Guides

Guides to sperm health, ranked by evidence.

Plain-language summaries of the research on the habits that shape sperm count, motility and morphology, with the source next to every claim and a realistic timeframe for each change. Start with the two long guides; the shorter ones go deeper on one habit at a time.

Start here

One habit at a time

Does age affect male fertility? What changes after 35, 40 and 45

Semen volume, motility and morphology decline with age in a meta-analysis of 90 studies; men over 45 took longer to conceive; risks for the baby rise a little.

Updated

Does alcohol affect sperm? What the studies found

Heavy and daily drinking is linked to lower semen volume, count and morphology; occasional drinking isn't. The dose curve, and how long cutting back takes.

Updated

Does caffeine affect sperm? Coffee, tea, cola and energy drinks

Coffee and tea in ordinary amounts aren't linked to poorer semen quality in a review of 28 studies; a liter of cola a day was. The numbers and the caveats.

Updated

Cannabis and sperm: what the studies actually found

Frequent cannabis use is linked to lower sperm counts in a large study of young Danish men, but other studies disagree. What the evidence shows.

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What to eat for sperm health: the diet patterns with evidence

Which foods have evidence behind them and which do not, food by food, with effect sizes. Plus what the 2,935-man Danish study and the nut trials actually found.

Updated

How often should you ejaculate when trying to conceive?

ASRM supports sex every 1 to 2 days in the fertile window; the NHS says every 2 to 3 days. What daily ejaculation does to a sample, and why saving up is no help

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Does exercise affect sperm? Moderate activity, hard training and cycling

Active men have better semen quality in a 2019 meta-analysis; five-plus hours a week of cycling doubled the odds of a low count in one study.

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Does heat affect sperm? Saunas, hot tubs, laptops, underwear, cycling

What the sauna, hot tub, laptop, underwear and cycling studies measured, how big the effects were, and how quickly sperm recovered once the heat stopped.

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How long does it take to improve sperm quality? About 74 days

About two to three months: one cycle of sperm production takes roughly 74 days. Where the figure comes from, which changes show fastest, and when to retest.

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How to improve sperm morphology: what the evidence shows

What sperm morphology means, why the WHO limit is 4%, how much it matters for pregnancy, and which habits are linked to better results.

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How to improve sperm motility: what the evidence supports

What motility means on a semen report, the WHO 2021 limits (42% total, 30% progressive), and the changes linked to better motility, with effect sizes.

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Low sperm count: causes and what to do next

What a low sperm count means against the WHO 2021 limit of 16 million per mL, what causes it, what the evidence says helps, and when to see a specialist.

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Male infertility statistics: the key numbers, with sources (2026)

How common infertility is, how often a male factor is involved, the sperm count decline debate, and the WHO 2021 limits. Every figure linked to its source.

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Microplastics and sperm: what the research shows, and what it doesn't (2026)

Microplastics are in semen, testes and blood. What the human studies can and can't say about sperm, how to cut exposure, and why Motily doesn't score it.

Updated

Do phones, laptops and Wi-Fi affect sperm? What the evidence says

A WHO-commissioned review calls the phone evidence very uncertain and found little effect from a pocket. Laptops matter for heat. What the studies show.

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Does sleep affect sperm? The two best studies explained

Disturbed sleep and both short and long nights are linked to lower sperm counts in two large studies. What they found, why, and what 7 to 8 hours looks like.

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Does smoking or vaping affect sperm? Two meta-analyses and the vaping study

Smokers have lower sperm count, motility and morphology in meta-analyses of 16,000 men; daily vapers had lower counts in one large study. What quitting does.

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Sperm DNA fragmentation: what the test shows and who needs it

A sperm DNA fragmentation test measures broken DNA in sperm. NICE says don't test; US and European guidelines do after recurrent miscarriage.

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How to get a sperm test in the UK: NHS, private clinics and home kits

The NHS route via your GP, NICE's timing, private clinics from £189, home kits from £39, a UK mail-in lab test from £180, and how to give a good sample.

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Does stress affect sperm? What the studies found, and what they didn't

Two or more stressful life events were linked to poorer semen quality in studies of 193 and 744 men; moderate stress showed no clear effect. Mixed evidence.

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Do supplements improve sperm? CoQ10, zinc, folate, vitamin D, omega-3

The 2022 Cochrane review calls the evidence inconclusive and the two biggest trials were negative. What each ingredient's trials found, and why food wins.

Updated

Does testosterone (TRT) affect fertility? Sperm, steroids and recovery

TRT and anabolic steroids switch off sperm production, often to zero. What the guidelines say, how long recovery took in 1,549 men, and what to ask a doctor.

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Varicocele and fertility: what repair does and does not do

A varicocele is found in about 15% of men. What it does to semen, what repair improves, and why the live birth evidence is rated very low certainty.

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Does weight affect sperm? BMI, weight loss and the trial that measured it

Obesity is linked to higher odds of a low sperm count in a meta-analysis of 13,077 men; an eight-week weight-loss trial raised counts 1.4-fold. What holds up.

Updated

When to repeat a semen analysis: the three-month rule explained

NICE says repeat an abnormal semen analysis about 3 months later, sooner if no sperm were found; the AUA says two a month apart. Why, and how to compare them.

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Tools and reference

Motily is a lifestyle and wellbeing tool, not a medical device. These pages summarise published research and never diagnose. If a semen analysis is below the reference limits, or you have been trying for a year (six months if your partner is 35 or over), see a GP or a urologist.

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