Partnering With You on Men's Health

Partnering With You on Men's Health

From fertility workups to oncology care, hormonal health, sexual function and post-op recovery, Cool Beans offers wearable testicular cooling & support, your patients can live in - supporting comfort and adherence at home, at work and everywhere in between. Designed as a low-risk adjunct to your existing protocols, not a replacement for them.

From fertility prep to oncology flushes and post-op pain, wearable cooling brings relief your patients can live in—at home and at work.

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Thermoregulation is a Modifiable Driver of Male Reproductive & Recovery Outcomes

Even routine sitting can raise scrotal temperature by ~3 °C within ~20 minutes, impairing spermatogenesis and increasing DNA fragmentation—factors linked with longer time-to-pregnancy and miscarriage risk. Reducing local heat while providing gentle scrotal support addresses a meaningful, low-risk lever for fertility optimisation and for post-operative pain, swelling and comfort.

Clinical Applications

Fertility & Pre-Conception

Use as a daily, non-invasive adjunct where scrotal heat is a modifiable factor—supporting cooler testicular conditions for sperm production, motility and DNA integrity alongside standard care.
Recommend during investigations where male-factor heat stress and sperm DNA fragmentation may contribute—adding a low-risk lever while other causes are assessed.
Everyday wear to support sperm quality in older men, where age-related oxidative and heat stress may compound risk and pre-conception counselling is already underway.
Daily cooling support for four months (recommended) before semen collection or ART cycles to help reduce avoidable heat-related variance in semen parameters.

Oncology & Post-Operative Care

Adjunct scrotal support for men after unilateral orchiectomy or other testicular procedures. Gentle lift and stabilisation reduce scrotal drag, protect the remaining testis and support day-to-day comfort during recovery.
For men receiving localised radiation to the groin or pelvis who develop marked skin sensitivity. Forward pelvic support holds fabric steady and away from the most affected zones, reducing fabric movement over the skin and easing local discomfort.
Men on androgen deprivation therapy, chemotherapy or pelvic radiotherapy often experience hormonal hot flushes. Breathable mesh and the highly vascular scrotal bed provide a cooling route to offload built-up heat, supporting comfort during flush episodes.
After prostatectomy and other prostate interventions, adequate scrotal support helps reduce scrotal drag onto healing perineal and pelvic tissues. Cool Beans provides lift and stabilisation that may help minimise mechanical stress on scar tissue and improve post-op comfort.
Adjunct support following vasectomy, varicocele repair, hydrocele surgery and similar procedures - offering lift, reduced drag and ventilation while sitting cleanly with dressings and light incontinence pads.
For men in rehab after inguinal hernia repair, adductor strains or pelvic-floor-involving surgery. Anatomical lift reduces groin drag and chafe, supporting more comfortable movement and return to activity.

Hormones, BMI & Mental Health

Adjunct to broader management in men presenting with low testosterone, fatigue or reduced vitality. By reducing local testicular heat load, Cool Beans supports healthier testicular conditions as part of multi-modal care targeting energy, strength, mood and long-term health.
For men presenting with ED or low libido where endocrine, cardiometabolic and psychological factors are being assessed. By reducing testicular heat and providing firm scrotal lift, Cool Beans supports a healthier hormonal environment, pelvic blood flow and reduced pressure on perineal nerves. In clinical use, some men report noticeable improvements in erection quality and sexual confidence after around two months of consistent wear, as part of broader management.
For men with higher BMI or central adiposity, suprapubic fat and skin folds can chronically raise scrotal heat. Forward-lift, breathable support helps separate the scrotum from the abdominal wall to create a cooler micro-environment—relevant where optimising testosterone is part of care for fat loss, muscle retention and BMI management.
Improving daily comfort in the groin—less heat, drag and chafe—can support adherence to movement, sleep and sexual-health plans that underpin men’s mental wellbeing.
Everyday support for midlife and older men focused on staying active, sexually well and independent for longer. Scrotal cooling and support help maintain a healthier testicular environment and hormone profile as part of wider healthy-ageing plans addressing sleep, movement, nutrition and chronic disease risk.

Occupational & Lifestyle Heat

Recommended for men with prolonged sitting at work or in vehicles, where lap and seat heat can raise testicular heat; wearable cooling helps counter cumulative daily load.
All-day wearable support under PPE or uniforms for men in hot environments—helping mitigate local scrotal heat from ambient conditions, body armour and heavy clothing.
Maintains cooler, supported conditions during training blocks and competition in hot climates—particularly for distance running, team sports and field-based conditioning.
Airflow pouch design helps relieve saddle-zone heat and friction without bulky padding, supporting comfort for cyclists and other saddle-sport athletes.

