health
Men are worried about their fertility. Enter the regrettably named trend of spermmaxxing
Sperm counts have fallen sharply in recent decades, fueling anxiety, misinformation and a flood of fertility advice

TL;DR
- Men's sperm counts have significantly declined, with concentration dropping 51.6% and total count by 62.3% between 1973 and 2018.
- Factors contributing to declining fertility include obesity, poor sleep, smoking, stress, steroid use, and environmental pollution.
- Online advice, often termed 'spermmaxxing', is frequently inaccurate, with many claims being misleading or designed to sell products.
- The gold standard for diagnosing fertility issues is semen analysis, but sexual function, including the ability to achieve erections, can be an everyday indicator.
- Common misconceptions include the idea that semen retention improves fertility and that taking testosterone enhances it; in fact, testosterone therapy can harm sperm production.
- Improving sperm quantity and quality involves lifestyle changes such as avoiding excessive heat (hot tubs, saunas), prioritizing good sleep, eating a healthy diet (like the Mediterranean diet), and engaging in resistance training to boost testosterone.