportedly dropping by over 50% in the last few decades [4], it’s more important than ever to pay attention to the little things – like your underwear. In this post, we’ll explore why conventional cotton underwear might not be as fertility-friendly as you think, and how making a simple switch (spoiler: Bamboo Lyocell underwear) could help keep things cooler, safer, and even more sustainable.
The Underwear–Fertility Connection: Heat Matters
You’ve probably heard the old advice about boxers vs. briefs. For years, men have been told to ditch the tighty-whities and opt for looser mens cotton boxers to boost fertility. There is some science behind this: elevated scrotal temperatures can impair sperm production. In fact, a 2018 Harvard study found that men who usually wore boxers had significantly higher sperm counts – about 25% higher concentration and 17% higher total count – than men who wore tight briefs [2]. The theory is simple: boxers hang loose and keep the testicles cooler, while snug briefs (or any tight underwear) hold them closer to the body, raising the temperature.
Why does temperature matter? The testes are designed to function a few degrees below core body temperature. That’s why they hang outside the body. Excess heat can interfere with sperm production and quality. Some experts even recommend wearing loose-fitting underwear or no underwear at all at night to maximize cooling. The Mayo Clinic notes that keeping the scrotum cool (for example, by wearing loose underwear, avoiding saunas and hot tubs, etc.) may help improve sperm quality [1]. Higher temperatures, on the other hand, are associated with lower sperm count and motility.
That said, not all doctors think your choice of underwear alone will make or break your fertility. Cleveland Clinic urologist Dr. Sarah Vij points out that for the average man, switching from briefs to boxers “probably doesn’t matter” much for fertility – and men should wear whatever is comfortable [3]. So, if cotton briefs are your go-to and you’re not trying for a baby, you might not notice a difference. However, if you and your partner are trying to conceive or you just want to optimize reproductive health, minimizing testicular heat is a wise move. Even a small improvement in sperm count or motility could make a difference when fertility is a concern. Think of it this way: wearing cooler underwear is an easy, no-regret lifestyle tweak – why not stack the odds in your favor?
Are 100% Cotton Underwear Really Better?
Given the heat issue, loose 100% cotton underwear (men’s boxers, for instance) have often been touted as the best choice for fertility. Cotton is natural and breathable, and boxers are loose – so problem solved, right? It’s true that cotton boxers are preferable to tight, synthetic underwear when it comes to reducing heat. Cotton allows some airflow, and a roomy fit lets your testicles breathe.
However, “best” is relative – and conventional cotton underwear may have some hidden downsides that guys don’t often consider:
- Cotton can still trap heat if it’s tight or thick: A pair of snug cotton boxer briefs might raise your scrotal temperature nearly as much as synthetic briefs would. Even some cotton boxers have thick weaves or linings that reduce breathability. So if you’re wearing those popular cotton boxer briefs, know that a tighter fit will negate a lot of cotton’s airiness. One study found that any tight-fitting undergarments (regardless of fabric) were associated with higher scrotal temperatures compared to looser ones, which in turn can impair sperm production [4]. In short, style (boxers vs. briefs) matters as much as fabric.
- “Breathable” doesn’t always mean moisture-wicking: Cotton is often praised for its breathability, but in practice cotton also absorbs sweat and then dries slowly. If you get warm and perspire in the groin area, cotton soaks it up and holds it. The damp fabric keeps heat against your skin. Unlike high-tech moisture-wicking fabrics, cotton underwear can become a swampy environment on a hot day or during exercise, potentially leading to increased warmth (and not to mention chafing or jock itch). So, while cotton is better than non-breathable materials like nylon or polyester in many ways, it’s not perfect at keeping you cool and dry.
- Cotton doesn’t stretch or ventilate like some modern fabrics: Many of the new performance underwear on the market use blends that include mesh panels or stretchy, sweat-wicking materials to enhance airflow. A standard pair of cotton briefs might not have those features. If fertility is top of mind, you want maximum airflow around the boys. That could mean going commando more often, or looking into alternative fabrics designed for cooling (more on that soon).
