Award-winning urologist - and pioneer in Men’s Health - Dr. Paul Turek blogs weekly about issues such as infertility, vasectomy and vasectomy reversal, sexual and hormonal dysfunction and more. Keep up with latest in this fascinating field of medicine.

 

Dr. Turek's research has shown that hot tubs affect male fertility

Beware of the backyard bubble bath…

Quiet. Warm. Relaxing. Soothing. How can a hot tub or a steaming hot bath possibly be bad for your health? Well they are…for men. They reduce male fertility. Big time.

The History of Heat and Fertility

Elevated temperature has been a recognized cause of impaired sperm production since the time of Hippocrates. Even a simple fever can hurt the sperm factory. In the 1940’s, Dr. Martha Voegeli, a Swiss doctor in India, reported a simple heat regimen for male contraception. Her protocol involved having men sit in a hot bath (116o F) for 45 minutes daily for 3 weeks. Six months of infertility resulted from this exposure, after which normal fertility returned. The most modern example of heat affecting fertility is the postulated heating of the scrotum with laptop computers. Kind of makes you wonder about the effect of the recent triple digit heat wave in the U.S. on nationwide baby making efforts.

Heat: The Real Deal

These stories intrigued me and led me to publish a study on the effects of hot tubs and baths on male fertility. Specifically, we asked whether the withdrawal of such exposures in men with poor semen quality could lead to improvements in semen quality. We also looked for factors that might influence the response to stopping the exposure to heat.

In our study, a series of men were evaluated before and after exposure to wet heat in the form of baths and tubs. Among them, 45% responded favorably to withdrawal to heat exposure with a mean increase in moving sperm counts of almost 500%. If sperm were money, they would be rich! Some men started out with no sperm (azoospermia) and had return of sperm to the ejaculate. The problem is that it took 3 to 6 months to see the change, reflecting the time it takes to make and ejaculate sperm. Among those who didn’t respond, many were tobacco users (makes sense: take a tub, drink wine and light one up).

We concluded that tubs are toxic to semen quality and that the toxicity is reversible in many cases. The reversibility takes time though. The New York Times release of our paper’s findings included a figure of a man in a hot tub thinking about how much better hot tubs are than condoms or birth control pills for contraception.

Although a hot tub or bath may be the last thing on your dehydrated mind as you swelter in the summer heat wave, keep this advice in mind this autumn as you consider romantic ways to make hay.

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2 total comments on this postSubmit yours
  1. Very interesting and informative article. I will pass the information on throug our fertility blog. How many men were in you study ?

    • About a dozen men were in the study. Each was used as his own control (i.e. before and after exposures were stopped).

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About Dr. Turek

A founder of the male fertility and male sexual healthcare movement, Dr. Paul Turek is also an internationally recognized master microsurgeon who specializes in vasectomy and vasectomy reversal, FNA testicular mapping, sperm retrieval and male erectile and sexual dysfunction.

He is a former Academy of Medical Educators Endowed Chair Professor of Urology, Obstetrics & Gynecology at UCSF and while there, directed a National Institutes of Health (NIH) grant for training new leaders in men's reproductive health. He has authored more than 175 publications on genetic, urological and epidemiological issues in men's reproductive health and regularly consults for the Centers for Disease Control and Prevention (CDC) and the NIH and other branches of the US government and industry on matters relating to men's reproductive health. He currently holds an NIH grant to create a human artificial testicle to make sperm.

He is Past-President of the American Society of Andrology, a Fellow of the American College of Surgeons, the Société Internationale d'Urologie and the Royal Society of Medicine (London). Dr Turek is also Editor of the Reproductive Volume of Netter's Images, 2nd Edition. His hobbies include vintage cars and long board surfing.

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