A Practical Resource for Clinicians

A practical, evidence-based tool for clinic conversations, Cool Beans is more than a memoir–it’s a clinically referenced guide to bringing male-factor health back into everyday practice. It starts in the fertility clinic and scales out to men’s health globally, connecting testicular heat, sperm quality and DNA fragmentation, testosterone decline, mental health, sexual performance and long-term cardiometabolic risk.

The book distils clinical data into clear, practical action steps for him, for her, for us as a couple, and sometimes for the whole family–helping you explain why male health matters, why environment and heat play such a big role, and what patients can actually do about it. You’ll also hear from people around the world on how they’re using Cool Beans in real life, and the misconceptions men and women still hold about fertility, hormones, mental health, sex and the next generation.

Get the Book

Must read - the fertility story no one’s talking about

Cool Beans is such a down-to-earth, eye-opening read. I couldn’t put it down. Saara takes you through her own struggle to fall pregnant, only to discover something hardly anyone talks about. Sperm health is often pushed aside when it comes to fertility. Realising her husband’s health was a big part of the puzzle changed everything, and what started as a really tough journey turned into the idea for Cool Beans underwear. It’s a story that’s real, funny at times, emotional at others, super inspiring and educational all rolled into one.

If you’ve ever dealt with fertility struggles, or just want to read how someone turned their hardest moments into something amazing through her own start up this book is definitely worth picking up.

Elise Harris

Book Review from Amazon

A game changer in the fertility and male health space

This book is a revelation. It dives deep into the often-overlooked world of men's health and fertility with clarity, compassion, and scientific precision. What sets it apart is its empowering message: that male fertility is not just a footnote in the conception conversation—it’s a cornerstone.... something so overlooked and misunderstood.

Highly recommend for anyone who wants to take charge of their reproductive health or just support their partner... The Authors personal story is very touching and relatable, good on her for being so proactive and passionate!

Tracey Murrin

Book Review from Amazon

Listen to What Others Have Said

Who Needs To Cool Their Beans?

How Does Cooling My Beans Help?

Frequently Asked Questions

Understanding Cool Beans

Our patented elasticised air-flow mesh pouch lifts the scrotum forward, away from the thighs, so body-core heat dissipates instead of being trapped. The open-weave mesh and premium, polyester-free fabrics let heat and moisture escape, maintaining a testicular temperature that’s up to several degrees cooler than ordinary briefs. In short: more air circulation, less squeeze, better biology.
Yes. Mahtava Enterprises Pty Ltd – Testicular temperature regulation underpants are entered in Australia’s ARTG 379655 (Class I). Registration recognises the intended purpose; it doesn’t claim guaranteed outcomes.

Fertility & Men's Health

Yes. Elevated scrotal temperature is a well-documented enemy of both sperm quality and endogenous testosterone production. By passively keeping the testes closer to their optimal 34 °C zone, Cool Beans supports higher sperm count, motility, and hormonal output. The design is registered with Australia’s Therapeutic Goods Administration (ARTG 379655) as a Class I medical device, and is recommended by urologists and fertility clinics for exactly this purpose
Spermatogenesis runs best when the testes sit a few degrees below core body temperature—about 34–35 °C. When heat builds up (tight clothing, thighs pressed together, hot seats, saunas, fever), semen quality—count, motility, and morphology—can drop. Keeping air moving around the scrotum helps maintain that cooler zone and supports normal testicular function.
Sperm take ~74 days to develop, plus ~10–15 days to transit the epididymis. Most lifestyle changes show up on testing after 2½–3 months; sometimes it takes two full cycles.
Large clinical data suggest men who typically wear looser underwear show higher sperm concentration and total count than those in tighter styles—likely due to lower scrotal heat. (If counts are already normal, the difference may be small.) Cool Beans provides support without squeeze, prioritizing airflow.
Everyday habits that raise scrotal temperature include sitting for long periods with your thighs pressed together or wearing tight pants, resting a laptop directly on your lap, and using hot tubs, saunas, or heated car seats; high-intensity cycling can also add heat. To help keep things cooler—especially while trying to conceive—take regular standing or walking breaks, place laptops on a desk or tray instead of your lap, limit hot-water/sauna/seat heat, and when cycling, use a cut-out saddle, stand on climbs, cool down promptly, and wear breathable, airflow-focused underwear like Cool Beans.
Extended rides can raise scrotal temperature and compress perineal vessels and nerves. Practical tweaks—bike fit, cut-out saddle, standing intervals, breathable shorts—plus cooling underwear can reduce heat load and irritation. If you have numbness, pain, or erectile symptoms, see a clinician.
Yes. After a febrile illness, semen parameters can dip for one or more spermatogenic cycles; they often recover as new, heat-unexposed sperm enter the ejaculate. If you’re actively trying, consider re-testing 3 months after recovery.
A varicocele (dilated scrotal veins) can warm the testes and impair sperm quality. Supportive, cooling underwear may improve comfort and reduce heat load, but it doesn’t treat the vein abnormality. Evaluation by a urologist is recommended if you suspect varicocele.
If you’ve tried to conceive for 12 months (6 if partner ≥35), or if you notice pain, swelling, a new lump, prior testicular surgery/trauma, erectile issues, or a history of undescended testicles, consult a clinician. Cooling underwear is a helpful adjunct—not a substitute for medical care.

