Not long ago, I wrote an article in which I said that some male infertility does not need to be treated, and after the article was published, a number of patients came in and asked what they should do about male infertility. I think this is really every couple who want to see the infertility to think about before the clinic, because, infertile people in the clinic really have a lot of inappropriate medical behavior. One of them is to take medication without examination first. This is a common problem of many infertility patients, in their view, see a doctor is to take medicine, so, in the case of not figure out why infertility, will take a lot of medicine, of course, this can not blame the patient, because some doctors for the principle of treatment of infertility is also not a good grasp of the situation, and even played a role in pushing the role of the doctor, especially some of the small clinics, no matter what is the reason for you to come to the let you bring back A large number of drugs. Second, constantly changing hospitals and doctors. Some infertility patients will go to a variety of hospitals and clinics to see infertility, I can often see a patient will take out a stack of medical records, and the contents of the examination is highly consistent, when I face these results shaking his head, the patient will often unremittingly ask me why? I said, “The examination equipment in hospitals is similar, why do we need to go back and forth to Beijing and Shanghai for examination? It’s just semen, isn’t it? What difference does it make? Why bother? Third, blindly think that taking medicine is better than not eating. This case I published not long ago, “do not have to treat the infertility of patients” in the article has been said, that is quite typical, in fact, in practice, I can often encounter such patients, when I told him to go home, there is always a part of the person will ask: you have not prescribed me medication. However, not everyone who walks into the hospital has to take medication. According to my experience, about less than half of the infertile people do not have to take medication; some of them are normal, some do not have to be treated, some can be observed again, and some can just change their habits or environment. Fourthly, stay at home for childbearing. Perhaps people do not believe that some infertile patients will give up their jobs and stay at home for childbearing. Of course, this situation is more often seen in women, who often have good family finances and very anxious parents, and will make the decision of not working for the time being and specialize in childbearing. However, in the opinion of doctors, this is not a good idea. If the original working environment is harmful, doctors of course advocate getting out of the undesirable environment, but if this is not the case, it is not necessary at all. There are just too many things like this. I sometimes wonder, we are always talking about the difficulty and high cost of seeing a doctor nowadays, and apart from the various external factors that have caused such a situation, is it not true that patients who know some common sense in seeing a doctor or the principles of seeing a doctor will also be conducive to the safeguarding of their own rights and interests? Talking too far, also very sensitive, do not say, here, I put forward a reference to the treatment of infertility. What I mean by a reference opinion is actually a personalized plan for the treatment of male infertility and the choice of progressive timing,. As we all know, male infertility has an insidious onset, a long course of disease, a long cycle of drug treatment, the efficacy of the treatment is not precise, etc., in addition to the different conditions of each body, the adherence to the different treatment modalities are also affected by the family, society and their own economic conditions, male doctors should have a good idea of the condition of each patient, family situation, economic conditions, and should formulate a reasonable treatment program and When formulating a treatment plan, they should establish a reasonable course of treatment and observation program, and appropriately grasp the timing of the progression and end of treatment. In terms of the duration of drug treatment, according to the spermatogenesis cycle, the treatment time is generally three months, which we call a course of treatment, and every month of treatment, semen review, before and after the comparison of semen quality, if, after one to two courses of treatment has no effect, we should consider ending the drug treatment, and choose to carry out assisted reproduction treatment. In terms of the effect of treatment, if the treatment is effective, the appropriate way of conception can be used, the total number of active spermatozoa is more than 15 million, can be conceived through the couple’s normal sex life; the total number of active spermatozoa is more than 15 million can be artificial insemination; the total number of active spermatozoa is more than 0, less than 15 million can be carried out in vitro fertilization technology. In terms of the choice of assisted reproductive technology, assisted reproductive technology actually includes artificial insemination and in vitro fertilization (IVF), while artificial insemination includes native and heterozygous, that is to say, using the semen of the lover or the semen of volunteers, and IVF can be native and heterozygous, and the difference between the two mainly lies in the high and low success rate and the expensive and cheap funding, and the existence of these differences will make some people suitable, while making some others may not be suitable, and the This suitability and unsuitability requires the involvement of a medical professional, but in any case, the answer should be uniform. To summarize, the point I want to make is; treat infertility rationally and treat infertility treatment rationally.