The bottom line: 100% cotton underwear is a decent, decent choice – especially if it’s loose – but it might not be the ultimate fertility-friendly solution people assume it is. Conventional cotton undies can still retain heat and moisture in certain situations. And beyond heat, there’s another factor that often gets overlooked: the chemicals and toxins involved in making that cotton underwear.
Hidden Risks in Conventional Cotton: Chemicals and Toxins
When we think of cotton, we think “natural.” It’s not like wearing polyester or spandex, so it must be fine, right? It’s true that cotton comes from plants, but conventional cotton clothing is far from a purely natural product. By the time that pair of cotton boxer briefs lands on a store shelf, it has likely been through a gauntlet of chemical treatments – and some of those chemicals could pose risks to your reproductive health.
Consider this: over 90% of people have detectable levels of hormone-disrupting chemicals (EDCs) in their bodies at any given time [6]. These include substances like BPA, phthalates, and pesticide residues that can come from our environment, food, and consumer products. It turns out our clothing – including underwear – can be one source of exposure. Here’s how:
- Pesticides in cotton farming: Cotton crops are notoriously heavy on pesticide use. Unless your underwear is made of organic cotton, the raw cotton fibers were likely doused in insecticides and herbicides while growing. Trace amounts of these chemicals can remain in the fabric. Why does that matter? Many pesticides are known endocrine disruptors – they can interfere with hormones. Research has linked pesticide exposure to lower sperm quality and fertility issues in men [6]. For example, one review of studies concluded that pesticide exposure was consistently associated with lower sperm counts, poorer sperm motility, and even more DNA damage in sperm [6]. While the small residues on clothing aren’t the same dose as, say, a farmer spraying crops, it’s still constant contact with your skin. Over time, even low-level exposure to hormone-hijacking chemicals is something to avoid if you can.
- Fabric processing and dyes: Turning raw cotton into soft, colorful underwear involves multiple chemical processes. The fabric may be bleached with chlorine, treated with formaldehyde-based resins to prevent shrinkage or wrinkles, and dyed with synthetic dyes (some of which contain heavy metals or azo compounds). Certain azo dyes can release carcinogenic amines; some finishing chemicals can off-gas formaldehyde. These chemicals have various health effects – formaldehyde, for instance, is a skin irritant and potential carcinogen, and has been implicated in asthma and allergies. While the garment industry does have safety standards, there’s a concern that constant exposure to even low levels of these toxins could cumulatively affect hormonal balance. The skin in your groin area is warm, often sweaty, and more permeable – meaning it can absorb chemicals more readily. You probably don’t want any dubious substances rubbing up against that region all day.
- Elastic and synthetic blends: Very few “100% cotton” underwear are truly 100% cotton. Most waistbands and leg openings have elastic (often made of latex or spandex), and many cotton underwear fabrics themselves include a few percent of spandex or polyester for stretch. These synthetic components can contain additives like phthalates (used to make plastics flexible) or other plasticizers. Phthalates are well-known EDCs that lower testosterone and sperm production in animal studies and are linked to fertility problems in humans [4]. Even the tagless labels printed inside some underwear use plastisol inks that could contain phthalates or other chemicals. Again, each of these exposures is small, but they all add up.
So, what does this mean for you? It doesn’t mean your cotton briefs are poison – but it does mean there’s room for improvement. Ideally, you want underwear that keeps you cool AND is free of harmful chemicals. This is where the conversation naturally turns to newer, more “eco-friendly” fabric options. One in particular has been gaining attention among fertility experts and sustainable fashion folks alike: Bamboo Lyocell.

Still Trusting Men’s Cotton Underwear? Your Fertility Might Be Paying the Price.
Ditch Cotton For GoodA Cooler, Safer Alternative: Bamboo Lyocell Underwear
By now you might be thinking, “Okay, so my regular underwear might not be perfect – what do I do, go naked all the time?” Going commando is one option to maximize airflow (just watch out for zippers!). But an increasingly popular solution is to switch to underwear made from Bamboo Lyocell, a fabric that promises to address many of the issues we just discussed.
