Men’s underwear and fertility risks go viral as doctors push back on claims

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Men are swapping out their underwear over growing concerns aboutfertility and hormone health.

The movement has been happening online, and some men are attempting to swap out their polyester shorts and undergarments for cotton, wool and other organic materials.

They are avoiding synthetic fabrics over concerns about microplastics, “forever chemicals” and a potential link to infertility, according to a report byThe Wall Street Journal.

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Recent studies have suggested that microplastics — most often found in the environment, air, water and food — can carry pollutants into human organs and cause health complications, such as cancer, inflammation,cardiovascular issuesand cell damage.

As more organic underwear brands for men surface and grow in popularity, these concerns have also been fueled by conversations on social media and podcasts.

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Fertility experts cast doubts on underwear material affecting fertility in men.(iStock)

Dr.Paul Turek, a reproductive urologist and microsurgeon in California, told the Journal that “microplastic conversations are constant now.”

Although he advises his patients to reduce plastic exposure, Turek said he has yet to see research to validate these concerns.

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Dr.Jaime Knopman, director of fertility preservation at CCRM Fertility New York and author of “Own Your Fertility,“theoretically,” wearing briefs can pose afertility risk, but not just because of the material.

“While a change in underwear could help improve fertility, it is rarely the sole cause of infertility.”

“The tight fit can raise the temperature of a man’s testes, which could reduce sperm quality and quantity, causing a decline in fertility,” she said.“However, in my experience, I have not found a direct correlation between wearing briefs and a patient’s fertility.”

Knopman added that she hasn’t seen changes in patients who have switched underwear material or style.

boxers displayed in square cases

A fertility specialist said she has not found a direct correlation between wearing certain briefs and a patient’s fertility.(iStock)

Alex Robles of Columbia University Fertility Center in New York echoed that there is “no strong evidence that specific fabrics alone have a meaningful impact on male fertility.

semen qualityin some studies,” he said.

“Switching underwear alone rarely causes meaningful changes in fertility.However, some men may see small improvements in sperm quality if they move away from very tight styles that increase heat production and retention.”

Reducing risk

If a male patient has an abnormal semen analysis, Knopman said, she always suggests making somelifestyle modificationsto improve sperm health, including sleep, diet and exercise, in addition to seeing a urologist.

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“Throwing a change of underwear into the mix couldn’t hurt, but it’s nearly impossible to determine if a semen analysis is irregular because of a man’s underwear choices,” she said.“Therefore, while a change in underwear could help improve fertility, it is rarely the sole cause of infertility.”

lifestyle choicesshould apply to both men and women.

“If a male patient tells me he is riding a bike for two hours a day or spending an hour in a hot bath, I am going to tell him to cut that out,” she said.“While it may not be the reason for his sperm troubles, modifying his lifestyle can’t hurt.

Runner, fitness and senior man running, listening to music outdoor in neighborhood for workout wellness, energy and healthy lifestyle motivation. Sports person with exercise training goal in street

Experts suggest making positive lifestyle modifications to improve sperm health, including sleep, diet and exercise.(iStock)

“Just like I tell my female patients, ‘You can’t blame yourself for your infertility,’” she added.“Most habits in life are totally fine as long as they are in moderation.”

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Robles advised men to choose comfortable, non-restrictive underwear, avoid excessive heat exposure, increase food variety and reduce exposure to toxins, including smoking andexcessive alcohol. 

“The biggest drivers of male fertility decline are age, obesity, smoking, heat exposure, environmental toxins and underlying medical conditions,” he said.“If you are struggling with a fertility issue, I recommend seeing a fertility specialist.”

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