Heat and Male Fertility

By |2018-12-03T21:32:36+00:00July 27th, 2015|Categories: Featured, Heat Exposure|Tags: , , |263 Comments

Heat is among the top causes of reduced fertility in men. The sources of heat to the family jewels range from tighty whities to laptops to fevers and anatomy issues. All of these things can impact your fertility. Are you cooking your balls?

How does heat affect fertility?

As mentioned in our article on sperm production, sperm are finely crafted little baby making machines. They require a precise environment — 4 degrees cooler than body temperature. For this reason, testicles were fitted with a muscle called the cremaster muscle, which contracts to pull the testicles close to the body when they get too cold and relaxes to let them hang lower when it gets warm. If sperm are exposed to elevated temperatures, they begin to die. This will show up on a semen analysis as reduced motility. If the exposure to heat is prolonged, it can affect sperm production processes, causing the body to produce fewer sperm, many of which may be abnormally shaped. On a semen analysis, this will show up as reduced sperm count and abnormal morphology (often accompanied by reduced motility).

Most common sources of heat

Because it takes 70 days to sperm to mature, it can take up to 3 months to recover sperm counts after a high heat exposure (such as having a fever). Please be sure to indicate to a doctor any possible exposures to heat that may affect sperm count if going in for a fertility workup. Heat can come from external sources like hottubs and laptops, or internal sources like spiking a fever. Here is a list of some of the most common offenders:

Environmental

  • Cooking
  • Grilling
  • Motorcycles
  • Hottubs
  • Saunas
  • Laptops
  • Cell phones
  • Tight-fitting clothing
  • Cycling

Don’t Cook Your Balls!

Here are a few tips to help you maximize your fertility by keeping your boys cool and your troops happy.

Take Breaks : Brief exposures to heat are ok as long as you get up, move around, and let the boys cool off. If you are watching TV curled up under a warm blanket, typing with a laptop on your lap, or taking a dip in a hot tub, make sure to have a cool-off break. If you work in a hot environment, try to take extra trips to the water cooler. (You should be getting hydration anyways). Chef Ramsey discovered that all the time around hot ovens had impacted his fertility, and began a campaign to improve fertility safety for chefs (Read more).

Watch what you wear: This starts with your underwear. Make sure its loose enough to let your boys breath. This applies to your jeans too. Again if you have occupational exposure to heat, investigate options for clothing that deflects heat.

Stay cool in the summer: Studies have shown that there is a natural decline in sperm count during the summer due to increased temperatures. Dips in the pool, time in air conditioning, or even a solid breeze can do a lot to keep your fertility up.

Ice your balls: Sounds awful but could be an effective way to reduce heat in cases of fever or even varicoceles before treatment. We first heard about this idea from the guys behind snowballs. More research is needed to see if this is an effective approach, but it doesn’t hurt to try.

Lose weight: Never would have guessed it, but it is actually possible to gain a layer of fat in the scrotum which acts as a nice cozy blanket over the testicle, raising the temperature ever so slightly. Often enough to mess with sperm quality. Fortunately, when people lose weight, they most frequently lose it in out of the way places like fingers, wrists, and feet (I’m going to guess that balls make this list) before taking off the spare tire. So you might not need to lose a ton of pounds to notice a difference in your fertility.

Visit a urologist: Get evaluated to find out if you have a varicocele or other physiological abnormality that contributes to over-heating your testicles. Corrective surgeries are often out-patient procedures and have a high success rate.


Sara SDx

Sara SDx

Editor of Don't Cook your Balls, Co-Founder of TrakFertility.com, Health Coach and Men's Health Advocate. Passionate about sperm, men's health and helping people build their families.

263 Comments

  1. Mar May 30, 2018 at 7:34 pm

    In 2013 when i was 22 years old i used to put my laptop on my lap a few times and the laptop produced lots of heat. Now i am getting married at the age of 26, will that affect my fertility or sperm count?

    • Sara SDx
      Sara SDx June 5, 2018 at 2:06 am

      It should have any long lasting effects. Good luck on your marriage. If you are interested in your fertility, the best thing you can do to prepare is to get in your best health – do sports, eat healthy foods, sleep well.

  2. Arun May 13, 2018 at 5:56 am

    I am 24 old male and a.month. back i got pain on lower abdomenand on urinary test there was.little infection and i was insisted to take some.medicine and citralka liquid solution later the pain dissappeared but the orginal problem get.started.i was experiancing pain during urination and burning like sensation most of the times , the worst part is intense pain during ejaculation , i consulted doc repeatedlyand done routinecheck and a urine culture check too but nothing was.notable in it , i also have some back pain at.some instances eventhough.it was.not regular . Do these things have a connection , please help

    • Arun May 13, 2018 at 6:00 am

      Hi sara one thing more the pain is at the tip of the penis and feels like at the opening and the heat or burningis felt in between the legs and scrotum

    • Sara SDx
      Sara SDx May 22, 2018 at 1:49 pm

      It sounds like you should visit a specialist. Was the doctor you visited a urologist?

    • Bibhu May 30, 2018 at 1:35 am

      Hey man i had the same problem too.. but i finally got recovered.. the main thing is that you should never mastrubate.. and do some yoga in the morning.. mastrubation sex will kill you..reserve your semen untill marriage.. u will feel like a king

  3. Nani May 11, 2018 at 1:49 am

    Hello hai i am 26 past 4 years i am suffering from problem mainly in summers i dont know what is problem when i get that hard time my tisticals will grab me like anything and my lower stomuch i mean lover part will guve me very hard time i wil take lot of water. And i will take care but in summer i dont know y it will be very hard to walk or to do small works i will stay like couple of days again i will repat
    Can please explain the what is the problem and can you tell me some tips

    • Sara SDx
      Sara SDx May 18, 2018 at 6:47 pm

      I’m not really understanding this issue. Maybe try to explain again with different words.

      • Nani June 17, 2018 at 12:24 am

        haaaahahahahaha, jking.

  4. Vesa April 28, 2018 at 5:47 pm

    Hi Sara!

    I am a 31-year-old man, and I got the following forms of diagnosis: Oligoasthenozoospermia
    I’m athletic, i eat healthily and i do not use drugs.

    Sperm test: Volume 4.2 ml, densities 1.1×10 ^ 6, total number 4.62×10 ^ 6, circular cells / leukocytes 0, sperm fast A: 0%, slow B: 19%, locally moving C: 6% immobile D: 75%.
    The MAR maturation test was not performed due to the low sieve density.
    Blood test values (morning): FSH 12.4, LH 8.9, Testo 14.8, chromosome test and other blood tests are normal.
    Testicular ultra: Mild varicocele on the left side.

    Diagnosis: the reason for infertility is in the testicles.

    I think my testicles temperature is too high. For example, my boxers are almost always slightly moist.
    I also have a little pain in the right test.

    Do I have the opportunity to get the amount and quality of sperm to normal and what can I do about it? I would be very grateful for the advice.
    I have not found an expert in my country.

    Regards
    Vesa

    • Vesa April 28, 2018 at 6:54 pm

      Little addition: pain in the testis feels especially after ejaculation and next days after that. I ejaculated about 1-3 times a week.

      • Sara SDx
        Sara SDx May 5, 2018 at 10:38 pm

        That would be worth mentioning to a urologist if you haven’t already.

    • Sara SDx
      Sara SDx May 5, 2018 at 10:38 pm

      This is pretty low. The blood test shows that there might be some damage to the testicle either an injury, prior illness or genetic issue that is causing it to have a hard time making sperm. Has anything happened that could have harmed your testicle (even when you were little)? Usually fertility treatment is recommended in these cases — with these numbers they would likely recommend IVF or ICSI. It could be possible to boost things a little and get to the range where an IUI could be successful. What types of fertility doctors are available in your area? What kind of doctor did your initial evaluation?

      Here is an article about FSH blood test results to learn more.

      You have a varicocele which could be causing heat. You could look into these underwear, they are helpful for cooling things down and may improve semen quality.

  5. Curious reader April 18, 2018 at 1:32 am

    Hi Sara,

    Thanks for writing this excellent article. With regard to the debate between boxers and boxer briefs, I really prefer the latter because (A they don’t ride up and cause wedgies, and (B they’re pretty comfortable. Specifically, I like athletic-style polyester-spandex boxer briefs (made by Adidas, Under Armour, Reebox, New Balance, etc.). I’ve worn these daily for a couple of years now, and plan to for the foreseeable future. I’m not sexually active now (since I’m not married), but one day I’d like to get married and have kids.

    I’m wondering whether wearing these tight boxer briefs for a long period will have a permanent effect on my future fertility. In other words, if I wear these boxer briefs for five or ten years, but then switch to boxers, will I be able to regain my fertility (if it was somehow impaired by the boxer briefs), or will the boxer briefs cause permanent damage to my ability to produce high-quality sperm even after I stop wearing them?

    Thank you very much for your feedback! Based on your previous responses, it certainly sounds like the effects of heat from boxer briefs would be reversible, but I’d like to hear your thoughts on the effects of long-term heat from boxer briefs.

    • Sara SDx
      Sara SDx April 24, 2018 at 1:55 pm

      I wouldn’t be worried. These types of underwear aren’t that tight and if they are causing a minor reduction in sperm count, it should completely recover by switching when you do try to conceive. In general, try to give testicles a time to cool off every day if they feel like they are getting a little warm (due to sitting, tight underwear, etc)

      Heat based contraception takes pretty extreme dedication — an hour in a hottub every day or wearing underwear that are so tight that the push the testicle back up into the body. And even these are reversible (although, many years of doing them have shown some evidence of minor long term damage)

      • Wasim khan April 27, 2018 at 7:38 pm

        Hi I m 31 yr old in next month . Married from last 5 yr. Till yet no child, after one year of marriage, I do semen analysis it show 11 million,yr by yr it become low now 0,- 1 million,now I noticed that I feel very high temperature in my lower part of body.
        Plz guide me

        • Sara SDx
          Sara SDx May 5, 2018 at 10:18 pm

          Have you been to a urologist? Has your health gotten worse over the last 5 years? Do you notice and bumps in your testicles?

      • Curious reader May 1, 2018 at 3:42 am

        Glad to hear I shouldn’t be worried! And yeah, I’m definitely not planning to engage in heat-based contraception–or any form of contraception for that matter. Abstinence has worked quite well so far 🙂

  6. Porus April 3, 2018 at 3:56 pm

    Hi,

    I had used hot water on my testicles in winter, maybe 2 mins in 2-3 times in a week.
    Maybe i did that for a month only.. Now that we are trying for 2nd child since 6months, Today i hv gone dor test and my semen anlysis reports says that sperm count is nill.. am really afraid … did i damaged myself.. will i be normal again…

    Please please advice me…my age is 41, no alcohal, no sigratte, and hv athelete body.

    Regards,
    P

    • Sara SDx
      Sara SDx April 9, 2018 at 6:25 pm

      The hot water is not likely the cause of fertility issue. It sounds like you have a healthy body and lifestyle. There may be something else that is causing zero sperm. I would recommend going to the urologist to get a full workup to see if there is a health problem that is causing zero sperm — sometimes problems with testosterone, genetics, infection or other things can cause a zero sperm count and sometimes a urologist is able to treat this with medicine, surgery or other treatment.