Fit & Use

Choose a pouch size that lifts the scrotum forward without compressing it. You want support + airflow, not squeeze. If in doubt between sizes, pick the looser pouch for more circulation.
Absolutely. The underwear was engineered for all-day comfort at the office, during sleep, light workouts, walking, or weight training. Cyclists also love the reduced saddle heat and compression. For high-intensity running or contact sports, hold tight—our performance line Cool Beans Fit is on the way.

Scientific References

  • Australian Government Department of Health and Aged Care. Therapeutic Goods Administration (TGA) – Australian Register of Therapeutic Goods (ARTG): Cool Beans Underwear® (ARTG 379655).
  • Durairajanayagam D, Agarwal A, Ong C, Prashast P. Causes, effects and molecular mechanisms of testicular heat stress. Reproductive BioMedicine Online. 2015;30(1):14-27. doi:10.1016/j.rbmo.2014.09.018. PMID:25456164.
  • Koskelo R, Zaproudina N, Vuorikari K. High scrotal temperatures in men: a reason for infertility? Pathophysiology. 2005;11(4):221-224. PMID:15837168.
  • Song WW, Zhu Q, Liu JF, Jiang HC. Effect of air conditioning and a chair cushion on scrotal temperature. International Journal of Andrology. 2007;31(4):418-426. PMID:17373979.
  • Jung A, Schuppe HC. Influence of the type of undertrousers and physical activity on scrotal temperature. Human Reproduction. 2002;17(9):2548-2553. PMID:12351549.
  • Jung A, Schuppe HC. Influence of the type of undertrousers and physical activity on scrotal temperature. Andrologia. 2007;39:203-215. doi:10.1111/j.1439-0272.2007.00772.x.
  • Wang C, McDonald V, Leung A, et al. Effect of increased scrotal temperature on sperm production in normal men. Fertility and Sterility. 1997;68(2):334-339. doi:10.1016/S0015-0282(97)81525-7. PMID:9240266.
  • Hjollund NHI, Bonde JPE, Jensen TK, et al. Diurnal scrotal skin temperature and semen quality in fertile men. Human Reproduction. 2002;17(11):2899-2905. PMID:12128094.
  • Hjollund NHI, Storgaard L, Ernst E, et al. Repeated semen samples from fertile men: decline in sperm concentration and motility after short-term scrotal insulation. Reproductive Toxicology. 2002;16(1):53-58. PMID:11955967.
  • Levine H, Jørgensen N, Martino-Andrade A, et al. Temporal trends in sperm count: a systematic review and meta-regression analysis. Human Reproduction Update. 2017;23(6):646-659. doi:10.1093/humupd/dmx022. PMID:28981654.
  • Levine H, Jørgensen N, Martino-Andrade A, et al. Temporal trends in sperm count: updated systematic review and meta-regression analysis. Human Reproduction Update. 2022;28(4):563-586. doi:10.1093/humupd/dmac015. PMID:36377604.
  • Travison TG, Araujo AB, O’Donnell AB, Kupelian V, McKinlay JB. A population-level decline in serum testosterone levels in American men. Journal of Clinical Endocrinology & Metabolism. 2007;92(1):196-202. doi:10.1210/jc.2006-1375. PMID:17148551.
  • Shafik A. Effect of different types of textile fabric on spermatogenesis: I. Electrostatic potentials generated on the surface of human scrotum. Archives of Andrology. 1992;29(3):179-184. PMID:1456835.
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  • Reijnen A, Geuze E, Vermetten E. Individual differences in plasma testosterone levels and trauma-focused therapy response in male veterans with posttraumatic stress disorder. Psychoneuroendocrinology. 2015;51:525-532. doi:10.1016/j.psyneuen.2014.10.005.
  • van Hooff M, McFarlane AC, Baur J, Abraham M, Barnes DJ. The stressor criterion-A1 and PTSD: a matter of opinion? European Journal of Psychotraumatology. 2014;5:23950. doi:10.3402/ejpt.v5.23950.
