For centuries, the notion that abstaining from sex increases physical performance has been widely debated. From ancient Greek athletes to modern-day boxing legends such as Muhammad Ali and Mike Tyson, have practiced sexual restraint in the expectation of increasing strength, stamina, and hope. The famous scene in Rocky where trainer Mickey Goldmill tells Rocky Balboa to "lay off that pet shop dame", “women weaken legs,” further fueled this belief, reinforcing the belief that sex before competition weakens the body. But does science back this up, or is it merely an outdated myth?

The theory that sex saps energy and impairs performance goes back almost 2,000 years. Abstaining, ancient Greek athletes believed, would enhance aggression and concentration, leading them to become stronger competitors. Even today in the world of sports, people stick to this hypothesis despite the changing scientific findings. But during the Rio 2016 Olympics, officials gave away a staggering half a million condoms to participants—far from a indication that sex was being thought of as a performance-sapping activity.

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Although some continue to abstain prior to major events, the real effect of sex on sports performance is still controversial. Is there any basis to the belief that sex inhibits strength and endurance, or is it merely an old wives' tale?

Role of Testosterone in Athletic Performance

Testosterone is an essential hormone that is essential for muscle growth, power, and overall athletic performance. Although men naturally produce more than women, both sexes need testosterone for energy and recovery. Some athletes think not having sex maintains their testosterone levels, providing them with an advantage in the gym or on the field. But is this statement scientifically accurate?

Studies indicate that testosterone levels are not consistent throughout the day but are constantly being produced in the body. Unlike glycogen, which can be stored and used as energy, testosterone is controlled according to the needs of the body. Research does not indicate that having sex depletes testosterone levels significantly—if anything, it can increase them slightly through endorphin and dopamine release.

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Does Abstinence Make One Stronger and More Enduring?

Some fitness enthusiasts skip sex before hard workouts because they think it takes away their energy. Although intense physical exercise (including sex) can cause temporary tiredness, there is no scientific evidence to support that sex deteriorates long-term strength or endurance.

A 2016 review article in Frontiers in Physiology reviewed nine studies of sex and performance in sports, and concluded there was no basis to believe sexual activity prior to competition would cause the body to be weakened. Another study, published in 2019 in the Journal of Sexual Medicine, found no statistically significant effect of sex on performance.

Whereas sex shortly before intense exercise may make you momentarily lethargic, it will not impair general performance, stamina, or muscular power. As an alternative, taking sufficient rest, eating appropriately, and exercising with a standard program are many more significant variables.

Can Men 'Save' Their Testosterone Through Abstinence?

It is long believed by some men that ejaculation abstinence will result in a dramatic increase in testosterone. In 2003, researchers from China claimed that men who did not ejaculate for seven days experienced a short-term 45% rise in testosterone. Yet this response was not found to last past the seventh day, and subsequent experiments have been unable to duplicate this effect regularly.

Conversely, some studies show that testosterone levels actually increase slightly after sex, undermining the idea that abstinence is required for optimal performance. The bottom line? The body has a fine balance of hormone production, and sex abstinence is not likely to give any real athletic benefit.

Even though there is no scientific basis, most athletes still feel that sex impacts their performance. It may be because of the placebo effect—if a player believes that not having sex makes him or her stronger, he or she will be more confident and play better. Some players may also feel relaxed and more alert after sex, and this clears their minds for the competition.

Finally, the psychological effect of sexual activity can differ from individual to individual. Sports persons who believe abstinence allows them to remain aggressive may decide to abstain from sex prior to a big event. There are others who believe that sex helps in reducing stress and enhancing sleep and may gain from intimacy pre-competition.

So, Should You Avoid Sex to Enhance your Performance at Gym?

Although the concept of forgoing sex to enhance gym performance has been around for generations, new research indicates that it does not have any noticeable effect on physical ability. Strength, stamina, and overall performance are more affected by training, nutrition, recovery, and psychological readiness than by sex.

If you think that abstinence makes you more aggressive and focused, you can do so without any ill effects. If sex makes you sleep better and relax, you might be increasing your performance rather than diminishing it. The message here is that there's no one-size-fits-all principle—players have to listen to their bodies and play in whatever way best suits them.