  7. Kylie Reynolds March 20, 2018 at 2:22 pm

    The incidence of infertility around the world is highly increasing. But I disagree that male infertility is difficult to diagnose. From personal experience I can tell that it easier and less invasive to diagnose male infertility comparing to female infertility. A simple sperm analysis is the first and easy test which one can start with. If results show abnormality, then other tests can be introduced as well. And in female case there are numerous factors and tests. Investigations are often invasive and take much longer to complete. Infertility due to ovulation problems is the easiest to treat successfully with ovulation induction drugs that are cheap and easily available. When with hubby we faced with difficulty of conceiving we both checked. We wanted to be sure on which step we should count in future. Plus it would be stupid to blame only one side while making baby involved two parts. So when we discover that my hubby is fruitless we both didn’t want to use donor egg. Thus we choose surrogacy. I read that the best surrogate agreements provides in Ukraine. Local low is protecting both parties. So after some research I found Biotexcom clinic. Besides stupid comments and reviews like their building is too small. Or there are too many clients in there. We picked them and it paid off. So my advice is to do your homework well and always asks for second opinion. Male infertility is not rare problem.

  8. Louis March 7, 2018 at 3:45 am

    If the testicles were exposed to prolonged heat, say for months at a time, would sperm production be able to resume normally after the exposure ended?

    • Sara SDx
      Sara SDx March 8, 2018 at 2:22 pm

      There isn’t a ton of research on this. Evidence that is available suggests that it will if the heat isn’t over years and isn’t so high that it reduces sperm count to zero.
      The research on this was done in the 60s when people were exploring the idea of using heat as a contraceptive method for men.

      • Olu May 26, 2018 at 12:29 am

        Hello my name is olu I am 23 years old I have sex for long distance and now I am notices something that I have low sprem but I don’t know what happened

        • Sara SDx
          Sara SDx May 26, 2018 at 7:43 pm

          not sure I understand this… do you have a question?

  9. Bruce February 21, 2018 at 4:10 pm

    Hi Doctor!

    I am learning software engineering. I am working with my laptop more than 8 hours everyday. And also I have plugged another monitor. In essence I am looking at two monitors everyday. My body heat is extremely increasing and sometimes my penis and balls are itching. Most of the time I have to sit on a chair for some hours constantly. I feel so uncomfortable when my body heat is increasing and I feel even more uncomfortable when my penis and balls are itching. When I having cold showers my whole body feels so comfortable but after the shower heat comes again. I m drinking cold water as I can but seems it’s not working. Is there any possible solutions that I can control my body heat?

    • Sara SDx
      Sara SDx February 21, 2018 at 6:17 pm

      I would recommend taking regular breaks to stand up and walk around.
      There are also underwear that come with cooling packs that you can easily switch out regularly.

  10. Ij February 18, 2018 at 1:19 pm

    I noticed that my sperm is not purely white in colour and am comfused

    • Sara SDx
      Sara SDx February 19, 2018 at 7:00 pm

      Semen has a wide range of colors from gray, white or yellowish in color. It can change in response to your lifestyle or diet.

  11. Manu January 25, 2018 at 5:30 am

    My right side testicle closer to my body and i am feeling discomfort and slight pain in abdomen,
    Could you tell me why this issue and what is the solution

    • Sara SDx
      Sara SDx January 29, 2018 at 9:45 pm

      You might want to visit a urologist about this.

  12. Rod January 11, 2018 at 4:44 pm

    Hey Sara
    Is it ok to have a sauna and steam a few times a week if I cool my balls after? I had a test and the results are a bit dodgy but I’ve stopped drinking. But I do love a sauna…

  13. Michael December 22, 2017 at 6:28 am

    I have been feeling some level discomfort when i get a laptop or any hot object on ma left lap. Sometimes the discomfort comes when a load is placed on my lap. What could this mean?

  14. DavidSwimmer December 7, 2017 at 5:58 pm

    Hi Sara, I have been a swim teacher for over 25 years. I work about 5-7 months out of the year in heated pools (5 days a week). Daily, I am in the water for 8-9 hours straight. how do you think this has impacted my fertility? Do you think there is a chance that I can still be fertile? It’s never been an issue before now, but It has recently come up in my current relationship.

  15. MJVaporOnly November 7, 2017 at 8:40 pm

    I’m 42, don’t want any babies in my life and I don’t want surgery to get snipped down there. I have a Infrared Sauna and I use MaryJane daily. Going to get a sperm analysis done after a use the Sauna to see how infertile I can make myself. Been lucky with pull out method so far and we are more careful during ovulation (condoms/abstinence). Thanks for helping me understand how to cook my balls using my Sauna=)

  16. Your Semen Analysis: Sperm Vitality October 10, 2017 at 5:00 pm

    […] Heat Exposure: Sperm require a very specific temperature (roughly 4 degrees cooler than boy temperature) to survive. This means that exposure to higher temperatures for prolonged periods of time cause your sperm to overheat and die, tanking your vitality percentage. For more information, check out our article on heat and male fertility. […]

  17. […] have 22% less sperm per ejaculate than non-smokers.2. Don’t Cook Your Balls.  Reducing the temperature of your testicles is known to boost sperm […]

  18. Yash August 18, 2017 at 4:39 am

    Hey Sara,
    I am wearing tight underwear and pants with a cellular phone for last 10 years almost, and many times My testicals had exposure to hot water, long sitting hours because of work, suffered from heavy heat stroke last year ,recently got to know that I have zero sperm count ( analysis done twice in 2 weeks )
    Is there any chance to recover?
    I am physically fit weight 75 height 5 feet and 10 inches age 27
    Not suffering from any major disease
    Was not on any medication in my entire life
    I think I am in big trouble, please help
    Just tell me that is there any chance of sperm to produce again?
    No major clinical history

    • Sara SDx
      Sara SDx August 28, 2017 at 10:28 pm

      Have you had hormone tests or genetic tests done? Have you been evaluated by a urologist?

      Heat effects are generally temporary… I wouldn’t expect them to cause a zero sperm count by themselves unless the exposure to hot water was every day for long periods of time.

      • yash August 31, 2017 at 1:58 pm

        I used to bath for 15 minutes in hot water almost boiling and that too directly on my balls
        I have been doing this for last 7 years at least and on a regular basis, as it gives me satisfaction when I pour hot water on them

        I don’t drink alcohol and smoke at all
        Masturbating for last 10 years almost ( can this also effect the productivity)

        Please tell me if there is any hope for the recovery ?
        Could me system start producing them again if I strictly follow a balanced lifestyle and stay away from heat
        Please reply and thanks in advance

        not seen any urologist yet
        My doc suggested me testicular biopsy

        • Sara SDx
          Sara SDx August 31, 2017 at 7:31 pm

          I would recommend to avoid heat and follow a balanced lifestyle. The heat exposure is enough that it could knock your sperm count down. It will take time to recover your sperm maybe 3 or 6 months.

          You may also have another issue, so it would be a good idea to visit a urologist.

      • arun52 September 5, 2017 at 11:29 am

        Sara i putted my testis in hot water for 45 min every day for 1 week can it can damage my sperm and testis permanently

        • arun52 September 5, 2017 at 11:31 am

          Ony for a single week

        • Sara SDx
          Sara SDx September 5, 2017 at 5:50 pm

          Not permanently, but maybe lowered sperm count for a few months.

          • arun52 September 7, 2017 at 11:15 am

            Thanks 4 ur reply sara i appreciate u but Water was very hot and i was bearing the pain of hot water and i m worried my testicles is fine or not and hot water damaged my testicles internally or not ?

          • arun52 September 7, 2017 at 11:39 am

            I want to know Testicles is fine or not? and it will produce testrone again?

  19. […] precise environments to ensure proper function. Sperm are incredibly sensitive to alterations in temperature. For proper development, they require an average temperature of approximately 93.5 degrees […]

  20. Kevin May 11, 2017 at 2:33 pm

    Sara I wear sweatpants under my workpants and jeans and I work during the summer. Will this affect my testicles?

    • Sara SDx
      Sara SDx May 16, 2017 at 5:18 pm

      It might if they get too hot. It won’t cause long lasting damage but could temporarily reduce sperm count which could reduce your chances of getting pregnant if you are currently trying.

    • Rob May 25, 2017 at 7:15 pm

      Hi, I have been stuck on a very hot train for over three hours. I was sweating and was overheating. Will that three hour exposure to heat damage my sperm? If so,how long to recover? Thanks.

      • Sara SDx
        Sara SDx May 25, 2017 at 7:49 pm

        A single exposure to high heat is unlikely to cause significant issues with sperm. You may see a temporary dip. If there was any impact at all, it should pass in 6 weeks. But I wouldn’t worry about it.

  21. Martin B April 17, 2017 at 9:18 pm

    Hi Sara I have Cerebral Palsy so i overheat generally anyway, especially when doing sport. My Scrotum is always warm, My wife and i have been trying with no success. IS there something i can do to reduce my overall and scrotum temperature.

    • Sara SDx
      Sara SDx April 19, 2017 at 4:48 pm

      That’s interesting. I didn’t know that cerebral palsy can increase body temperature. You may want to consider snowballs underwear. They specifically have a cooling wedge designed to lower scrotal temp.

      • Shakib May 31, 2018 at 12:32 am

        Hi Sara

        I am 38 years old and my testicle always get heat lifeless I have done ultrasound test there was not vercocile but I have hydrocele problem so please tell me what should I do to keep my bolls cool and healthy. and why my boll become hot.

        • Sara SDx
          Sara SDx June 5, 2018 at 2:07 am

          Hydroceles generally do not cause any problems. If you are bothered by hot balls you can try these underwear, they help to cool them down.

  22. Jon8898 March 13, 2017 at 7:18 am

    Hi Sara

    For the past 15 years, I’ve been directing hot water to my balls whilst in the shower which results in pleasure. Because the water is fairly hot and I expose my balls to hot water for 1 min each time I shower, I am concerned that I may be damaging my prospect of having children. Can you please advise if I should be concerned ?

    • Sara SDx
      Sara SDx March 13, 2017 at 2:55 pm

      I don’t think this should cause long term damage. So I think you are fine.
      If you are actively trying to conceive, it can reduce your chances and you might want to take a break from doing that.
      If you are really concerned, you can get a semen analysis to test your sperm and make sure they are at normal levels.

  23. Ernst Dante March 7, 2017 at 5:21 pm

    If you keep your hot tub at a cooler temperature, such as 94 or 95 degrees, will that prevent lower sperm count? I really like the massage that a hot tub gives, but not at the risk of infertility.

    • Sara SDx
      Sara SDx March 9, 2017 at 3:33 pm

      So — couple of things

      1. exposure to heat will not cause permanent damage. So if you have too much heat, your count will go down but it should come back up in a few months (unless you are hot tubbing for hours every days at high temps — then it could take more like a year to recover)

      2. yes, cooler temps would be perfectly fine. wouldn’t cause issue.

      3. if you wanted to make it slightly warmer, you could limit your time or take regular breaks. The hotter the temperature to more frequent you should plan on taking breaks.

      Hope that’s helpful. Happy tubbing.

  24. jacob ridings February 24, 2017 at 9:40 am

    does wearing warm fuzzy pajamas whikes its getting warker outside cause my testicals to over heat?

    • Sara SDx
      Sara SDx February 28, 2017 at 2:07 am

      not sure exactly what you are asking here.

  25. Joe Lomb February 14, 2017 at 3:35 am

    What is the highest temperature in a pool that would be safe for sperm before it is damaged?

