the research

Fertility, Testosterone & the Role of Daily Choices

Emerging research suggests that temperature, chemical exposure, and material choice might impact sperm health and testosterone levels. While current findings are not yet clinically proven, they highlight a growing area of concern around male reproductive health—and how the small things we wear each day could play a role.

2 min. read

2 min. read

In recent decades, male fertility has quietly entered crisis mode. A landmark 2017 meta-analysis by researchers from Hebrew University and Mount Sinai reported that sperm counts in Western men dropped over 50% between 1973 and 2011. This wasn’t just a blip—it was a steady, alarming trend that’s only continued in follow-up studies. The kicker? Most men have no idea it's happening.

While there’s no single cause, many researchers point to a combination of daily, seemingly harmless exposures: heat, chemicals, endocrine disruptors, poor sleep, sedentary habits. And yes—what you wear downstairs.

Let’s break it down. Temperature matters. The testicles need to stay cooler than the rest of the body to properly produce sperm and regulate testosterone. Tight, synthetic underwear traps heat, which has been shown to impair sperm quality, decrease testosterone levels, and increase DNA fragmentation in sperm cells.

Chemical exposure matters too. PFAS—forever chemicals often found in moisture-wicking fabrics—have been linked to reduced testosterone levels, delayed puberty, and lower sperm counts. A 2020 study in Reproductive Toxicology showed that even low levels of PFAS exposure were associated with hormonal disruptions in adolescent males.

And then there’s the silent environmental background hum—airborne phthalates, parabens in personal care products, flame retardants in furniture. Even dogs, according to a 2019 Nottingham University study, are now showing declining sperm quality and testosterone levels due to environmental chemical exposure. If it’s happening to pets, it’s certainly happening to us.

But here’s the good news: your daily choices stack up. Choosing breathable, natural-fibre underwear helps regulate temperature. Avoiding synthetic blends reduces your skin’s exposure to potentially harmful chemicals. Making small adjustments to your sleep, diet, and screen time habits can further support hormone balance.

This isn’t about paranoia—it’s about leverage. You make thousands of micro-decisions a day. When you consistently choose what supports your body instead of what works against it, you tilt the odds back in your favour.

Because fertility and testosterone aren’t just about having kids or building muscle. They’re central to energy, confidence, and wellbeing—and they’re worth protecting.