Ultimately, there is no scientific rationale for not having sex before you go to the gym or to compete. Whether you abstain or not, therefore, the outcome of your workout will come down to the effort you make, not the activity in the bedroom.

For years, people trying to lose weight have been told that slow and steady is the safest and most sustainable approach. But a new study is challenging that long-standing advice.

Researchers found that losing weight more quickly may actually lead to greater weight loss that can be maintained over time.

The findings, presented at the European Congress on Obesity 2026, followed 284 adults with obesity, around 90% of whom were women. Researchers compared a rapid weight-loss method with a more gradual approach.

What Did The Study Find?

During the first 16 weeks, participants in the rapid weight-loss group followed a low-calorie diet that started below 1,000 calories a day and gradually increased to around 1,500 calories. The gradual-loss group consumed approximately 1,400 calories a day.

Those in the rapid-loss group lost an average of 12.9% of their body weight during the first 16 weeks, compared with 8.1% among those following the gradual approach. But the researchers were particularly interested in what happened after the initial weight-loss phase.

Both groups subsequently entered a 36-week weight-maintenance program, receiving regular support and guidance on maintaining healthy eating habits.

After one year, the rapid-loss group had still lost more weight overall, averaging 14.4% of their starting body weight, compared with 10.5% in the gradual-loss group.

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Does This Mean Fast Weight Loss Is Better?

The study challenges the idea that rapid weight loss automatically leads to weight regain. It does not mean people should drastically cut back calories or attempt crash diets.

HealthandMe spoke to Dr Rajiv Kovil, Diabetes & Obesity Specialist, S L Raheja Hospital, to understand which approach is truly sustainable for long-term weight loss.

He says, “Scientifically, this reinforces an important concept: the speed of initial weight loss and the sustainability of weight loss are not necessarily opposites. Larger early weight loss may provide metabolic benefits, improve mobility and motivation, and give patients a greater “weight-loss buffer” before biological pressures favouring regain become prominent.”

One of the most important details is that the rapid-loss programme was structured and professionally supervised, with consistent support after the initial weight-loss period.

He further explains, “This was rapid, medically structured weight loss—not unsupervised crash dieting. Participants received continued behavioural and weight-regain-prevention support. Moreover, the results are currently reported from a conference presentation rather than a fully peer-reviewed publication, and body-composition and energy-expenditure data were not reported.”

Dr Kovil goes on to say that truly sustainable weight loss should never revolve around the number of kilograms lost.

He said, “The message therefore is not “faster is always better.” It is that obesity treatment should move away from an arbitrary obsession with the rate of kilograms lost.”

Dr Marie Spreckley of the University of Cambridge said the study involved an intensive intervention with frequent professional support, meaning the results may not necessarily translate to unsupervised dieting in everyday life.

Dr Dimitrios Koutoukidis of the University of Oxford also cautioned that the study was based on limited data from a conference abstract and mostly involved women.

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Why Slow Weight Loss Has Been Recommended?

The traditional argument is that gradual weight loss is easier to maintain and may reduce the risk of losing muscle or encourage weight regain.

But experts say the new findings suggest the speed of weight loss itself may not be the main factor determining whether weight comes back. What may matter more is what happens after the weight comes off.

Dr Adam Collins of the University of Surrey noted that metabolic adaptation and reductions in lean mass appear to relate more closely to the total amount of weight lost than simply how quickly it was lost.

Dr Kovil concludes, “In obesity medicine, the real endpoint is not how slowly you lose weight—it is how safely you lose fat, preserve muscle and maintain the metabolic benefit. Sustainability is determined less by the speed of weight loss and more by the quality and continuity of long-term treatment.”

If there is something common to active individuals, then it is the habit of downplaying knee pain as "just a strain." Runners complete races despite feeling some discomfort, weekend football enthusiasts freeze their knees and return to the game, while fitness lovers believe that the pain will go away after a few days of rest.

Sometimes the pain fades away. Yet sometimes it remains, showing signs of a meniscus tear, one of the most common knee injuries among active individuals.

What Is A Meniscus Tear?

The meniscus is a semi lunar ‘C’ shaped fibrocartilage structure that acts as a shock absorber between the thigh bone and the shin bone. The meniscus cushions the knee and stabilizes the joint every time the person runs, jumps, squats, or turns.

