When men look for ways to improve testosterone, the advice often feels overwhelming: lift heavier, sleep more, reduce stress, change your diet, or take supplements. While all of those can help, there is one daily habit that rarely gets discussed and requires almost no effort to change.
What you wear.
Specifically, what you wear as underwear.
Most men wear polyester boxer briefs, often without realizing that polyester is a plastic-based fabric designed to trap heat and moisture. Emerging research suggests that prolonged exposure to synthetic fabrics in the genital area may negatively affect male reproductive health, while switching back to natural materials allows the body to recover.
Why underwear fabric matters for men’s health
Testosterone production and sperm development are sensitive to temperature. The testes are located outside the body to maintain a slightly cooler environment than core body temperature. Chronic heat exposure can interfere with normal testicular function.
Polyester is derived from petroleum and is significantly less breathable than natural fibers like cotton. When worn tightly for long periods, polyester underwear traps heat and limits airflow, creating conditions that may stress reproductive function.
This isn’t just theory. It has been studied directly.
The polyester sling studies: what the research actually shows
One of the most frequently cited studies examining synthetic fabric exposure and male reproductive health was published in Contraception by Dr. Ahmed Shafik in 1992.
Human study: polyester sling and reversibility
In the study titled “Contraceptive efficacy of polyester-induced azoospermia in men”, researchers examined 14 healthy adult men who wore a specially designed polyester scrotal sling continuously.
This was not everyday underwear, but a controlled experimental setup designed to maintain prolonged polyester contact and increased local heat.
Key findings:
- After approximately 120–160 days (mean ~140 days), all participants became azoospermic, meaning no measurable sperm was present.
- When the polyester sling was removed, sperm production returned toward normal within 75–135 days.
👉 PubMed link:
https://pubmed.ncbi.nlm.nih.gov/1623716/
From the study itself:
“The azoospermic effect of the polyester sling seems to be reversible… fertile men can be rendered azoospermic by wearing the polyester sling.”
The most important takeaway is reversibility. Once polyester exposure stopped, reproductive parameters recovered.
Supporting animal research: polyester vs natural fibers
Follow-up animal research reinforced these findings. In “Effect of different types of textile fabric on spermatogenesis in dogs”, researchers studied dogs wearing pants made from polyester, cotton, or no fabric.
Results:
- Dogs wearing polyester pants experienced significant reductions in sperm count and motility, along with degenerative testicular changes.
- Dogs wearing cotton or no fabric showed no significant reproductive changes.
- After polyester exposure ended, 10 of 12 dogs recovered normal semen characteristics within one year.
👉 PubMed link:
https://pubmed.ncbi.nlm.nih.gov/8279095/
The researchers concluded:
“The polyester pants had a deleterious effect on spermatogenesis… which was, however, reversible in the majority of cases.”
What about testosterone specifically?
Most of the polyester fabric studies focused on sperm production, not isolated testosterone levels. However, testosterone and spermatogenesis are closely linked through testicular function and hormonal signaling.
More recent human data supports the role of heat and underwear choice in reproductive health. A large 2018 study published in Human Reproduction analyzed 656 men and found that those who primarily wore looser, breathable underwear had:
- 25% higher sperm concentration
- 17% higher total sperm count
- 33% higher total motile sperm count
👉 Study link:
https://pmc.ncbi.nlm.nih.gov/articles/PMC6530653/
While testosterone levels themselves were not dramatically different, men wearing tighter underwear had higher follicle-stimulating hormone (FSH) levels, which can signal stress on sperm production.
The consistent theme across studies is that heat, breathability, and fabric choice matter, and that removing synthetic exposure allows the body to normalize.
The easiest fix: stop wearing plastic underwear
Unlike diet or training changes, switching underwear is a one-time decision. You don’t need supplements or a new routine. You simply stop wearing plastic against your skin.
The research is encouraging because it suggests the effects of polyester exposure are not permanent. When synthetic fabric contact ends, reproductive markers improve.
Why organic cotton boxer briefs are different
Not all cotton underwear is equal. Conventional cotton is often treated with pesticides and dyed using harsh chemicals. Organic cotton boxer briefs, especially those made with low-impact or natural dyes, eliminate:
- Plastic fibers
- Petroleum-based materials
- Many unnecessary chemical residues
Organic cotton is breathable, moisture-wicking, and comfortable for all-day wear. It supports airflow and reduces heat buildup where it matters most.
Small change, real impact
Hormone health is shaped by daily inputs. No single habit determines testosterone levels, but removing avoidable stressors adds up.
Switching from polyester underwear to organic cotton boxer briefs may be one of the simplest ways men can support reproductive health, comfort, and long-term wellness.
At Opok, we believe men deserve non-toxic underwear made from natural materials that work with the body, not against it. Our organic boxer briefs are designed for comfort first, without polyester or synthetic dyes.
If removing polyester allows the body to recover, the question becomes simple:
Why wear plastic at all?



Leave a comment
This site is protected by hCaptcha and the hCaptcha Privacy Policy and Terms of Service apply.