First, the female side at the same time to see reproductive gynecology Infertility is about 40% male factors, 40% female factors, and 20% because of the current level of medicine, can not find a clear cause, may be related to both men and women, and therefore need to see the doctor at the same time. Female fertility is more related to age: when a woman reaches 35 years old, her fertility is only 50% of that of 25 years old, when she reaches 38 years old, it is only 25%, and over 40 years old, it is less than 5%. The success rate of IVF is more related to the age of the woman: 30-40 years old, the success rate is 30-40%, 40-45 years old, the success rate is 5-10%, and over 45 years old, the success rate is almost 0. Therefore, if the woman is older, it is advisable to have an aggressive treatment plan. This is only a recommendation, and the female partner’s situation is specifically assessed by a reproductive gynecologist. Second, treatment of male infertility There are generally three treatment options, medication, artificial insemination or IVF. Medication, if not achieved, artificial insemination is considered; if not yet achieved, or if artificial insemination cannot be done, IVF is considered. The treatment of all diseases is the same, from simple to complex, from non-invasive to invasive principles. Preferred drug treatment: 1, the role of drugs: the use of drugs to improve the role of each parameter of the semen routine is to improve the probability of pregnancy; 2, drug treatment cycle: human spermatogenesis cycle of 70 to 74 days, about 3 months, so if you take empirical drug treatment, the course of treatment should be generally 1 to 2 spermatogenic cycle, that is, 3 to 6 months, such as poor results, the need to consider assisted reproductive technology, rather than the unlimited use The more expensive spermatogenic drugs; 3, but not intermittent medication, because the spermatogenic cycle is continuous, so it is generally 1 month of drugs, about 25 days to review the. If the patient is hypogonadotropic, the general duration of medication is 12 to 18 months. Artificial insemination: Artificial insemination is generally recommended for about 3 consecutive cycles, and information shows that the cumulative success rate of 3 cycles of artificial insemination is about 20%. But the specific by the reproductive gynecology experts. IVF: 1, can do the first generation of IVF, not the second generation of IVF, because the higher the more money spent, the higher the risk, but the specific by the laboratory according to the actual situation; 2, if the IVF stage, the general female can only take more than 10 oocytes, ovulation, the woman is prone to super row, dangerous; if the female ovarian function is not good, take even fewer oocytes, for these oocytes The number of sperm available to the male partner is generally sufficient, so there is no need to worry and no need to use a lot of medication. Under what circumstances should assisted reproductive technology be considered? There are two general situations in which the decision to do artificial insemination or IVF is made: 1. The program developed by the reproductive gynecologist is based on the objective situation of the woman. This program is not a matter of how the patient wants to be treated, but the objective situation of the female partner’s disease determines the next step to consider assisted reproductive technology (artificial insemination or IVF); 2. The male partner’s situation. Generally speaking, there is no specific drug for male infertility, if the drug treatment for 1 to 2 spermatogenic cycles, i.e. 3 to 6 months, the efficacy is not good, you need to advise the reproductive gynecologist to consider the assisted reproductive technology, rather than the unlimited use of more expensive spermatogenic drugs.