  • StatPearls Publishing. Varicocele. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; updated 2023.
  • Fei Wang, Chuanyi Hu, Guozeng Wang. Development and application of scrotum belt in patients with hydrocele. International Journal of Clinical and Experimental Medicine. 2017;10(8):12467-12471.
  • Bai Y, et al. Cryotherapy relieves pain and edema following inguinal hernioplasty in males with end-stage renal disease: a prospective randomized study. Journal of Pain and Symptom Management. 2018. PMID:30025940.
  • Leung V, et al. Cooling for the reduction of postoperative pain following inguinal hernia repair. Hernia. 2006. PMID:16432641.
  • Bayraktar U, et al. Scrotal cooling as a protective method in tissue preservation after testicular torsion. (Open access review/article). 2022. PMC8771140.
  • Bhasin S, Brito JP, Cunningham GR, et al. Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism. 2018;103(5):1715-1744. doi:10.1210/jc.2018-00229.
  • Hoyos CM, Killick R, Yee BJ, et al. Effects of testosterone therapy on sleep and breathing in obese men with severe obstructive sleep apnoea: a randomized placebo-controlled trial. Clinical Endocrinology (Oxf). 2012;77(4):599-607. PMID:22512435.
  • Crosnoe LE, Grober ED, Ohl D, Kim ED. Exogenous testosterone: a preventable cause of male infertility. Translational Andrology and Urology. 2013;2(2):106-113. PMID:26813847.
  • Kong A, Frigge ML, Masson G, et al. Rate of de novo mutations and the importance of father’s age to disease risk. Nature. 2012;488(7412):471-475. doi:10.1038/nature11396.
  • Interaction effects of temperature and ozone on lung function and markers of systemic inflammation, coagulation, and fibrinolysis: a crossover study of healthy young volunteers. Environmental Health Perspectives. 2014. doi:10.1289/ehp.1307986. PMID:25514459.
  • Yehuda R, Daskalakis NP, Lehrner A, et al. Influences of maternal and paternal PTSD on epigenetic regulation of the glucocorticoid receptor gene in Holocaust survivor offspring. American Journal of Psychiatry. 2016;173(8):856-864. doi:10.1176/appi.ajp.2016.15121571. PMID:26410355.
  • Dasgupta N, Asgari S. Seeing is believing: exposure to counterstereotypic women leaders and its effect on the malleability of automatic gender stereotyping. Journal of Experimental Social Psychology. 2004;40(5):642-658. doi:10.1016/j.jesp.2004.02.003.
  • Henning P, et al. 2014. Journal of Clinical Endocrinology and Metabolism. 99(3):956-964.

Our Story

For three years we lived in a loop of infertility and miscarriages while every test said I was “fine.” All the focus was on my body. No one was looking at my husband’s health.

As a medical researcher, I went back to the science and found how everyday testicular heat can damage sperm DNA and disrupt testosterone. One night at the kitchen table, I stitched a prototype pair of underwear for my husband, Jordan. We changed nothing else–just his underwear.

Four months later, we were pregnant, and his sperm DNA fragmentation had improved enough for me to carry our baby.

Today, that prototype is Cool Beans—a global-first men’s-health medical device, registered with the Therapeutic Goods Administration (TGA) for testicular cooling and supporting sperm health and hormone function.

Read More

Future Proofing Men’s Health & the Next Generation

Part memoir, part manifesto, and part medical awakening, Cool Beans Biomed exposes the systemic neglect of male bodies and the urgent need to rethink how we care for them—from adolescence to fatherhood and beyond. Because if we don’t bring men back into the conversation—on fertility, hormones, mental health, and the future of family—we’re all fighting blind.

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