In case of awkward knee twisting (especially when the foot is firmly pressed to the ground), the meniscus can be torn. Such injury can be often found in sports such as football, basketball, tennis, and badminton, as well as among leisure runners.

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What Happens If You Keep Running On A Torn Meniscus?

Many people mistakenly believe that a meniscus tear is always accompanied by severe pain. In reality, many people will continue running or playing after the injury as the symptoms are manageable at first. Patients may experience swelling within the same day, pain when going up the stairs, or experiencing the knee catching or being unable to completely straighten. These are the red flags that should be addressed, and not ignored.

Disregarding any of these symptoms can be detrimental. Continuing to stress the damaged knee may lead to aggravating the tear and putting more strain on the adjacent cartilage, thus increasing chances of developing early osteoarthritis. The sooner the injury is diagnosed, the higher chances a person receives help with preserving the meniscus, which is extremely important for the knee function for many years.

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Does Every Meniscus Tear Need Surgery?

Treatment performed in each case is not identical. Minor tears may be treated with physiotherapy, modification of a person’s lifestyle, and specific exercises aimed at making the muscles supporting the knee stronger. Severe tears or ones that cause recurrent locking or instability of the joint require certain surgical intervention like arthroscopic repair or balancing.

Probably, the most disregarded part of the process of healing is rehabilitation. Pain can go away before the knee gets its strength back, and that is the reason for many athletes getting injured again. A systematic return to activity helps to promote optimal healing for the knee.

When Should Athletes Seek Medical Advice?

If you are someone who likes to run or play sport, knee pain should never be an issue that becomes accepted. Often your body can let you know when there is something wrong. Paying attention to those early signs and being quick to seek medical advice can mean the situation can be managed properly.

By Dr. Attique Vasdev, Vice Chairman, Orthopaedics, Medanta Gurugram

Walking may feel slower, harder and more tiring as we get older, but scientists say the reason could be more than simply losing muscle strength.

New research has found that ageing changes the way the ankle and surrounding muscles work during every step, causing the body to prioritise stability over walking efficiency. It may help older adults stay upright, but it also means walking requires more effort and produces less forward movement.

The study, led by researchers from Flinders University and the University of Canberra, analysed movement data from 107 healthy adults aged 26 to 86. The findings were published in Gait & Posture.

What Changes In The Body as You Age?

One of the key changes that happens in the body as we age are around the ankles. Researchers found that older adults are more likely to activate opposing muscles around the ankle at the same time, a phenomenon called co-contraction. This makes the ankle joint stiffer when the foot hits the ground.

That stiffness can provide greater stability, essentially helping the body feel more secure with every step. But it could have an adverse effect.

“As we get older, the body starts to favor stability over efficiency,” said lead author Dr Cody Lindsay, a sport and exercise technology expert at Flinders University. “That helps keep us upright, but it also makes walking more of an effort.”

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Walking Become Slower As We Age

The researchers also found that older participants generated less push-off power with each step. The push-off phase is the moment your foot pushes against the ground to propel your body forward.

When that push becomes weaker, the body travels less distance with each stride. This results in shorter steps, slower walking speeds and more fatigue.

The nervous system appears to be partly responsible for this change. Rather than maximising speed and energy efficiency, it adopts what researchers describe as a “safety-first” strategy that favours stability and control.

Associate Professor Maarten Immink, co-author of the study, said this may also make it harder for older adults to recover from trips or slips, potentially increasing the risk of falls.

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The findings help explain why an older person may feel increasingly tired after walking a distance that once felt easy.

It may not simply be that their muscles have become weaker. The entire movement strategy changes as we age.

The body is effectively spending more muscular effort to maintain stability while getting less forward movement from each step. It reveals an important biological behaviour that surfaces due to aging.

This can also affect confidence and independence. Researchers say people may notice that they tire more quickly or feel less steady, especially while when walking on uneven surfaces.

Exercise May Help

The researchers say maintaining mobility may require more than traditional strength training. Exercises that challenge balance, coordination and lower-leg strength could help the body maintain better movement control as it ages.

Dr Lindsay recommends regular physical activity, balance exercises such as tai chi, lower-leg strengthening and activities that challenge coordination.

“Staying active is one of the most important things people can do,” he said, adding that consistent exercise could help people remain mobile and independent for longer.