Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/9/2025

Heat Exposure and Fertility

Effects on Male Fertility

  • Heat exposure is a concern for male fertility, as animal studies strongly suggest an adverse effect of heat on spermatogenesis and subsequent fertility 1
  • Increased testicular temperature can negatively impact sperm production, as seen in conditions like cryptorchidism where testes are exposed to core body temperature 1, 2
  • The quality of evidence linking heat to human male infertility is relatively poor, with most studies having limitations such as small sample sizes, lack of control groups, and confounding factors 1, 2
  • Activities increasing scrotal temperature may affect semen parameters, though the reported reductions are often small and may still be within normal ranges 1, 2

Recommendations for Couples Trying to Conceive

  • For men trying to conceive, it is advisable to avoid excessive heat exposure to the scrotal area, which could include prolonged use of heating blankets, especially at high settings 1, 2
  • If using a heating blanket is necessary for comfort, use lower temperature settings 1
  • Avoid prolonged continuous use, especially for men 2
  • Consider using the blanket to warm the bed before sleeping rather than keeping it on throughout the night 1

Common Pitfalls and Caveats

  • The evidence regarding heating blankets specifically and fertility is limited 1, 2
  • Many studies on heat exposure and fertility suffer from methodological limitations including small sample sizes, lack of control groups, and inconsistent definitions of heat exposure 1, 2
  • Temperature effects may vary based on duration of exposure, intensity of heat, and individual factors 1, 2
  • While avoiding excessive heat is a reasonable precaution when trying to conceive, other factors such as age, overall health, and other lifestyle factors likely have more significant impacts on fertility 1, 2