    • Sara SDx
      Sara SDx February 17, 2017 at 5:12 am

      Ideally 95 degrees or below. Testicle should not reach body temperature or higher

  26. Michael January 24, 2017 at 1:31 am

    My wife and I are trying to conceive, and I screwed up and went in a hot tub recently. I would say I was in the tub for about 15 minutes at temperature of about 101-103. Do you think this will greatly affect the sperm? Thanks in advance!!

    • Sara SDx
      Sara SDx January 24, 2017 at 4:39 pm

      Those temps can definitely impact sperm but not usually a single offense. I wouldn’t be too worried about it. If it did have any effects, it should sort itself out in about a month or so.

  27. Rico January 20, 2017 at 7:32 am

    Hey,

    My package always gets warn and damp whenever i head to bed. Ive tried sleeping in boxers and commando. Didn’t help!

    Any ideas?

  28. Steve January 19, 2017 at 10:16 am

    I have chronic prostate inflammation and low sperm mobility (although sperm count is very good). Recently I found out that I also have prostate bacteria infection. I suspect that my low sperm mobility is from the prostate infection or the chronic inflammation. Another possible reason for the low sperm mobility is overheating the testicles somehow.
    The problem with those two possible reasons for my condition is that they require completely different measures: on the one hand to combat prostate inflammation you need to increase the temperature and thus the circulation in the prostate (I have seen there is underwear for heating the prostate for that reason), and on the other hand you need to cool the testicles. Since I am really going to go crazy with this matter: what do you think should I do? Increas the temperature on that area, decrease it or what?

    • Sara SDx
      Sara SDx January 24, 2017 at 4:22 pm

      Have you had antibiotics to treat the infection? If so, how long ago?

  29. Kean January 5, 2017 at 5:57 pm

    Hey sara ,I was iron my clothes then when i went to take the iron out the tip of the iron touched my scrotum,will this cause any problem? I’m really worried,it was just the small tip on top of the iron

    • Sara SDx
      Sara SDx January 10, 2017 at 6:31 pm

      I’m sure that really hurt. It shouldn’t cause a problem long term.

  30. Ursher December 22, 2016 at 5:12 pm

    Will a 60 second dip in the hot tub affect my fertility?

    • Sara SDx
      Sara SDx January 10, 2017 at 4:48 am

      Probably not.

  31. kaycee December 5, 2016 at 11:09 pm

    Comment…plz Sara sdx I started ejaculating lyk thrice a day when I was 14 now am 18 will dis affect my ability to conceive Cruz I want to carry my baby in future???

    • Sara SDx
      Sara SDx December 13, 2016 at 6:02 am

      Nope. You should be fine

  32. Teenage mutant ninja sperm? – The Y Factor December 4, 2016 at 4:45 pm

    […] evolutionary process, hence the location of the testes within the scrotal sac outside the body. Changes in the body temperature cause the muscles to bring the testes to (cold conditions) and from (warm conditions) the body to […]

  33. […] So… what causes this problem in men? Many factors affect the quality of sperm; from internal genetic causes to STIs and even hormonal imbalances. External factors also affect the quality of sperm produced. Environmental factors can greatly reduce the sperm count, chemical exposure in the workplace can be detrimental for sperm health if necessary protection is not ensured (4). The temperature at which testicles are kept is a fine tuned evolutionary process, hence the location of the testes within the scrotal sac outside the body. Changes in the body temperature cause the muscles to bring the testes to (cold conditions) and from (warm conditions) the body to maintain a temperature 4°C below basal body temperature (37°C) in order to prevent morphological changes in the sperm (5). […]

  34. asmelash November 12, 2016 at 5:04 pm

    Pls help me what shall i do?

  35. asmelash November 12, 2016 at 2:19 pm

    Hi doc sara! am ashu from Ethiopia i had taken antibiotic for chlamidya before 3 weeks but now am filling high temperature somepart above my penis, pain in my testicles and abdomun pain does it mean am infertile?

    • Sara SDx
      Sara SDx December 15, 2016 at 5:41 am

      Sounds like the infection. Doesn’t necessarily mean you are infertile. First you need to get the infection under control. I would revisit the doctor about that.

      After the infection is cleared, you should complete a semen analysis to see if it has harmed your fertility

  36. […] So… what causes this problem in men? Many factors affect the quality of sperm; from internal genetic causes to STIs and even hormonal imbalances. External factors also affect the quality of sperm produced. Environmental factors can greatly reduce the sperm count, chemical exposure in the workplace can be detrimental to sperm health if necessary protection is not ensured (4). The temperature at which testicles are kept is a fine tuned evolutionary process, hence the location of the testes within the scrotal sac outside the body. Changes in the body temperature cause the muscles to bring the testes to (cold conditions) and from (warm conditions) the body to maintain a temperature 4°C below basal body temperature (37°C) in order to prevent morphological changes in the sperm (5). […]

  37. JT November 2, 2016 at 5:29 am

    Hi,
    If I ejaculate a few times throughout the day my nads may begin to hurt is this a bad sign?

    • Sara SDx
      Sara SDx November 10, 2016 at 4:59 pm

      I don’t think so. Some men experience discomfort from frequent ejaculation. If you feel pain other times or the pain is really intense during ejaculation then there could be something going on that you would want to discuss with a doctor.

  38. Justy October 16, 2016 at 3:57 pm

    Hi, I’m Justy,

    I’m 24 y.o. I have a problem with my penis. My penis size stopped growing since primary school, is it because of what happened when I was a child?

    When I was around 7 or 8 y.o. I felt an extremely itching around my crotch, and had been told to apply an ointment, which consists of mint, around my crotch. After applying the ointment, my crotch part felt like burning and really hurt. Later on, I found out that extreme hot can damage the growth of male’s penis and product that contained mint is not recommended to be applied around the crotch. Is it true?

    Is there any treatment that I can proceed through to solve my issue?

    • Sara SDx
      Sara SDx November 10, 2016 at 5:40 pm

      Is your penis the size as when you were a child? Have your balls grown? Did you go through puberty?

      An ointment wouldn’t have caused an issue with growing, but if you haven’t developed normally, you could have a genetic condition that impacts growth of your reproductive organs. Have you had an exam by a doctor since you were a teenager?

  39. Mark September 29, 2016 at 12:19 pm

    Hi, Will skin exposure to rubbing alcohol on the scrotum cause possible reproductive / birth defects to future offspring?

    • Sara SDx
      Sara SDx October 6, 2016 at 3:40 pm

      Nope.

  40. Rizi September 24, 2016 at 12:19 pm

    Hi I have prrformed a Semen Analysis and the result showed 100% dead count. I am worried please guide.

    • Sara SDx
      Sara SDx October 6, 2016 at 3:00 pm

      There’s a lot of reasons for 100% dead. Some of the biggest ones include

      – Recent heat exposure
      – going a long time without sex or ejaculating

      Do either of these things apply to him?

  41. Lysha September 20, 2016 at 10:30 am

    Hi m lysha.. My husband sperm count is v low.. Wat to do to increase my husband sperm count..

  42. Kay August 19, 2016 at 11:08 am

    Hello,I have been having problem in getting my wife pregnant and my wife notice one day that my sperm is watery,so she advice we visit doctor for a test which result comes out that there is No sperm cell seen,and before we got married i have impregnate her twice…So now we are set to have babies what can i do to solve this problem.

    • Sara SDx
      Sara SDx August 25, 2016 at 3:57 pm

      This can happen. What has changed in your lifestyle from before you got married until now? You can take our fertility quiz to get some recommendations on what you can do to solve the problem.

  43. Vinod August 18, 2016 at 4:56 am

    Hi 
     Am vinod. I have been reading the comments about the problem of fertility. It has been almost three years that my partner and i are trying to have a baby. I consulted an urologist. I did a sperm count. He said zat am infertile and to forgot to conceive when i told him zat i used laptop on my lap for a long time. He told me zat theres no miracle remedy
    Please help anyway. 
    Thanks

    Sent from my Samsung Galaxy smartphone.

    • Sara SDx
      Sara SDx August 25, 2016 at 3:51 pm

      What was the result of your sperm test?

  44. Javed July 25, 2016 at 11:14 am

    Hi,

    When I do my seamen flow out all from her, what I have to do because my friend ask me this things should not happen, Seamen should be stay in her,
    4th year is going to complete of our marriage still my wife not getting conceive after two early miscarriage.
    Please suggest what I have to do because Doctor saying things are normal.

    • Sara SDx
      Sara SDx August 4, 2016 at 3:44 pm

      Sorry to hear about your troubles conceiving.

      How long ago was the last miscarriage? Did you get a semen analysis? Are you able to be intimate every month? How frequently do you usually have sex?

      Semen flowing out isn’t usually a problem. But maybe if I understand more of what is going on, I could help you think of some new ideas on what to try.

  45. Edward July 24, 2016 at 6:30 pm

    I have tried to make my balls inactive by heating them in some ways (taking hot showers, using thick, tight and warm underwear, try to sleep while covering my feet with warm blanket) and so on… But I think those are not sufficient. Could you please tell me about other ways exept Castration.
    Thanks

    • Sara SDx
      Sara SDx August 4, 2016 at 3:36 pm

      What is your goal?

  46. Saket July 19, 2016 at 6:32 pm

    Hi
    My boll were at different position but know it is in eaqul position and its temperature is same as body… Is anything wrong with me?

    • Sara SDx
      Sara SDx August 4, 2016 at 3:24 pm

      I can’t fully understand what you are trying to say, but it doesn’t seem like anything is wrong.

  47. Log July 9, 2016 at 11:57 am

    Please you haven’t answered my previous question.

  48. Macky July 8, 2016 at 10:53 am

    Hi,
    I have one boil on my scrotum left side corner & its getting bigger and touches thigh too .
    I use Vicks Vaporub for make it more big so it can drain itself .
    1.Do Vicks Vaporub affect sperm count ? (2 Weeks Used Vicks on scrotum per day basis)
    2.Do Penis go hard n soft itself when I use it .It is natural after using it ?
    3. Should I use it anymore or not ? Coz u know it produce little heat also .
    Thanks
    Reply Please .

    • Sara SDx
      Sara SDx July 8, 2016 at 4:29 pm

      I would recommend getting the boil examined and treated by a doctor. Especially since you have had it for a while and it is getting bigger. You may need antibiotics or other medication to properly treat it.

      Vicks is probably stimulating the area which is causing your penis to get aroused. I think that is normal.
      It shouldn’t cause damage to sperm count, the heat isn’t really temperature heat, it is a heat sensation. Vicks does tend to impact blood flow. There haven’t been any studies that I have seen of people using it on the scrotum…

      Does this help?

  49. Log July 6, 2016 at 6:43 am

    Sometimes I ejaculate within 1 minute sometimes it doesn’t reach a minute. I also used to masturbate a lot sometime ago but now I put a stop to it. Now that you said hot water exposure is not the cause of my problem, could it be the masturbation?

    • Sara SDx
      Sara SDx July 13, 2016 at 7:05 pm

      Sorry, yes, it is much more likely to be related to reducing the amount of masturbation. Longer periods of abstinence can make it difficult to last a long time during intercourse especially if intercourse is particularly exciting. There are a couple of strategies that you can consider — you could masturbate ahead, you could also try using foreplay to ejaculate early in the process and then penetrate after recovering so that you can last longer. Experimenting with different things should help you find ways to last longer.

  50. Log July 5, 2016 at 9:49 pm

    Sometime ago, I had some rashes on my balls which I used hot water two times everyday and little by little the rashes went away. As am speaking now I’m facing premature ejaculation whenever I want to have a good time with my partner.
    Please could it be that the hot water I used to cure the rashes had a negative effect my sexual organs leading to my predicament?

