For a long time, there are great misconceptions about infertility, and because the fertility mechanism is very complex, there are different infertility factors for different couples. I would like to say to those anxious patient couples, infertility must get out of the diagnosis and treatment of misconceptions, as far as possible to identify the causes and take targeted measures in order not to take detours, less detours, as soon as possible to achieve the purpose. 1, normal sexual function, does not mean normal reproductive function Because of the peculiarities of female anatomy and physiology, many women have more or less gynecological discomfort, coupled with the historical subordination of women, so many men attribute the cause of infertility to the female, a reason for men to cheer up is “I’m fine, I have no problem”. In fact, male sexual function and reproductive function are two completely different concepts, which are two separate and completely different mechanisms. There are many men who have given birth who have sexual dysfunction. On the contrary, many azoospermia patients have strong sexual desire, normal erection, normal ejaculation during intercourse, but no sperm in the semen. 2, there is a history of pregnancy, does not mean that there has been fertility There have been many years of infertility couples, has been seeking female consultation, the reason is “my husband does not have a problem, his past girlfriend has been pregnant many times” or “my husband’s first marriage has been fertile “. Please note that infertility is divided into primary infertility and secondary infertility. Secondary infertility means that there was a history of fertility and now the woman is unable to conceive. Those who were able to have children normally in the past and were azoospermic after many years are also found in the clinic from time to time. A male patient of Anhui origin, before the age of 25, had made three girlfriends pregnant, but was infertile for five years after marriage. Although such patients have spermatogenesis in the early stage, some hereditary diseases are late, and the sperm compensatory function in the body is lost after a certain age, so that spermlessness appears in the later stage and it is naturally impossible to have children. 3. The routine semen examination does not fully reflect the fertility function Many women, when seeking treatment for infertility, often indicate that all the tests on the male side are normal and it must be my problem. And the normal in many patients’ mouths is only the normal semen routine analysis. Since most hospitals do not have a specialized male establishment or the corresponding examination equipment, they are only able to carry out routine semen examinations. In fact, there are many indicators that affect male fertility, in addition to semen routine, sperm function, immune factors (mainly specific antibodies), karyotype, etc. are all important influencing factors, any one of which has a problem, even if the semen routine examination is completely normal, it is also impossible to have children. 4, less, weak sperm is not absolute infertility male infertility is divided into absolute infertility and relative infertility, many men once or more check, identified as less, weak sperm, then buried in treatment, while ignoring the possible existence of other absolute factors, wasting time and money. Theoretically, as long as there is a morphologically intact and active sperm, it is possible to get pregnant, only the chances are extremely small. However, for the average patient with low or weak spermatozoa, it is possible to relax and increase the chances of pregnancy by chance. If the sperm condition is improved through treatment, the chances of pregnancy will be greatly increased. But never see the disease to cure the disease, and ignore the further examination of the female partner. There is a patient from northern Jiangsu, 9 years after marriage, treated for mild oligospermia and weak spermia for 7 years, almost all over China, with little improvement in sperm condition. At the initial consultation, the woman agreed to the examination only after a strong request from the specialist. The results showed that the female partner had bilateral fallopian tube incompetence. The man not only wasted 7 years of time and money, but the mental stress almost broke him. So when the expert gave him a full analysis, the man bawled. 5, give full consideration to the woman’s fertility status and choose the right fertility According to the latest research data, a normal couple, the monthly chance of pregnancy is only 20-25%, and the annual chance of pregnancy is about 85%, and for women at the age of 35, the chance of pregnancy drops by half compared to women at the age of 25, and by half again at the age of 38. The misconception is that a woman has the possibility of getting pregnant as long as she has normal menstruation. In fact, in most women, the eggs begin to gradually decrease or lose their fertility 7 to 8 years before menopause. It is very important for male doctors to master the fertility pattern of women and to establish the treatment strategy for different infertility couples. In the above mentioned couple in northern Jiangsu, the male partner had mild oligospermia and weak spermatozoa and the female partner had bilateral proximal tubal incompetence. Although interventional tubal unblocking may allow tubal reopening, the female partner was 37 years old and her ovarian function was diminished. In view of this situation, the specialist recommended direct IVF, which turned out to be a success. 6, azoospermia is not a sure thing Since the world’s first IVF case was born in 1978, assisted reproduction techniques have been widely carried out, allowing many patients with severe oligospermia, weak spermia, and even azoospermia to have the opportunity to have their own offspring. However, not all patients with azoospermia have this opportunity. First, further tests should be performed to determine if there are chromosomal abnormalities? Is there a deletion of the spermatogenesis gene? Is it obstructive azoospermia? After it is determined that the male has active sperm in the epididymis or testes and IVF treatment can be performed, he should also be actively treated with a view to obtaining more and more qualified sperm through epididymal or testicular puncture for the maximum success rate of IVF. 7, the cause is unknown is not drugless As we all know, the treatment of any disease should be clear cause, and then can take targeted treatment to achieve satisfactory results. But because of the late development of male science, basic research is insufficient, and even disconnected from the clinical, many male infertility can not find the absolute cause, which brings great inconvenience to the treatment, but also to the community to chase the interests of some bad hospitals and doctors to take advantage of the opportunity. The World Health Organization has so far been unable to come up with a guiding program, relying instead on the experience of clinicians in the use of drugs. Experts remind that for patients with unexplained infertility, they should neither give up on treatment nor blindly turn to doctors, and the combination of Chinese and Western medicine has better clinical efficacy.