Guys, the right underwear can make a massive difference for your varicocele. It is literally one of the most important factors that you can manage. Because, really, you just put it on and you get the benefits all day, and every day! The right underwear cools the testicles, and provides compression that enhances testicular blood drainage. It can quite literally make all of the difference for you.

The science shows that the underwear that you wear effects your fertility and also possibly testosterone production. I say: Screw steroids and Viagra, get better underwear!

Now, the wrong underwear traps heat, prevents testicular self-heat regulation, and can increase scrotal sagging. Worse yet, you put it on, and it too is with you all day! The wrong underwear can cause aching, pain, testicular sensitivity, impaired testosterone and sperm production, inflamed varicocele, and even varicocele progression to higher grades. ​

Boxers trap just as much heat as briefs. Yes, looser fitting clothes typically trap less heat, however, it is lifestyle dependent. If you’re sitting on a regular basis, the is not enough airing out of the heat, and therefore the extra fabric from the boxers will trap more heat than the briefs.
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Moreover, men with varicocele require support to reduce scrotal sagging, and improve testicular blood draining. However, boxers allow and stabilize scrotal sagging. As we already know, the scrotum on the ipsilateral side of the varicocele stretches over time and scrotal sagging will increases. So, it is important to have proper support underwear.

​Regular briefs and boxer briefs are supportive for the scrotum, but also trap heat. This is a dangerous combination, because, think about it: The cremaster reflex is there to relax the scrotum when the balls are too hot. This distances the balls from the body and allows them to cool with more ease. However, supportive underwear prevents the balls from sagging to cool.

So, we have: #1 briefs and boxer briefs trap heat, and #2 prevent the testicles from sagging away from the body to cool. That’s a recipe for cooked balls. It is no wonder that so many men who wear boxer briefs and briefs underwear also have testicular sensitivity and varicocele pain.
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Always ensure that your supportive underwear is also maximally cooling and breathable.

Supporters and jockstraps are very similar to briefs, but a little worse. They also trap heat, but usually have thicker fabrics and material, so they actually trap more heat. As well, they also provide support, but are usually tighter, more restrictive and compressive.

So, doctors and specialists who recommend scrotal supporters really have it backwards. I mean, they treat testicular varicocele as if it is varicose veins in the legs; they recommend that you wear compressive garments to help improve blood drainage. While it sounds like it makes sense at first, it completely ignores that the testicles are completely different than the legs… Sure, compression can help, but, normal scrotal support underwear overheats the testicles, and at the same time, prevents the testicles from dropping down to cool. Oops, they missed the only reason why your balls are outside of your body and inside the scrotum (cooling!).
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Try to use supporters with thinner fabric and light support. 

​Wearing no underwear at all is likely the best option so far. I mean, why are we wrapping the only part of our body that needs to be kept cool in additional layers? It is irrational. Even though wearing no underwear is the best option for keeping your testicles cool, it allows for scrotal sagging. This sagging can be a real concern for some guys with varicocele. Some guys must have supportive underwear to have relief. However, in general, if you have to choose between typical heat trapping supportive underwear, and wearing no underwear, I do think that the need for adequate cooling trumps support.
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Overall, going commando is a good option for men with varicocele. 

​Ideally, for being active, you would have underwear that’s both cooling and supportive. After that, no underwear is likely usually the next best option. Fabrics that provide minimal friction are also helpful. You should also avoid fabrics that retain moisture. Moisture-wicking fabrics are the way to do, because they release heat with moisture.

​For those who lift extremely heavy weights, I recommend compressive undergarments. You may need more than just support, you need real compression to counteract the downward pressure that’s generated from the heavy lift. This is not to say that compressive underwear is healthy in general, but likely the best option for this situation.  

​Cycling underwear needs to provide light support, be slippery to reduce heat generation due to friction, and provide light support to minimize microtrauma from the saddle to the scrotum and testicles. 

The best underwear for runners provides light support, and is maximally cooling, moisture wicking and provides minimal friction to minimize heat generation. If you have proper running underwear, you want to avoid running shorts with built-in underwear. If you do wear these type of shorts, ensure that you do not wear underwear at the same time. 

We have make the perfect athletic underwear. Stud X has all of the following benefits:

• Moisture Wicking
• Maximally Cooling
• Slippery and Zero Friction Fabric
• Supportive Crotch Mesh
• Fits close enough to the skin so it doesn’t ride up
• Naturally light, breathable and antimicrobial fabric

We designed Stud X to be the best general purpose men’s active underwear. 

More and more scientific publications indicate that cellphone radio frequency electromagnetic radiation (RF-EMR) can damage sperm and sperm DNA. Now some companies have started manufacturing underwear with RF-EMW blocking ion fabrics. Silver, copper, and aluminum ions are used because of their ability to absorb or scatter RF-EMRs, and relative low toxicity.
Here are some things to consider when purchasing EMR underwear:

• EMR is likely not as big of a risk factor as excessive heat exposure, therefore ensure that you prioritize breathability and cooling over EMR shielding.
• Studies indicate that some ENR ion fabrics actually have very little or no ions present. Therefore ensure that you buy from trusted brand.
• The EMR shielding ions do wash out, therefore the effectiveness of the shielding reduces over time.
• Sweating can leach out the EMR shielding ions from the fabric, which then can have toxin effects.

I am undetermined right now as to the benefits of EMR shielding fabrics. However, if you live in an area with high exposure to EMR, then you may want to consider testing them out. 