    • Sara SDx
      Sara SDx July 5, 2016 at 11:42 pm

      Hot water exposure should not cause premature ejaculation … is this a new partner? How quick is ejaculation happening? How is it different from before?

  51. ghumman May 8, 2016 at 10:55 am

    Correct.You are right.

  52. ghumman April 30, 2016 at 5:18 pm

    But experimently I have observed that in summer weather or in extremely hot days I want to do blowjob for much more times than in winter.
    I asked to some of my friends about this they also say that it is correct…

    • Sara SDx
      Sara SDx May 2, 2016 at 10:11 pm

      Warm weather may contribute to sexual desire but it doesn’t actually cause you to ejaculate all by itself.

  53. ghumman April 28, 2016 at 7:22 pm

    Hi mam! Does over-hearing of testicles cause ejaculation?
    or Does over-heating can force a person to do blowjob (as I am unmarried)?

    • Sara SDx
      Sara SDx April 28, 2016 at 8:22 pm

      This is a strange question. I’m not quite sure I fully understand it. But I can say that overly hot testicles will not cause ejaculation.

  54. kuldeep singh April 27, 2016 at 8:11 am

    hi, my inguinal hernia is reduced last week. it was in the right side and I experienced sharp and burning pain in the left ball due to infection. the infection is gone now after medication. but I experienced low sperm count, shrinkage in the left ball. the temperature here in my town is 40+ degree Celsius. therefore, I have been cooling my balls for last two days by placing a wet piece of cloth in my underwear. the problem is I experience pain in both balls during and after cooling. my left ball hangs more than the right. is there any harmful effect of cooling. I use wet cloth for 6 to 8 hours in 24 hours. thanks

    • Sara SDx
      Sara SDx April 27, 2016 at 3:28 pm

      There are no harmful effects of cooling. It should actually help things.

      If you want something more comfortable to cool with I would suggest snowballs underwear. They are underwear designed to cool balls.

  55. mzk April 23, 2016 at 6:11 pm

    hi sara, i have a question and i’m worried about, would complete hair removal of the scrotum and pubic hair affect temperature control thus fertility in the future?
    and is it normal for the testicles to be worm as the body’s temperature in the morning when i am still in bed or prolonged sitting and studying? i am worried because after i removed all the hair i am feeling everything down sticking and warming easily.

    • Sara SDx
      Sara SDx April 25, 2016 at 4:31 pm

      If you are not trying to conceive right now, I wouldn’t be too worried. Heat doesn’t typically cause permanent fertility damage unless temperatures are sustained over very long periods of time. (For example, undecended testicles are maintained at body temperature for weeks or months or years or when someone has a super high fever that doesn’t go away for a while.) Hot tubs, saunas, etc will cause a temporary drop in sperm count that will last something in the neighborhood of 2-6 months depending on how frequent heat exposure is and how high temperatures get.

      In your case, I would imagine that stickiness could elevate temperatures, especially if you sit quite a bit but I would only worry about this if you were currently trying to conceive and it was taking a little longer than normal.

      If the stickiness is causing discomfort, you could try some sort of talc / baby powder. Typically these are good to prevent moisture and sticking and could make things a bit more comfortable. You could also experiment with different underwear.

      Hope this eases your mind. Let me know if you have other questions.

      • mzk April 25, 2016 at 5:07 pm

        thanks a lot for you response, i appreciate. right now i don’t have any other questions on my mind. thanks again

  56. ram April 19, 2016 at 11:49 am

    hi sara, please solve my problem my testies are damaged by tuberculosis cock my sperm count is “0” my wife do not pregnenst since last 6 years. what i will do right now..please provide a solution. is it cure, is it repaire of testies

    • Sara SDx
      Sara SDx April 19, 2016 at 1:51 pm

      TB is known to cause blockages in the testicle and can cause azoospermia. Do you have a urologist that you can talk to? This is something that will require a doctor to help solve.

  57. jane April 14, 2016 at 4:04 am

    i am in my 3 years marriage now and can’t get pregnant no babies husband want me out for that reason i need help to get pregnant and have babies

    • Sara SDx
      Sara SDx April 14, 2016 at 1:58 pm

      I am sorry you are having this problem. Have either of you had a test done at the doctor office?

  58. nvp April 10, 2016 at 5:01 pm

    Hi Sara ddx..please help me to get out of it…i am 22years old i found a problem with my penis i thought my penis front have lost sense or having low sense …is this due to masterbute and does not have proper ejaculation.will it affect my sex life.does it affect on my sperm count…is this necessary to consult a doctor

    • Sara SDx
      Sara SDx April 12, 2016 at 3:56 pm

      Did it suddenly lose feeling or gradually?
      Are you circumcised?
      Are there any spots or differences on the skin? Does anything look different?
      Do you masturbate a lot? Do you use lubricants?
      What do you mean by not having proper ejaculation?
      Has it gotten worse or better since you first noticed it?

      This is not likely to cause issues with sperm. I am not sure if you should see a doctor about it… depends on your answers to the questions above.

  59. goodwill April 2, 2016 at 6:49 am

    Comment…i don’t know the herbs name and it was made for tht purpose (antibiotics ) all i know is after taking it for some weeks it stops the overheating of my system (scrotum ) and i now have erection during my sleep around 3 to 4 am in the morning , but couldn’t ve erection when i want to have sex , my penis did not get smaller after the herbs , it has been like that for long and also my scrotum have been big and my penis i think shrink back when not erected and when erected is not the same length as it was before .the forskin of my penis is loosed and some times cover the head of my penis, please what will i take to regain the strength of my penis

    • Sara SDx
      Sara SDx April 6, 2016 at 4:13 pm

      I’m not sure. I can’t really understand what is going on. You could try stopping the herbs and see if things get better.

  60. Greg March 31, 2016 at 10:25 pm

    Hi, my wife and I have been trying to get pregnant for nine months. No success. I own a sauna and a hot tub and was using the sauna 1-2 times a week and the hot tub 4-5.

    Since I learned about heat and its effect on the nuts I cut sauna and hot tub usage down to 1 times a week. But my wife wants me to stop sauna and hot tub useage completely unti she gets pregnant,

    I am looking to compromise. My question is would it work to wrap my balls in ice while I sauna (or tub)? Would this protect them from the heat? I have rigged up an athletic cup that can hold crushed ice. It fits snug to the groin. Would this work

    Thanks

    • Sara SDx
      Sara SDx April 6, 2016 at 4:07 pm

      Greg
      This the kind of funny debates that happen when you are trying to conceive… made me smile a little. I salute your creativity.

      I can say that regular heat exposure like that will definitely impact sperm health and potentially count and could make conception take longer, so your wife’s concerns are well founded and backed by science. There was a study where normal men used a hot tub everyday and counts dropped to almost 0. It’s different from man to man, but the impacts are def real.

      You compromise sounds fair. I’m not sure how the ice cup will work in the hot tub, but if you can manage to keep your buddies completely cool throughout the heated experience that should protect sperm.
      It is fair to let you know that sperm take about 3 months to recover from heat exposure — so if you have impacted sperm production through heat exposure you might be 3 months away from getting your count back up.

      Other things that can help is lowering the temperature of the hot tub and staying in less than 15 minutes at a time.

      If you are interested in a way to find out what your sperm count currently is and and monitor it over the next few months, I am working on an experimental kit / app that could help. If you are interested — email me: snaab@sandstonedx.com I offer it, just cause it seems like it could help settle some marital debates and save you both a bit of heartache.

      Good luck bud.

      • Greg April 11, 2016 at 3:19 pm

        Well, I tried the ice jock in the sauna and it works like a charm! My balls think it is -20 out and stay really cold while the rest of my body enjoys the sauna. I put ice cubes in the blender and fill the athletic cup with the shavings. I actually have to wear the jock and cup outside of my swim trunks to prevent freezer burn. Now I just need to figure out something for the hot tub!

  61. anand March 29, 2016 at 9:52 am

    Will tension reduce the sperm count????
    What is the normal spérm count to have a baby???

    • Sara SDx
      Sara SDx March 29, 2016 at 1:34 pm

      It can. It depends how long you have had it and how severe it is.
      Here is information about sperm counts and pregnancy rates. Let me know if you have other questions.

  62. goodwill March 24, 2016 at 2:08 am

    Comment…hello sara i took some herbs and after I noticed that my scrotum temperature is cooler now than any part of my body , but my penis is weak and no erection , but I only have erection when i sleep and when am with a girl a girl i find it very difficult to get erection, my penis shrink back like a penis of a small boy and my scrotum is bigger than my penis, please what can i take to regain the strength and length of my manhood please

    • Sara SDx
      Sara SDx March 28, 2016 at 3:22 pm

      What herbs did you take?
      Do you feel any pain?
      Do you get erections at night?
      Your penis got smaller after taking the herbs? Is it only smaller when it is not erect or is the erection smaller as well?
      Do you think your scrotum got bigger?

  63. Barend March 22, 2016 at 1:45 pm

    Thank you so much for you response!

    No, I am not looking at sperm under a microscope. I apologize, I did not mean to say sperm, but semen.

    Today is day 18 after the operation. Yes I do have some pain, but it is getting better every day. I can walk normal and have no discomfort when seated or horizontal. You answered exactly what I wanted to know. My concern was that the cremaster grew back, due to the fact that the first 5 days no movement of the scrotum and testes occurred, but thereafter the testes (scrotum) moved up when cold or when I ejaculte. My other concern was that the contraction influence my semen volume. According to literature there is a 5% possibility of the cremaster growing back and that was my concern, the testes would move up into my body again.

    I presume it is the dartos facia contracting my scrotum at the moment, rather than my cremaster as you explained above. My scrotum shrinks to about half the volume it normally is (for a lack of a better explanation) and this happens multiple times a day. It occurs when I am cold, have to urinate, ejaculate or just randomly.

    Does this mean that my datros facia is overactive? Just like my cremater was before the operation?
    If my datros facia is overactive, what would your Advice be, if any?

    Thank you again.

    • Sara SDx
      Sara SDx March 22, 2016 at 2:03 pm

      I am not too familiar with the procedure that you underwent, so I can’t comment on whether the cremaster grew back. If you would like to send me the name of the procedure, I can review literature on recovery and see if there is indications for cremaster re-growth.

      Dartos typically controls scrotal skin but I do believe it can help with testicular movement. I haven’t much thought of it as separate from the cremaster.

      It is important to have some ability for the testicles to move closer to the body. They do so to protect themselves from injury. You don’t want them always hanging low or you could really hurt yourself. The contraction has nothing to do with semen volume. Semen is made by seminal vesticles up near the prostate. Semen volume is primarily determined by ejaculation frequency. Secondarily, prostate health, diet and various medications can impact semen volume and consistency.

      If you want to send me additional information about the procedure, I’d be happy to do some research and give you additional thoughts.

  64. Barend March 19, 2016 at 11:30 am

    Hi,

    I am a 25 year old male. I have an overactive cremaster reflex. My testes (both) goes up into my body when cold, during sex and even in a stressful situation. It got worse over the years and I consulted an Urologist. I made the discussion to cut of my cremaster muscle. The doctor cut below my abdominal and below my testes.

    The operation was successful and it was amazing to feel my testes hanging low again. Five days after the operation I climbed into a cold bath and the testes did not go up. The same day I also ejaculated with no pain en with the testes staying low. The volume of sperm increased as well.

    About ten days after the operation my testes started to move up again. It doesn’t go up into my body anymore, but it goes up.