If you haven’t heard of it, Bamboo Lyocell is a fabric made from bamboo pulp. It’s similar to other Lyocell fabrics (like TENCEL™ which comes from eucalyptus wood) in that it’s produced through a closed-loop process that recycles almost all the solvents, making it a cleaner and greener process than traditional rayon/viscose. The result is a silky-soft, breathable material that’s awesome for regulating temperature. In practical terms, Bamboo Lyocell fabric tends to feel cool to the touch, drapes nicely, and wicks moisture away from the skin more effectively than standard cotton. This means your groin stays drier and cooler – which is exactly what we want for optimal sperm production.
Let’s break down why Mr. Fertyl’s bamboo Lyocell underwear (as an example of this new breed of undies) could be a game-changer for men worrying about fertility:
- Ultra-breathable and thermo-regulating: Bamboo Lyocell has a microscopic structure that allows for excellent air permeability. The fabric also wicks moisture fast – reportedly absorbing and evaporating sweat far quicker than cotton. This keeps that important area dry and at a lower temperature. No more swampy feeling on hot days. Cooler testes = happier sperm. By helping to dissipate heat, bamboo underwear can maintain a more favorable climate for sperm development than heavy cotton can. Many men who switch to bamboo or other performance fabrics notice they simply feel cooler and less constricted, which is a good sign for your swimmers.
- Hypoallergenic and gentle: Bamboo Lyocell is naturally hypoallergenic. It’s smooth and soft (often described as feeling like silk or cashmere), which means less friction and irritation on sensitive skin. If you’ve ever gotten heat rashes or irritation from sweating in synthetic underwear, you’ll appreciate how bamboo fabric reduces that. Keeping the skin calm and cool also indirectly benefits reproductive health – chronic groin skin irritation or inflammation is not conducive to a healthy environment down there.
- Free of harmful chemicals: Reputable Bamboo Lyocell underwear brands (such as Mr. Fertyl) emphasize using non-toxic production. Mr. Fertyl works with Oeko-Tex® certified manufacturers, which means the fabric is made in facilities that meet rigorous safety standards for over 100 potentially harmful substances - like formaldehyde, heavy metals, and pesticide residues. The bamboo used is grown without nasty pesticides, and the closed-loop solvent process means the end fabric doesn’t have solvent residues. The result is underwear with no added endocrine disruptors, no harsh chemical finishes, and no synthetic dyes leaching into your skin. For a man worried about fertility, that peace of mind is priceless. You’re minimizing one more source of potential hormonal disruption.
- Sustainable and eco-friendly: This is a nice bonus – by choosing bamboo Lyocell, you’re also making a more sustainable choice. Bamboo grows extremely fast and usually doesn’t require irrigation or pesticides to thrive. It yields much more fiber per acre than cotton and regenerates naturally. The Lyocell process captures and reuses chemicals instead of dumping them. So, not only are you caring for your personal health, but you’re also reducing environmental impact. (After all, what good is boosting your fertility if the planet your future kids inherit isn’t healthy?) Jokes aside, sustainability and fertility go hand-in-hand.
By mid-way through an article like this, it’s clear why Mr. Fertyl and other forward-thinking brands are investing in fertility-friendly underwear. It’s about normalizing the conversation that men’s reproductive health matters, and that it’s okay – even smart – to be picky about your underwear for health reasons. Women have long been conscious of how products (from cosmetics to menstrual products) affect their health; it’s high time men also take stock of the products we use daily, underwear included.
Mr. Fertyl’s bamboo underwear essentially takes the worry out of the equation: it’s designed to keep you cool and it’s made from toxin-free materials so you’re not exposing your privates to weird chemicals. It’s a simple switch that can have a positive impact on your comfort, your sperm, and even the environment.
Lifestyle Tips for a Fertility-Friendly Wardrobe
Switching to cooler, more natural underwear is one piece of the puzzle. But what else can you do to ensure your choice in skivvies is supporting – not sabotaging – your fertility? Here are a few easy tips and habits to consider:
- Go loose when you can: Whether or not you invest in new underwear, you can immediately start being mindful of tight clothing. If you’re lounging at home, ditch the pants or wear loose PJ bottoms. Consider sleeping without underwear to give your groin maximum air at night. When you do wear snug pants (e.g. for work or fashion reasons), balance it out with looser boxers underneath, or at least change into something airy when you get home. Little adjustments like these reduce the cumulative heat your testicles experience each day.