I have two problems with ice underwear. First, ice underwear really can over-cool your testicles. In your avoidance of over-heating, don’t over-cool. The second problem I have with ice underwear is that once the ice wedge melt, the crotch fabrics trap far more heat than most underwear.

A potential good use for ice underwear is for hard-laborers who have high exposure to heat to for short to medium duration (approximately 1-3 hours). This way, the underwear would be used to counteract the heat, and would be taken off after exposure.

From my overall client reports, ice underwear typically increases testicular sensitivity. So, while it may have its use, in general, I don’t recommend them. 

Look, if you have varicocele, and I don’t know why you’d be reading this book otherwise, then you need specially designed underwear for varicocele and fertility. The right underwear makes a world of a difference for varicocele. It’s an active treatment method that you just put on and forget, and it really gives you benefits all throughout the day. Stud Briefs is one of our core Varicocele Healing treatments. It will both speed up your recovery and improve your treatment outcome.
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Stud Briefs combine the right level support and maximum cooling in a way that improves testicular blood draining, reduces inflammation, and restores normal testicular function. Again, Stud Briefs is specifically designed for men with varicocele and infertility, and it does a great job at that.

Here is how Stud Briefs technology works:

• Cooling: Restores Normal Testicular Function
• Healthy Compression: Reduces Varicocele Swelling
• Support: Reduces Scrotal Sag (Varicocele Risk Factor)

Breathability comes down to 4 major factors:

• Fabric thickness
• The amount of fabric
• And fabric construction
• Fabric type

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Fabric Thickness: We all obviously know that the thicker the fabric the less breathable it is. It therefore goes without saying that thinner fabrics are more breathable. So, when you’re choosing your pants, shorts, or underwear, choose thinner fabrics over thicker ones.
 
The Amount of Fabric: When it comes to underwear, the amount of fabric is also relevant. The more fabric there is, the more heat gets trapped. The less fabric there is, the more easily heat dissipates. Therefore choose briefs over boxer briefs, and boxer briefs over trunks, and trunks over boxers. Think: The less fabric, the cooler.
 
Fabric Construction: Fabric construction is critically important for breathability. The tighter and denser the knots and weaves, the less breathable the fabric. The more open and looser the knots and weaves, the more breathable the fabric. Therefore, look for underwear that uses fabrics with more open and looser knots and weaves. Some underwear, like Stud Briefs use special meshes panels and air vents to maximize breathability and cooling.
 
Fabric Type: Overall, the previous 3 points are fundamentally important for breathability. I would almost always prioritize them over fabric type. Fabrics that are promoted as moisture wicking, quick-drying, or cooling are usually decent. If possible, natural fabrics are typically healthier than synthetic ones, however, most breathable fabrics have some synthetic component. Some fabrics are naturally antimicrobial, making them a little better than other fabrics, especially if you have a lifestyle that exposes you to increased bad bacteria (e.g. multiple sexual partners, sexual massage parlors, etc.) Organic or non-organic fabric doesn’t matter, due to the heavy processing that they all go through.
 
Fabric type does matter during physical activity. Fabrics that are smoother, and more elastic are best, because they reduce and minimize friction. 

​Underwear that is tight around the scrotum physically irritates the testicles, prevents testicular self-thermoregulation by physically stopping them from dropping down to cool (the cremaster reflex), and tends to over-heat the testicles. Typically negative symptoms show within a few hours of wearing underwear that is too tight around the scrotum. Go for light support, not compression.

​Same as wearing tight pants or a tight belt, underwear that is too tight around your waist increases intra-abdominal pressure and makes it difficult for blood to circulate. I highly recommend to get well-fitted underwear.

The breathability of the pants that you wear will directly determine the amount of heat trapped by your underwear. It almost goes without saying, however, ensure that you wear more breathable pants. Avoid thicker fabrics like some denims. Purposefully go for looser fitting, and thinner fabrics that will maximize breathability and cooling. 

​Friction on the penis head, especially if you’re circumcised will reduces testicular sensitivity…
Cooling helps improve virility…
Most udnerwears can cause irritation and cause calcification of the penis glans… 

​Yes, fabric matters!
Smoother fabric is better: e.g. silk…
Stud Briefs is very good, because it keeps the penis head in one spot (therefore zero friction).
Traditional cotton underwear retains moisture, which becomes sticky and uncomfortable during a workout, and can even lead to chafing in some unfortunate areas.
Your daily pair might also not be stretchy enough to handle the demands of your workout.

Boxers provide no benefit for varicocele because they trap heat, and do not provide no support. This means both scrotal sagging (increased varicocele size) and overheating. 

Do not wear briefs if you have a varicocele. The main problem with briefs is that they squish the testicles and penis together into a ball. This traps lots of heat. Compression and with over-heating creates testicular dysfunction (it prevents the testicles from dropping to cool, and over-heats them too.)

Scrotal support underwear has the exact same problem as briefs. They compress the testicles and penis into a lump, over heating them and preventing the testicles from dropping to cool. They cause a lot of damage to the testicles. Many ill-advised doctors recommend scrotal supporters for those suffering from varicocele. 

I advise going commando over wearing boxers, briefs, or supporters. Cooling should take precedence over compression. Without cooling compression is dysfunctional. 

The best underwear for varicocele provides maximum cooling, separates the penis and testicles, and provides healthy scrotal support & compression. These combined together are very beneficial for varicocele. They help cure varicocele pain, reduce swelling, and improve both fertility & testosterone. 

The wrong underwear can elevate scrotal For every degree