Azoospermia at 70 years old is mostly considered to be related to azoospermia, male fertility decreases with age and does not require treatment if there is no need for reproduction. If there is a need for fertility, patients are advised to take surgical treatment, medication, general measures and other ways to improve. 1. Surgery: Surgery can be used to treat patients with obstructive azoospermia. If there is obstruction in the epididymis, it is recommended to choose microscopic vasovaso-epididymal anastomosis; if the obstruction is in the vas deferens, it is necessary to adopt microsurgical vasovasostomy. 2. Drug treatment: for azoospermia caused by decreased androgen levels in the elderly, gonadotropins can be used for treatment, including human chorionic gonadotropin, which can help improve the azoospermia. 3. General measures: For azoospermia patients, they need to improve their living habits, try to avoid smoking, drinking, and need to maintain good health, as well as appropriate physical exercise and reasonable diet. In addition, you need to maintain a good mood and avoid excessive stress. For 70-year-old patients with azoospermia, it is recommended to go to a regular hospital to consult a doctor, according to the individual situation, with the doctor for standardized treatment.