- Avoid prolonged heat exposure: Hot tubs, saunas, and long hot baths are relaxing, but they’re not great for sperm. Limit the time you spend in very hot water. Likewise, be cautious with things like heated car seats or putting laptops directly on your lap for hours. These can warm your scrotum without you even realizing it. Use a pillow or lap desk under your laptop, and maybe keep seat warmers on low or only short duration if you’re trying to conceive. Remember, it takes about 2-3 months for sperm to fully develop – so consistent overheating can have an effect on the sperm that will be ejaculated weeks from now.
- Choose natural, toxin-free materials whenever possible: When restocking your underwear drawer, look for words like organic cotton, bamboo Lyocell, Tencel, and Oeko-Tex certified. Even organic cotton can be a good choice; it ensures the cotton was grown without synthetic pesticides and processed with fewer chemicals. The key is to minimize mystery chemicals in your most intimate apparel. Also opt for white or light-colored underwear over heavily dyed fabrics, since light colors are often achieved with less dye. And of course, wash new underwear before wearing – a lot of chemical finishing agents will rinse out in the first wash.
- Keep the region clean and dry: Good hygiene supports fertility too. Shower regularly, dry off well, and change out of sweaty gym clothes promptly. A damp, warm crotch not only increases heat but can lead to infections or fungus (like jock itch) that cause inflammation. Use a mild, natural soap to avoid irritating chemicals, and consider a talc-free absorbent powder if you have issues with sweating. (Note: talc itself is a whole other discussion; some talcum powders have been linked to cancers when used in the genital area, so it’s best avoided.)
- Mind your overall health: Everything is connected in the body. Smoking, excessive alcohol, poor diet, and obesity can all harm sperm quality. While this goes beyond underwear, it’s worth a mention: a healthy lifestyle will improve your baseline fertility, and then wearing fertility-friendly underwear on top of that is like the icing on the cake. So, eat well, exercise, maintain a healthy weight, and manage stress – and pair those habits with breathable, toxin-free undies for a comprehensive approach to reproductive health.

Men’s Cotton Underwear Isn’t What It Used to Be.
Make The Fertility SwitchThe Bottom Line
Talking about underwear and sperm count in the same breath might feel a bit odd at first, but male fertility is an important aspect of health that deserves attention and normalization. The choice of underwear is a simple yet meaningful factor that men can control. Conventional men’s cotton underwear – especially if it’s tight or made from non-organic cotton – may not be as fertility-friendly as many assume, due to issues like heat retention and chemical exposure from processing. Fortunately, solutions like Mr. Fertyl’s bamboo Lyocell underwear offer a safe, cool, and comfortable alternative that aligns with both reproductive wellness and sustainability.
Making a switch to more breathable, non-toxic underwear (or just adopting looser habits) is a small change that could potentially pay off in healthier, more vigorous sperm. And even if you’re not actively trying for a baby, these choices can improve your everyday comfort and long-term wellness. After all, what’s good for your sperm is usually good for you too – cooler temperatures, fewer harmful chemicals, and more sustainable materials benefit your whole body (and the planet). So next time you open your underwear drawer, take a moment to think about what those boxers or briefs are doing for you. Your future family (and your future self) might thank you for it.
- Mayo Clinic – Healthy sperm: Improving your fertility. Source
- Harvard Gazette – Boxers or briefs? Prospective dads have an easy choice. Source
- Cleveland Clinic – Are You Unknowingly Lowering Your Sperm Count? When to Worry. Source
- Levine et al. – Human Reproduction Update (2022). Temporal trends in sperm count: a systematic review and meta-regression. Source
- Rochester et al. – Trials (2024). Over 90% of people have detectable levels of hormone disrupting chemicals in their bodies. Source
- Giulioni et al. – Andrology (2022). The environmental and occupational influence of pesticides on male fertility: a systematic review of human studies. Source