    The volume of sperm is low again compared to the few times my testes did not move up.

    I would like an second opinion before I consult my urologist again. Is it possible for the cremaster muscle to grow back on such short time after the operation after being cut at two places ? Is that the only muscle for the testes moving up or does the scrotum retracts as well with another muscle? Last question, does the volume of sperm have any correlation with the cremaster muscle?

    • Sara SDx
      Sara SDx March 21, 2016 at 3:40 pm

      The testes should go up sometimes. Going into the body is not good, but there should be a normal amount of up and down. Here’s a more detailed article that I wrote about cremaster. There is a secondard muscle, called the dartos facia which doesn’t move the testicle but controls the skin on the scrotum to help regulate temperature.

      I doubt the cremaster re-grew after operation, my guess is that the operation limited the movement but didn’t completely prevent it from working at all. In the first few days the body was recovering and now it is at a normal level.

      Semen volume is mostly determined by frequency of ejaculation. Temperature of the scrotum doesn’t impact it. It does impact sperm, but I don’t think you are actually looking at sperm under a microscope, correct?

      Do you have any pain? What is your main concern now?

  65. ann March 10, 2016 at 10:33 pm

    Hi my name is ann and my boyfriend has been complaining that his balls are overheating what can be the coz, he drives but no long-distance and neither a trailer, he has a laptop which he uses for work but also not for long…I was reading some of your replies to some comment and I read one where you stated of antibiotics, is it possible for you to describe like which ones please… Kindly reply

    • Sara SDx
      Sara SDx March 11, 2016 at 2:46 pm

      There are lots of causes for testicles overheating. Most of them time it is caused by external heat like sitting too long or using a hot tub. Sometimes internal body temperature gets elevated, like when someone gets a fever. Testicles can also get overheated in men that are a little overweight. Body fat can act like a blanket and warm the testicle. Occasionally, testicles can have an infection or injury that causes them to swell, hurt or feel warm to the touch. In these cases, it is important to get them looked at by a doctor to see what type of treatment would be best. Sometimes they will prescribe antibiotics if there is an infection present. Does your boyfriend have pain down there at all or any other symptoms other than heat?

  66. ASANTE BISMARK,GHANA March 10, 2016 at 4:29 am

    MY NAME IS BISMARK,AM MARRIED FOR 2 YEARS AND WANT TO CONCEIVE WITH MY WIFE.I DID A SPERM ANALYSIS LAST MONTH AND I PRODUCE V SMALL SPERM, THE DOCTOR SAID AM HAVING LOW SPERM COUNT PLEASE CAN YOU HELP ME.I ALSO LIKE SQUEEZING MY TESTIS,IS DAT THE PROBLEM OF MY LOW SPERM COUNT?IV PUT ON WEIGHT IS THAT THE PROBLEM TOO?

    • Sara SDx
      Sara SDx March 10, 2016 at 7:05 pm

      Do you have numbers, what is your sperm count?

      Weight can cause a problem, especially if you are getting a large belly. Can you tell me your BMI?

      Did you take our test? It can give you advice on things to do to improve your sperm count.
      Squeezing your testis shouldn’t be an issue unless you are causing pain.

  67. Kiran March 5, 2016 at 10:12 am

    Good morning, I am kiran from India it has been 1 yaer 6 months since I got married n my wife and me have been trying to become parents for last six months, however we could not succeeded as per doctor prescription I have been using oligocare tabs n ARG 9 powder with water, could u please suggest me how to become parents soon as wr am pressurised from elders. Thanks!

    • Sara SDx
      Sara SDx March 7, 2016 at 3:21 pm

      A couple of questions…

      1. have you had a semen analysis? what were the results?
      2. have you taken our risk assessment?
      3. how often do you have sex?

  68. Chadwick March 3, 2016 at 7:53 am

    Hi Sara,

    My question for you is does hot showers on a daily basis affect sperm count? I will take hot showers every morning for about 20 minutes

    My wife and I are working on getting pregnant and I have already gone in for for a sperm analysis once and the results were not good. However in the past when I went to a sperm bank, the numbers of sperm count were excessive (good old college days). Not sure if this recent trip was a fluke

    Between the period of my last sperm analysis I have changed up a few factors which included getting away from boxer briefs and going strictly boxers, keeping my balls cool at times, improving diet (no weight or excess fat anywhere, just poor food choices), staying hydrated, etc.

    Any other suggestions? Also, how much does coffee play into the sperm equation?

    • Sara SDx
      Sara SDx March 3, 2016 at 6:38 pm

      As long as the showers are not overly hot, you should be fine. If they turn your skin red, the water might be a little too hot and you might want to either shorten shower time to 10 min or so or reduce temperature so it’s not quite so scalding. If it’s just normal warm / hot water, 20 min should be ok.

      Coffee is a stimulant for sperm too. Studies show that if you add caffine directly to semen, sperm will kind of wig out and get jittery. There isn’t much research on caffeine consumption and fertility outcomes for men. Overall, my take is keep it moderate and you should be ok. If you are drinking lots of coffee, try to cut back a little.

      Sperm parameters can vary quite a bit from test to test for a couple of reasons. 1. Abstinance period plays a big role. if you abstain 2 days for 1 test and 5 for the next, things might be pretty differnt. 2. small things in life — like heat — can cause pretty big swings in sperm. So a 1 time exposure to something can knock you down for a few days. 3. semen analysis vary quite a bit due to the level of care and skill of the technician performing them. In an absolute best case, you are looking at a 10-20% difference if the same sample was divided and run by 2 different people. So a count of 10 million could really be 8-12. When you add natural varience to varience in testing you can get some pretty big swings.

      My best suggestion is keep up with what you are doing. Living well and avoiding heat is the best you can do. Vegetables are critical for sperm health. You need to get a minimal amount of folate to enable DNA replication. Other vitamins and nutrients play a big role in supporting sperm production and sperm health. Do some more healthy living and go back in for another analysis.

      If test #2 comes back low, I would recommend getting checked for a varicocele. They are known to cause issues and grow over time (so you develop them as you get older and they get worse as time goes by).

      Hope this helps… and if you need any help interpreting lab results, happy to help.

      S

  69. Glory February 20, 2016 at 8:49 pm

    Hello, thanks for the good work, please I really need your quick response, notice that each time my husband ejaculates, the sperm is usually hot, it doesn’t hurt me at all. But it feel hot when he releases on my stomach. We already have kids, but they are girls, planing to try for a boy. Does the hot sperm affect the sex of the baby

    • Sara SDx
      Sara SDx February 23, 2016 at 3:51 pm

      Does it feel hot when he releases inside you?

      Generally, sperm will feel hot on the skin because your skin is cooler than the fluid coming out. Generally it is not because of elevated temperature of the sperm.

      There is very little you can do to optimize chances for a boy vs a girl. I have 3 boys and would love to have a daughter so I’ve done some investigation. Thy only difference between boy and girl sperm are that the girl sperm carry an extra X chromosome. X chromosomes are larger than Y, therefore girl sperm are very slightly heaver than boys. Boy sperm have an advantage to swim fast. The best way to try to optimize is to have sex super close to ovulation and hope that a boy sperm makes it first. You can’t really boost chances that much…

      Hope this helps.

      Let me know if you have any other questions.

      • Glory February 26, 2016 at 12:57 pm

        Thanks for your help. It doesn’t feel hot inside me.

  70. Alex February 11, 2016 at 6:02 pm

    Hello, about 3 months ago my husband and I were trying to conceive without success. Then I run into your blog with heating in male. My husband told me this, we are wondering if this is OK: when he go to bathroom during work day(he sit almost whole day in front of computer due to work), he touch his man part, the middle area around the scrotum feel kinda cool, but the bottom part down around the scrotum feel warn at least it feel warmer than other body part(like face and hand). Is this normal? Or? Thank you in advance!

    • Sara SDx
      Sara SDx February 19, 2016 at 3:04 pm

      Its totally normal. Is it warm enough to impact sperm? hard to tell from the description. I would recommend that he try to stand up and walk around for 5-10 minutes every hour or so. I know this can be hard to do when you are focused on work but it takes about 1 hour for the scrotum to heat up to body temperature, which can impact sperm.

  71. goodwill February 9, 2016 at 6:04 am

    Comment…i ve prostate inflammation also and the doc have been given me harble and he said that it will take a long time for me to be ok and the drugs are very expensive and ech time i complain about not seeing any results he will tell me to continue taking the drugs and when on this drugs i feel more weak and hot , Is about five different drugs which i can’t remember their names but one of them is men active (aktiv) Doppel herz and men’s health . But i will like u to give some prescription that help me out on this issue plz

    • Sara SDx
      Sara SDx February 11, 2016 at 4:28 pm

      I don’t recognize the medications. Inflammation is different than infection. Sometimes when an infection is treated, there is inflammation that can cause pain and heat. I would recommend taking ibuprofin. This is a common medication for headaches and should be available in the drugstore. Take the full dose for like 2 weeks and see if it helps.

  72. swizel January 31, 2016 at 2:30 am

    hi I am swizel actually I took I pills 3 to 4 times but last 1 year I stopped taking it and trying for baby but I am not getting conceive only and my hubby semen analysis test done his count is very less doctor told and not moving his sperm I am very tensed because of not getting conceive will you please suggest me what to do?

    • Sara SDx
      Sara SDx February 2, 2016 at 4:14 pm

      How low is it?

      Is your hubby healthy? Does he smoke or drink? Does he exercise, eat vegetables? Is he overweight?

  73. praveen January 30, 2016 at 1:26 pm

    Comment… If u want then please contact them to Mr. Naveen chauhan
    http://www.ayurvedapilescure.com and untill now there is more pain at right side just below belt near penis, and suddenly many time pain occur also in anus at one point , pain is gone only during medicine taking for testis pain but onward 2nd day pain again started also whem i m sitting or resting on bed
    & i think it start as i feel presurized to toilet after taking 1st time anema to going through kshar shutra process and till 15-20 days at that time i must presurized toilet somehow to start , now its ok but there is pain arises afterward 15-20 days that creating too much problem for me ,i m still confuse why i did kshar shutra for this pain or what?, pls help me …

    • Sara SDx
      Sara SDx February 2, 2016 at 4:13 pm

      I am not so experienced with these treatments to give you good advice. I would recommend talking with the doctor.

      • Sirisha February 27, 2016 at 8:56 am

        Hello,iam Sirisha,I got married one year ago,my husband have a lot of heat in his body and in sperm also,is there any problem for my pregnancy,please suggest me.

        • Sara SDx
          Sara SDx March 2, 2016 at 5:13 pm

          This is probably not a problem. But if you have been trying unsuccessfully to conceive you may want to consider getting a semen test done.

  74. Ashley January 30, 2016 at 8:31 am

    My husband was burned over 85% of his body in a house fire. Is it possible that he could have health semen and we can conceive with the help of IVF? My uterus ruptured 8 years ago so we would need a surrogate but we want a baby together so badly.

    • Sara SDx
      Sara SDx February 2, 2016 at 4:11 pm

      Wow. You guys have been through a lot.

      How long ago was the fire? Were any of his man parts impacted by the fire? Has he had a semen analysis?

      Generally, unless burns directly impacted the parts in question, he is still likely to have the ability to father a child even in cases when sexual function is impacted. Since you are going to need to go the route of IVF, I would be very surprised if there weren’t a few good sperm that could be used. 100,000 or more should be enough for classic IVF. ICSI only needs a few. If sperm aren’t present in the ejaculate, they can be retrieved from the testicle directly.

