The reason stated as to why men should not wear underwear at night is that it adversely affects sperm production by confining and heating the testicles. But is that important for boys or just men? And it might also be different for genetic males as it is for genetic females, as one report in Science Alert noted that men have a procreative cause for concern about wearing tight undergarments at night and science suggests loose boxers or commando. There are those in the camp of "definitely do not wear underwear to bed" and others are more circumspect, like this report from Live Science that noted it has certain benefits in certain situations, but overall, it's not a huge concern. The research over whether or not underwear should be worn to bed is conflicted at best. But was I wrong to allow that? Did his parts need breathing space at night? The broader concern over should kids wear underwear with their pajamas or not honestly never crossed my mind. Yes, he wore these all the time, as they were of course his favorite pair. But in the case of those people in surveys who said they wore tracksuits – they really are not for sleeping in.I remember my son's first pair of "big boy underwear" - they were emblazoned with the characters of Yo Gabba Gabba. In the absence of any evidence except that most pyjamas are dirty and you shouldn’t overheat, the choice of whether or not to use nightwear is not a health issue. “It is highly unlikely that underwear has a significant effect on male fertility,” concluded the authors. Research in the Journal of Urology found no significant difference between underwear types and semen quality. However, the study didn’t show that their partners were more likely to get pregnant or to do so more quickly. Data from about 500 men in the US showed that those who wore boxers during the day and nothing at night had a 25% lower risk of DNA fragmentation in their sperm than those who wore tight pants night and day. According to a study in Andrology, men who don’t wear pants at night may improve the quality of their sperm. For women with conditions such as vulvitis, an inflammation of the outer genitalia in which the skin folds are red and swollen with tiny cracks, wearing underwear in a warm bed can encourage opportunistic infections such as yeast that thrive in dark, sweaty crevices. Wearing underwear at bedtime increases the likelihood of your genital region getting sweaty, especially in summer. Then there is the sex and reproductive health angle. Rather than wearing bed socks, which get hotter by the hour, you should use a hot water bottle. However, your feet mustn’t get too cold, as that also disturbs sleep. During sleep, your body’s temperature falls naturally after three or four hours – and wearing fluffy pyjamas under a heavy duvet will disrupt that. If you are too hot in bed, then your core temperature will struggle to fall which, according to the Sleep Council, means you won’t trigger your “sleep mechanism”. Lack of sleep is linked to a multitude of conditions such as diabetes, obesity, stroke and depression. But sleeping naked does keep you cooler – the optimal temperature for sleeping is around 20C (68F). The idea that air will waft over our naked bodies and we will somehow soak it up just isn’t true. There isn’t a lot of research on the topic.
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