Ill-fitting men’s underwear can irritate the skin, leading to ongoing discomfort and chafing. Dr. Artem Loktev, a urologist with the Fomina Clinic network, notes that excessively tight underwear may raise the risk of varicocele—a swelling of the veins in the scrotum that can affect comfort and reproductive health. The tighter the fit, the more pressure is placed on delicate tissues, which can contribute to localized irritation or circulatory issues over time.
In Dr. Loktev’s view, a varicocele is a dilated vein within the spermatic cord inside the scrotum. Such a condition can be linked to reduced fertility, persistent pain, and even subtle changes in testicular size. While not inevitable, it is a concern worth considering when choosing daily underwear that supports, rather than constrains, natural function and comfort.
Material matters as well. Fabrics like polyester and nylon often trap heat and wick moisture poorly, creating a damp environment that encourages bacterial or fungal growth on the skin. This can lead to irritation, dermatitis, and infections—especially for individuals with sensitive skin. Choosing plain, non-patterned underwear can reduce the risk of skin reactions tied to certain dyes and chemicals used in cheaper fabrics.
According to the doctor, poor ventilation around the existing fabric can further fuel microbial activity and irritate the skin. Those with sensitive or reactive skin should be particularly mindful of fabric quality and dye safety. It is advisable to select underwear made from breathable, natural fibers and free from harsh chemical processing. A simple, plain design helps ensure consistency in material quality and comfort across wear. The emphasis should be on materials that feel gentle against the skin and maintain a clean, dry microclimate throughout the day.
Support matters, especially for people leading active lives. Undergarments that fail to provide adequate support can generate unnecessary movement, friction, and strain. That kind of stress may lead to discomfort or even minor injuries over time. Dr. Loktev recommends prioritizing a proper fit that supports the groin area without pinching or binding. Look for underwear that holds its shape, distributes pressure evenly, and accommodates natural activity without restricting blood flow.
When selecting daily underwear, natural materials like cotton or bamboo deliver better ventilation and moisture absorption than many synthetic options. The goal is to maintain a comfortable, breathable environment that helps prevent irritation or dermatitis. Avoid overly tight pieces and check for a fit that feels secure yet relaxed. With careful choices about fabric quality, proper support, and careful attention to how the underwear feels during movement, men can reduce the chances of skin issues and discomfort related to poor garment quality.
Note: clinicians emphasize that choosing underwear should reflect individual needs and daily activities, with attention to skin health and comfort across all environments. Ongoing awareness of how fabrics interact with the body can support long-term well-being and reduce the risk of irritation or related concerns. [Attribution: Dr. Artem Loktev, Fomina Clinic]