      1st step is a semen analysis to see where you stand, but I think there is plenty of hope for you guys to have a baby together.

      Blessings.

  75. Emily Maser January 29, 2016 at 6:59 pm

    Hi, my husband and I are trying to conceive. Unfortunately, his back was hurting him and he slept on a heating pad for 3 nights, we did not even think of what this could do to his sperm at the time. I’m just wondering if we can still get pregnant, or if this will set us back 3 to 6 months? Thank you so much!

    • Sara SDx
      Sara SDx February 2, 2016 at 3:16 pm

      Hard to tell. It depends on how hot the testicles got and for what period of time. It also depends what his baseline numbers are. If he is normally on the high end, knocking down counts temporarily wouldn’t terribly impact chances, while if he was average or slightly low, it could have a more dramatic effect.

      The best course forward is to try to avoid any additional heat exposure. You might have him take a pre-natal vitamin… it could give the sperm that are there a little boost (kind of like taking vitamin C when you get sick — it doesn’t fully stop you from getting sick but it can help on the margins).

      Hope this is helpful. Wish I had more definitive answers.

  76. goodwill January 29, 2016 at 11:38 am

    Comment…R

  77. goodwill January 28, 2016 at 8:44 pm

    Comment..i live in equatoria guinea . The test i did last time yielded heavy growth of staph Aur.and i ve taken levofloxacin , tavanic inf, streptomycin and others i can’t remember.infact i ve taken alot of antibiotics
    just tell me what i can take to get this out of my system cause i ve gone to so many doctors and the result is not there and right now am taking garlic two cloves morn and night cause i don’t ve money to buy drugs .plz prescribe the drugs tht i can get in this country in africa so that i show it to some of the doctors that ve been treating me to use on me and most the docs are nt qualified in their work . Thank u for ur help

    • Sara SDx
      Sara SDx February 2, 2016 at 2:48 pm

      Have you been re-tested for Staph since the antibiotics? We need to find out if you have a methicillin resistant form of Staph. It could be that the infection is treated and you have residual inflammation that is causing issues. Inflammation would be treated with different drugs. Too many different types of antibiotics can cause problems so it is really important to re-tested with a new culture and see if they can determine the strain.

      In the meantime, you should be able to handle pain with higher dose ibuprofen. That should reduce heat and pain. You can also consider icing or cooling down there to try to find relief.

      Let me know. We can find a solution.

  78. goodwill January 28, 2016 at 8:08 pm

    Comment…i do not ve erection but some time i do ve in the night

  79. goodwill January 28, 2016 at 11:26 am

    Comment…Am so tired of this and i feel like committing suicide about the whole issue right now

    • Sara SDx
      Sara SDx January 28, 2016 at 5:04 pm

      I know it can be hard. There is an answer. I know some really great doctors who I’m sure can help you.

  80. goodwill January 28, 2016 at 11:17 am

    Comment…plz how can i get staph infection cured and i ve taken so many antibiotics without any good results and now my penis is weak and shrinks inside and my scrotum temperature is high and slack so down .plz i need ur help

    • Sara SDx
      Sara SDx January 28, 2016 at 3:53 pm

      I’m sorry to hear about this. Infections and problems with our bodies can be very frustrating especially when we can seem to get rid of them.

      Have you visited a urologist or just a general doctor?
      Have you had a semen analysis that does a culture to find what antibiotics the bacteria are not resistant to?
      How many courses of antibiotics have you taken and which ones?
      What country do you live in?
      Are you able to get an erection?
      Do your testicles hurt?

  81. Asic January 26, 2016 at 6:58 am

    I want to get my semen analysis done today but had nocturnal ejaculation yesterday. Should i get it done today or wait for one odd day?

    • Sara SDx
      Sara SDx January 28, 2016 at 3:00 pm

      Sorry I wasn’t able to respond right away. It would be best to wait if possible. let me know how it went.

  82. Jacob January 23, 2016 at 2:29 am

    Hi,
    Alright this one might be weird, but I am a 16 yo guy who wrestles. And because i wrestle, i have to cut weight, so a few times in the past I have layered on 3 pairs of underwear, a lot of shorts and a lot of sweat pants + a bunch of shirts and jackets, and i took a trip to the sauna to sweet a lot. I was actually on my way to do it again and i just had the thought that this might affect my balls. which reading this i think it can, I have done this i think twice before, one time i went for 15 minutes, cooled off a bit even though i didnt expose my balls to anything cool, i just stripped down to the bottom layer. and then went back again for another 15. then the other time i went for about 10-15 minutes and then left. and im about to go again, and i dont think that ill stay longer than 15 minutes. but now that im reading this, I obviously wont go again. my balls never hurt or feel over heated, even when i am really hot, even though i think they felt hot the last time i went to the sauna. But i cant recall anytime they have felt hot besides that. And during the summer i work in a pizza place which gets hot, basically im saying that I get really hot often without my balls feeling hot. So basically I am just really affraid that I might have affected my future when i was so young and stupid 🙁 is there any possibility that i have axed my chance of having children? my semen looks like it has sperm in it, but I also barely know anything except what i have learned in biology class.

    • Jacob January 23, 2016 at 2:33 am

      oh, and when i go this time, im going to take intervals of 3 minutes and im going to cool down my balls each time

    • Sara SDx
      Sara SDx January 25, 2016 at 3:44 pm

      Hi Jacob
      Thanks for your comment. First, I’d like to say unless the temperatures are maintained for days or weeks, the damage to sperm is usually temporary. So, it is only hurting the sperm that you are making right now. Even then, each person’s body is different and how heat impacts your sperm is different than how it would impact another guy’s sperm. It’s just something that you need to think about if you are actively trying to have kids.

      Wrestling and working an after school job are great things for a guy your age to be doing and are teaching you great lessons for becoming a dad someday.

      It is a good idea to make sure that you take care of yourself. A more dangerous side effect of dropping water weight quickly is dehydration which can have some long term effects on your body. So while you do what you got to do to make weight, don’t get so intense about it that you hurt yourself.

      The biggest things that can impact your future fatherhood from being an athlete are:

      1. Getting injured. Shots to the nuts are usually not a big deal but they are sensitive organs and if they get hit the right way or twisted, they can get injured.

      2. performance enhancers — do research on any type of supplement you might use for lifting to make sure that it won’t have negative impacts on your testosterone cycle.

      Other than that, keep living healthy — stay clear of cigarettes and drinking too hard or too much in college. protect yourself from STDs and try to eat relatively healthy and you should be fine when the time comes.

      Hope this makes you feel a little better.

  83. Michael January 11, 2016 at 8:08 am

    Hi!
    I m male 26. I have a strange fear… I had nightfall few weeks ago in the midnight. Then after knowing this I went to bathroom to wash my organs… The water was very cold since it was mid winter.. I washed my organ with the very cold water just for a minute… Afterwards I had a starange fear whether washing my testicles with such cold water could harm them and cause infertility.. I m very tensed due to this reason.. Please help me.

    • Sara SDx
      Sara SDx January 19, 2016 at 3:38 pm

      Cold water should not have an impact on your fertility. Testicles are equipped with muscles that help them respond to changes in temperature called the cremaster and the dartos facia. These muscles work together to help your testicles maintain a good temperature for sperm.

      No reason to worry. You should be fine.

  84. raja January 7, 2016 at 2:22 am

    Hi, This is raja, past 1 week before , i pour freezed ice water on my scrotum ,at tht time my testicles pull close to the body, but now i feeel. My sperm production is not.good like before.pls tell me the solution …it may affects sperm production …tooo much fear now.

    • Sara SDx
      Sara SDx January 19, 2016 at 3:20 pm

      You have no reason to be afraid. When testicles are exposed to cold water, they have a reflex that pull them into the body to keep them from getting to cold. If you want to learn more about it, you can read this article on the cremaster muscle.

      Why do you feel like it is impacting your sperm production? Is sex different now than before?

  85. Kay2 January 6, 2016 at 4:21 pm

    Hi Sara, When i was 12 years i got burned by water and that water moved to my Balls, Now im 23 and my balls are in good shape, I can have good sex and all that, What i’m worried about is ” me and my partner are trying to have a baby but it seems to be a problem i dont knw if its me or her who is infertile, we tried having a baby its been six months now trying but nothing .. i think i have a problem due to my past of burning when was young .. advise

    • Sara SDx
      Sara SDx January 19, 2016 at 3:18 pm

      It is not likely that a minor burn would cause permanent damage.

      6 months is not too long to be trying. It can take up to a year for a healthy fully fertile couple to conceive a baby. If you are concerned about your fertility a sperm test is not very difficult and can give you good feedback about how healthy your sperm are. You can read about sperm testing in this article.

      You could also take our risk assessment to see if there are other things that could be risk factors that may impact your fertility.

      Does that help?

  86. kharubino January 5, 2016 at 6:08 pm

    Comment…my name is kharubino
    the scrotum of my friend is getting longer when the temperature get hot and the balls get larger and no pain.
    can he has problem with his sperm?

    • Sara SDx
      Sara SDx January 14, 2016 at 8:41 pm

      Testicles are equipped with a muscle known as the cremaster that helps ensure that they don’t get too cold or too hot. When exposed to warm temperature, the cremaster relaxes and lets the testicle hang lower to help try to cool them off. It is a natural part of biology that can help protect sperm from damage. If the temperature is too hot, sperm can have a reduced motility or bad shape. If heat exposure is over a long period of time, it can reduce your sperm count.

      Does that help?

  87. John December 30, 2015 at 6:11 am

    We have been married for 7 years. Yes, this happens even when she is fully aroused. She feels very bad especially when the duration of the intercourse exceeds 2 minutes.

    • Sara SDx
      Sara SDx January 12, 2016 at 6:45 pm

      You might want to have her discuss the issue with a gynecologist. There are a number of conditions that can cause sex to be painful for women and the doctor might have some ideas or treatment options to help improve things. Have you explored lubricants and altered positions? sometimes these things can help sex be more enjoyable.

  88. LolaTemmy December 28, 2015 at 3:12 pm

    please my husband has bn experiencing delay in ejaculation and he comes down easily after so much effort to ejaculate. it’s disturbing our relationship pls what could be d cause

    • Sara SDx
      Sara SDx January 11, 2016 at 4:30 pm

      Has it always been like this or is this a new problem?
      How old is he?
      Does he have a lot of stress right now?

  89. Al December 20, 2015 at 1:52 am

    Hi, thanks for this info. I am curious if you have any detailed info on heat effect on sperm production – for example if I (or anyone) was to take a long hot tub would the sperm be limited for the next 74 days? Also, you’ve mentioned some hot is ok, but not prolonged hot: is there a threshold to watch out for? Could some amount of heating be ameliorated by cooling the balls (snowballs etc) or is it a situation more like my first question where significant heating affects all sperm in the queue?

    Thanks much, my wife and I are thinking of getting pregnant and I’ve a difficult time finding this level of detail.

    • Sara SDx
      Sara SDx January 8, 2016 at 4:58 pm

      This level of detail is tricky because it is hard to study and fully understand. Scientists do not quite understand the effects on heat and sperm. There are a couple of things going on — heat can impact both sperm count and sperm health.

      So, it takes 74ish days to make a sperm. If you were exposed to heat today. Your germ cells might get overheated and not start the process of making new sperm. If tomorrow it were cool, then they would and the drop in count wouldn’t really be noticable. They do see, however, in cases were someone has a high fever over the course of a couple days that the semen analysis can show up as 0 sperm temporarily. So it is possible to knock production out so hard that it completely wipes production temporarily.

