To wear, or not to wear – that is the perennial question when it comes to underwear. While a 2023 YouGov poll revealed that 7% of Americans always go commando, with another 10% often skipping underwear, the health implications remain a topic of curiosity and debate. Experts emphasise that personal comfort should be the primary consideration, but there are specific scenarios where wearing underwear is advisable.
The Health Impact of Underwear Choices
Dr Kyle Brenda, a board-certified family physician at Whitman-Walker Health in Washington DC, notes that limited research exists directly comparing health outcomes between wearing and not wearing underwear. However, the type and fabric of undergarments can influence well-being. For men, options like boxers, boxer-briefs, and briefs are generally suitable for daily wear, according to Dr Justin Dubin, a urologist and director of men’s sexual health at Baptist Health South Florida.
Fertility and Fabric Considerations
A 2018 study found that men who wore boxers had a 25% higher sperm concentration and 17% higher sperm count compared to those in tighter underwear. Dr Dubin explains that tight underwear may keep testicles closer to the body, potentially raising temperatures and creating a less favourable environment for sperm development. Nevertheless, he reassures that for average men with healthy sperm production, fertility is unlikely to be compromised by underwear choice, though boxers or boxer-briefs might offer optimal conditions.
For women, Dr Natasha Bhuyan, a family physician in Phoenix, Arizona, highlights the importance of fabric. Cotton underwear is ideal due to its breathability, whereas synthetic materials like polyester can trap heat and moisture, increasing the risk of yeast infections or jock itch. Fit is also crucial, as overly tight underwear can cause ingrown hairs or irritation from friction.
Is Going Commando Healthier?
For healthy individuals, going commando is generally safe and may reduce exposure to irritants found in underwear and detergents. Dr Bhuyan adds that skipping underwear can improve airflow to the genitals, preventing moisture buildup, especially after activities like swimming or bathing. However, experts advise wearing underwear during exercise to reduce friction and provide support. Dr Dubin recommends tighter underwear and protective cups for men in contact sports like soccer or hockey to minimise injury risk.
Medical and Social Considerations
In certain medical situations, specific underwear types are beneficial. For instance, after scrotal surgery such as a vasectomy, Dr Dubin suggests briefs or jock straps for added support and comfort. Postpartum women may find stretchy mesh underwear with pads more suitable after vaginal delivery. Additionally, social norms often dictate wearing underwear in public settings, a point underscored by incidents like Lenny Kravitz’s 2015 performance in Stockholm, where split pants revealed the consequences of going commando on stage.
Ultimately, the decision to wear underwear hinges on personal preference, health needs, and situational factors. While going commando can offer benefits like reduced irritation and better airflow, wearing appropriate undergarments during physical activity or recovery periods is key to maintaining comfort and health.