      Part of the equation is how hot is hot? A fever of 101 is quite different than a fever of 104. Some with hot tubs. A few degrees can make a big difference.

      The other side of the equation is the sperm health (motility and morphology) Heat can cause sperm that exist in the pipeline to die (become immotile) or sperm that are developing to develop abnormally (have poor morphology)

      My recommendation if you are trying to conceive is to try to avoid extremes. Don’t stay too long in the hot tub. If you have control of the temperature, turn it down just a little.

      Is your concern primarily about hot tub use or do you have some other form of heat that you are concerned about?

      Also. another thought is what is your baseline? — if you are starting from a high point (like 100-200 million sperm) some heat wouldn’t be the end of the world cause you have plenty. If you are starting out with a lower count (like 30 or 40 million) heat would matter more. You could consider getting a baseline semen analysis done to see where you are at and how careful you would need to be. 🙂

  90. feri December 10, 2015 at 8:08 pm

    No they are no warm now but they were for about 1 year and I didn’t visited doctor I. Want to now if that times cooked my testicles or now that they are in normal condition I Shoud not be worried? Im am single now but I want to have a baby for future. Thanks for your response

    • Sara SDx
      Sara SDx December 14, 2015 at 4:04 pm

      It might be a good idea for you to visit a doctor for a check up. If you do have an infection, the doctor would be able to prescribe some medication to fix it.
      A semen analysis is a relatively quick way to see if you have done any damage to your testicles.

  91. John December 10, 2015 at 12:11 pm

    Hi,

    My wife always feels pain during intercouse. Can you advise what could be causing this please?

    • Sara SDx
      Sara SDx December 22, 2015 at 12:37 am

      How long have you been married?
      Is she very aroused prior to intercourse?

      Painful intercourse for women can come from a number of factors including tight vaginal muscles, poor lubrication, insufficient arousal, various types of infections or medical conditions can also cause pain during intercourse. She may want to visit her ob-gyn to discuss issues.

  92. feri December 7, 2015 at 2:36 pm

    Hi
    If testicles being too hot for a long time like having infection.
    Do they hurt for ever or they can produce sperm after infection is gone and temperature is normal? Please answer me Im so worry about that I want to have baby

    • Sara SDx
      Sara SDx December 9, 2015 at 9:24 pm

      Couple of questions:

      1. Are they still hot? Are they hot all the time?
      2. Do they hurt? Do they hurt all the time?
      3. Have you visited a doctor?
      4. Are you trying now to have a baby?

  93. jings December 3, 2015 at 4:40 am

    Comment…now 9 yrs down the line

  94. jings December 3, 2015 at 4:39 am

    Comment…I had a baby but stop to get my wife pregnant. help me

    • Sara SDx
      Sara SDx December 3, 2015 at 3:59 pm

      I’m confused. What is the problem? Can you write more description of what is happening?

  95. sekar November 30, 2015 at 2:48 pm

    hi , i have varicocele for the last two year, for the last two weeks i have facing testicular heat. how to overcome this as i feared of infertility

    • Sara SDx
      Sara SDx December 1, 2015 at 4:36 pm

      Are you currently trying to conceive? Have you had a semen analysis?

      • kumar December 2, 2015 at 3:41 pm

        no i have not done my semen analysis yet, as i get feared of negative results

        • Sara SDx
          Sara SDx December 2, 2015 at 4:15 pm

          It is a good idea to get a semen analysis so you can see how bad it is, especially if you are trying to conceive. Many men with varicoceles do not have any impact on sperm. Most doctors will not do surgery to fix a varicocele unless it is causing significant pain or reducing sperm health.

          If you do not get negative results on the semen analysis, then the varicocele will be no problem to you.

          If you have a negative semen analysis result, there are things that you can do to improve your fertility with a varicocele. You can get surgery to repair the varicocele, you can take extra vitamins and cool your testicles and you can try chinese medicine and acupuncture.

          Does your varicocele hurt? Are you currently trying to conceive?

          • kumar December 3, 2015 at 2:21 pm

            not a heavy pain but it irritates me a lot. i’m not currently trying to conceive, it may takes two more years

          • Sara SDx
            Sara SDx December 3, 2015 at 4:24 pm

            I think it’s a good time to get a semen analysis just to see where you stand. If you find out that your sperm are good, then you can feel relieved. If you find out that your sperm are impacted then you can figure out if you would like to get a surgery to remove it. It takes about 6 months for sperm to recover after varicocele surgery. So you will want to do it before you start trying to conceive.

            One thing to know about varicoceles is that they tend to get worse with time. If the pain or irritation continue to get worse, you may think about doing something about it.

  96. styina November 26, 2015 at 1:00 am

    hi my huby working in a heat on ship n v r tryn fo kid d’s tym when his semen test v did but reslt came very loss doctor saying count don is very low n his sperm not goin forward only I m vry tensed I want to hv kid soon can u help me to solve this problem

    • Sara SDx
      Sara SDx November 30, 2015 at 9:20 pm

      Is there a way for him to take a break from the heat? Or maybe he could get snowballs that would cool his testicles while he is working.
      How low is his sperm count? How long each day does he work in the hot ship?

  97. praveen November 20, 2015 at 2:31 pm

    hi
    i feel pain in abdomen and in right testicle as i am going through kshar sutra treatment and that’s why i do hot sitz bath , but from last two days i felt pain in right testicle and abdomen pain after poop in morning only this pain still remain 3-5 hour and goes after that and mostly testicle shrink what does mean and i cant tolerate pain at right side pls help me

    • praveen November 20, 2015 at 2:35 pm

      and one more thing i dont empty my semen or sperm from testicle since 25 days so i think one of the reason of it

    • Sara SDx
      Sara SDx November 30, 2015 at 8:33 pm

      The nerves that connect your intestine and kidneys are also connected to your testicles. Sometimes pain in one of those places can lead to testicular pain. Doctors call this referred pain. You can read more about it in our article about testicular pain.

      Refraining from ejaculation can cause a build up of pressure that can lead to discomfort. Often this goes away on its own.

      I imagine that in your case, the pain is mostly coming from some issues in your intestines that are irritating the nerves in your testicles. I might discuss this matter with your doctor.

  98. somam November 10, 2015 at 9:18 pm

    I hv a rice sized lump inside my foreskin of penis nearby shaft…It it a std o sti??
    Because i hv been.physicall to gal whu has multiple partners…Wat shud i do¿¿

    • Sara SDx
      Sara SDx December 1, 2015 at 1:00 am

      You should visit a doctor to be checked for an infection. Lumps on the penis are not normal and you should get it checked out by a doctor.
      If you find out that it is an infection, you should tell the girl what it is so that she can also go to the doctor.

  99. Ali November 9, 2015 at 5:45 am

    hello,
    from last two months i am felling pain in my left testicle i have a very mild 3.00mm varicocele and i also feel itching pain in my lower abdomen side and one more thing my left epdidymits also hurt please help me.

    • Sara SDx
      Sara SDx December 1, 2015 at 12:58 am

      this is called chronic orchalgia or chronic testicular pain. Generally a mild varicocele won’t cause persistent pain (usually they hurt after long periods of standing) But sometimes the nerves flare up and continue to feel pain for not much reason. You can read more to see if you might have other causes of testicular pain in this article I wrote.

      You can also watch some interviews that I did with leading doctors that treat testicular pain.

  100. Jinkey November 8, 2015 at 5:56 am

    Hi, Thanks for your responses. They’ve been very helpful.

    Me and my partner are trying to have a baby for 6 months and in vain.

    I see my Groin area seems very hot before and after ejaculation. Could this be an issue?

    Also that area is pretty hot during day time as well. Anyways I can keep em cool?

    Jinx

    • Sara SDx
      Sara SDx December 1, 2015 at 12:54 am

      hmmm. Do you have any pain? Does your body temperature generally run hot?
      I’m not quite certain where the heat could be coming from. There are some pretty cool briefs that are designed to keep things cooler and should help make your sperm healthier. You can check them out. They are called snowballs underwear. People have said good things about them.

  101. leonel November 4, 2015 at 1:22 am

    hello months ago i started having a lot of pain on one of my testicles i checked myself and felt a ball and when i would touch the ball i would get so much pain. So i went to the hospital and got an ultra sound and i was told it wasn’t cancer that it was a cyst and i have a varicose vein. The pain was much less within a few days i still get pains and the pain went to the head of the penis i sometimes feel strong pinches on the testicle and pulsing on both the head of the penis and the testicle. I went to the urologist and i got some blood work done and urine test done, i was told that everything was fine to just keep checking myself and that if i feel something abnormal to go back and as in for the pain to just apply something warm on the genitals. I keep getting pains and they don’t seem to go away. It has not only affected my physically since i go to the gym a lot but also has affected me morally. I have no type of motivation for anything anymore when im in pain most of the time now. what can i do?

    • Sara SDx
      Sara SDx December 1, 2015 at 12:40 am

      Apologies for my delay in responding. I’ve been buried in comments and working hard to respond to everyone.

      Sorry to hear about all your pain. Chronic testicular pain impacts many men. Your case sounds very similar to what many men experience. It can be a very frustrating problem for both men and their doctors.

      How long have you had the pain? Does it occur all the time or just after lots of activity / standing up?

      I met some incredible doctors in florida from the PUR clinic that do remarkable work on testicular pain. Call them for a phone consultation and tell them you found them on Don’t cook your balls. They should be able to point you in the right direction. Here is a recent interview I did with Dr. Jamin on how to treat testicular pain.

  102. ali November 3, 2015 at 10:01 am

    hello,
    from last two months i am felling pain in my left testicle i have a very mild 3.00mm varicocele and i also feel tiny pain in my left kidney side and my lower abdomen one more thing my left epdidymits also hurt please help me.

    • Sara SDx
      Sara SDx November 24, 2015 at 4:29 pm

      Sorry about the delay in responding. Have you visited a doctor about the pain? Here is an article I wrote about chronic testicular pain. Maybe it would have additional ideas of things to talk about with your doctor. How long have you had the varicocele? Does the pain happen all the time or only after long periods of standing. Is it tender to the touch?

  103. richard October 26, 2015 at 9:43 pm

    Hi I have a question what does it mean when your sperm is very warm than normal

    • Sara SDx
      Sara SDx November 2, 2015 at 5:50 pm

      Do you mean your balls are warmer than usual? Are they exposed to heat?
      A warm testicle that is not made warm by water or other heat source can indicate an infection. Does it hurt?

  104. Smith Shah October 23, 2015 at 12:36 pm

    Indeed, it’s a topmost reason for male infertility! Ourselves exposing to heat and facing damage to sperm production would ever need to be careful about. Great info! Pretty useful!

  105. Vino October 18, 2015 at 1:14 pm

    Hi
    U still didn’t clear my doubt, why are you not responding to me.

  106. Sandeep October 15, 2015 at 6:29 am

    Hi.. i am married for 1 year. my wife told that she is not satisfied with me..

    what things i have to do during sex to make her satisfy..
    what things can make her more pleasure and satisfied during sex
    please suggest me some ways to make her satisy
    please…

    • Sara SDx
      Sara SDx October 16, 2015 at 4:10 pm

      Sex is a very intimate matter and the best way to learn how to satisfy your wife is to talk to her about it. Ask her what you can do differently.

      You can also post questions in this forum on sex: https://www.reddit.com/r/sex/

  107. Vino October 14, 2015 at 12:53 pm

    K ms.Sara
    Due to that nocturnal emissions any problem will occur and how to avoid it.

    • Vino October 16, 2015 at 10:34 am

      Pls reply for my doubt ms.Sara

      • Sara SDx
        Sara SDx December 1, 2015 at 3:51 pm

        Sorry I didn’t see your comment until now. Nocturnal emissions are not unhealthy. In fact, they are generally a sign that your reproductive system is in good working order. As you get older, they should go away on their own.

  108. mahesh October 13, 2015 at 5:30 am

    thanks.. one more problem is there.i would like to suck her nipples& pussy. i want her to suck my penis also during sex.
    but she does not allow me to do all this….
    what should i do…????

  109. Vino October 13, 2015 at 3:44 am

    Hi
    In some days, my sperm is getting out during the sleeping time when I m covering the bedsheet on me….so how to control the sperm to come out automatically.

    • Sara SDx
      Sara SDx October 13, 2015 at 10:03 pm

      This is called nocturnal emission and is very normal. You can read the full wikipedia article to learn more about them.

  110. mahesh October 11, 2015 at 4:23 am

    hi….
    i am mahesh.3 days before i got married. when i am insert my penis into her vagina,i am ejculating too quickly. within 2 minutes i will ejaculate.
    please suggest me some ways to overcome this premature ejacuation…

    • Sara SDx
      Sara SDx October 12, 2015 at 11:44 pm

      Premature Ejaculation is a fairly complex issue. There are many theories about the cause, but most of them have not been proven by scientific studies.

      Clinically defined, premature ejaculation occurs when a man ejaculates within 1 minutes consistently for years and years. The normal range is between 2 – 10 minutes and average is about 4-6 minutes after penetration. Almost all men wish they would last longer.

      Some tips that seem work well include:

      Starting and stopping: Stop moving before ejaculating, then start again and when it feel like you might ejaculate
      Kegel Exercises: Squeezing the muscles that control your pee stream will give you greater control of your ejaculation
      Ejaculate before sex: 2nd ejaculation usually takes longer. If you ejaculate prior to sex (or earlier in the day) then you may be able to last longer
      Use a condom or two to reduce the sensitivity
      Take it slow: slowing down the motion can help you to last longer.

  111. Stephen October 6, 2015 at 10:54 am

    Hi
    I n my partner trying for baby, we been doctors to checkup n we both fine healthy… What is best way to keep my ball temp cool down n how i know that ?…. Would be able to keep cool down first then have sex ??

    • Sara SDx
      Sara SDx October 6, 2015 at 3:08 pm

      Have you had a semen analysis?

      You don’t need to have them cool when having sex. It is more important to have them cool throughout the day and not let them get overheated.

      Some good ways to make sure you balls stay cool are

      1. take cooler showers — hot water is the fastest way to warm your body. So using cooler water when taking showers will help you not get too hot
      2. try snowballs – these are underwear with nice cooling packs inside
      3. Don’t sit for long periods. When you are sitting, your balls get warmed up by your body. When you are standing they are able to hang down and allow air to cool them.
      4. Avoid hot things – hot rooms, ovens, seat warmers, grills, hot tubs, etc.

    • Sujith October 8, 2015 at 1:17 pm

      I’m a guy, 21 years old, Since past 3 days I’m feeling that my right side ball is heating up, and I’m also feeling bit, very very tiny amount of pain in my abdomenal area where it connects to my right leg, and I use laptop but I rarely us it on my lap, (please forgive me for the things I’m going to. Mention now) I mastrubate one to two times a day, and I mastrubate by sleeping upside down and rubbing my organ to bed, I always do in this way, and I do it till I reach orgasam, last night I tried mastrubating by my hand and I did reach orgasam but still I’m feeling scared, as my i right side ball is in bit high temperature from past 3 days, is there anything I should worry about now? I’m getting scared to mastrubate,

      • Sara SDx
        Sara SDx October 8, 2015 at 5:22 pm

        It sounds like you might have a slight infection. It’s not a terribly big deal but it is important to go to the doctor to get it checked out. if not, the pain may get worse. Most infections are easy to treat with antibiotics.

        It’s important to keep your balls healthy.

        • ann March 10, 2016 at 10:24 pm

          Hi Sara….my boyfriend is having a similar broblem though he dosent mastrubate he has been complaining of his balls overheating…was wondering if you could assist and precribe the antibiotics for us please he has been uncomfortable for sometime now…please

  112. Stephen October 6, 2015 at 10:51 am

    Me n my partner trying for baby 9 months now… What best way to keep my scrotum cool down before sex ??

    • Sara SDx
      Sara SDx October 6, 2015 at 3:10 pm

      If you feel like your scrotum is too hot during sex and would like to cool it down. Some men do specifically cool testicles at specific times. The best way I’ve seen to do this is a pair of underwear called snowballs with gel packs inside that will cool them down. You could also get old fashioned and use a sack of peas 🙂

  113. ajmal raj October 1, 2015 at 6:07 pm

    hi
    i am ajmal. i will use hot water daily for bath. not in a highly boiled water. only little hot. will it affect my sperm count.???
    if it is, what should i do???

    • Sara SDx
      Sara SDx October 6, 2015 at 3:35 pm

      It depends on how hot it is.

      Are you currently trying to conceive a baby?

      • ajmal raj October 7, 2015 at 1:20 pm

        no
        i am not married
        should i stop bathing in boiled water??
        what are the things should i do to increase sperm count.??

        • Sara SDx
          Sara SDx October 7, 2015 at 7:54 pm

          You do not need to stop bathing in boiled water. Sperm do not like hot water but if you are not trying to have a child right now it is not a big deal. If you get married and try to make a child. If it takes a long time for your wife to fall pregnant, you will want to make the water less hot.

          Other things you can do to increase sperm count include: eat healthy food, get exercise, sleep well, do not drink to much alcohol or smoke cigarettes.

          • ajmal raj October 9, 2015 at 7:38 am

            thanks

      • jaikiran February 21, 2016 at 3:33 am

        Hi I am a 24 yr old med student.. Recently diagnosed to have grade 1 varicocele…but I also have frequent urination around 16 times per day…no dysuria…what all things I should do…apart from surgery?

        • Sara SDx
          Sara SDx February 23, 2016 at 3:55 pm

          Varicoceles tend not to interfere with urination. They are more likely to cause discomfort after long periods of standing (when they are larger) and can cause issues with fertility as they heat up the scrotum, increase pressure and decrease blood flow. Frequent urination is more commonly associated with prostate issues and diabetes or simply drinking lots of water.

          Is this a new thing or has it always been this way? How much water do you drink a day?

  114. Kim September 19, 2015 at 1:34 am

    Hi, I once had an itchy scrotum so I applied a topical application to it leaving a very hot and burning sensation on it that lasted for a while. I’m afraid it might have consequences on my sperm count.

    • Sara SDx
      Sara SDx September 23, 2015 at 4:00 pm

      A lot of people do that. Not a pleasant experience but should not have consequences.

  115. paulus September 14, 2015 at 10:35 am

    Comment…I am having a problem with my scrotum . they are always feeling very hot evn if I bath the temperature doesn’t slow down.they end up giving a very bad smell evn. what should I do to over come this problem?

    • Sara SDx
      Sara SDx September 14, 2015 at 8:43 pm

      This sounds like you might have an infection. You should go visit a urologist for a physical exam to make sure that you don’t have any infection.

  116. Julie September 7, 2015 at 2:47 am

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  117. lilly August 19, 2015 at 2:47 am

    My husband is a weldor and we been trying for a baby could this be why we can’t get pregnant

    • Sara SDx
      Sara SDx August 20, 2015 at 3:50 pm

      Yes! It definitely could be. Luckily heat exposure like this doesn’t do any type of permanent damage. There are a few things he can do.

      1. Take breaks. Get away from the heat for 5-10 minutes at least once an hour and preferably every half hour.
      2. There are underwear that have gel packs for cooling the testicle that he could wear to work. They come with something like 4 ice packs that are changeable so he could keep them in a little cooler and change them out throughout the day. It’s a little ridiculous but I’ve seen it work for a lot of people

      Also, as a welder, he might be exposed to some nasty chemicals which could be hurting things. Increasing the amount of antioxidents in his diet would not be the worst thing in the world. He could take our risk assessment for a complete list of things that could impact his fertility.

      Sperm take about 72 days to mature, so implementing changes will take a few months to show an effect, but depending on severity of the heat source I’ve seen men that have doubled and tripled sperm count by eliminating heat.

      Good luck.

  118. diddy August 1, 2015 at 7:35 pm

    hey!
    my name is diddy.
    my balls hurt much when I approach any laptop. when i try to use my laptop atleast 2 minutes I feel too much pain in my testicles. my urologist told me that there is nothing that he can do for me. I don’t know if there is anyone there who can help. I am an IT & don’t know how I will survive without using a laptop or any other computer

    • Sara SDx
      Sara SDx August 4, 2015 at 2:03 pm

      Do they hurt when you put a laptop on your lap or when you go near to any computer?

      • sugan December 27, 2016 at 6:54 pm

        Hi doctor,

        I would like to know the reason for unbalanced testicles in my body. Almost a 1.6 years ago , I started feeling discomfort in between the centre point of scoratum(mid in lower bottom of testicle).Then my right side testicle started hang lower than left side testicle. I met some an urogologist in initially and they investigated by normal procedure…and confirmed no issues with testicles. But I was feeling some discomfort when I’m sitting.

        Then again I have checked another urologist and had done the ultrasound testing..They confirmed my right side testicle slight bigger than left side testicle.and no other issues found(no vericocele,hydrocele). But I again asked the urologist to clarify further,why I have discomfort and why there is slight change in my right side testicle to hang lower.

        He answered one of your muscle might loosen somewhere.so that may caused the reason hanging lower…. We cannot do anything further… Asked me to use underwear tightly…

        After 1 passed,now Recently I started to gym n I could see my pennis started falling right side instead of being straight. Even in 100 % erection ,it completely turning into right side..

        I understand my right side testicle handing lower on right side,it also pulling my pennis to turn right side….

        I would like to know what might be the problem for this…..Help me

        • Sara SDx
          Sara SDx January 11, 2017 at 5:02 pm

          It sounds like you have two potentially separate issues.
          The 1st is that your testicle on one side is slightly larger and hanging a little lower causing discomfort. There isn’t much doctors can do about this and their recommendation is to wear more support. This should help… have you tried it?

          The 2nd issues is the penis bending. This might be the begining of a condition called Peyronies. Over time some men experience a bend in the penis that can be uncomfortable during an erection. I think there are various therapy techniques to help straighten it. It depends on how severe it is. Sometimes it will go away on its own.

          Hope this helps.

          Sara

      • Kean January 5, 2017 at 5:52 pm

        Hey sara,I need your help,I was iron my clothes ,then when i took the iron out the top of the iron touched my scrotum,I’m wondering if this can cause any problems?I’m really scared,I’m 19

    • David March 28, 2016 at 12:31 pm

      hi I’m david

      I wonder if is normal get pain in low temperatures like 4 or 6 celcius degrees specially under water.

      • Sara SDx
        Sara SDx March 28, 2016 at 4:02 pm

        It seems pretty normal. Your body is telling you that your testicles don’t want to be that cold. Here’s an article on how testicles respond to cold temperatures. Is there a reason you are going into water this cold? Is it a normal occurrence? Does pain last long after exposure to the cold? Do they hurt any other time?

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