Most male infertility is due to a decrease in the quality of sperm semen, which leads to reduced fertilization ability. Many couples who are preparing for pregnancy or who have been infertile for a long time come to the hospital, and when they check their husband’s semen, they find poor sperm vitality, low concentration, high malformation rate, non-liquefaction, anti-sperm antibodies, etc. What should they do? Excluding individual cases of clear absence of sperm and severe oligospermia after repeated examinations, most patients with semen abnormalities can be treated by medication first. 1. Western medicine treatment. Vitamin E, vitamin C, zinc, levocarnitine, hexoketone cocaine and so on. These are all used in the treatment of semen abnormalities, but they have not yet been able to obtain particularly stable as well as satisfactory results. 2. Chinese medicine treatment. Chinese medicine formulas have been clinically effective because they can be tailored to the specific situation of each individual and the specific problems of semen, and are more targeted. At present, Chinese patent medicines for kidney supplementation are widely used, but not all of them can achieve good results. Because the formula of proprietary Chinese medicine is fixed, it is difficult to adjust it flexibly according to different people. And not all semen abnormalities are caused by kidney deficiency, so all kidney tonics are bound to be ineffective for some patients and even produce certain side effects. Therefore, Chinese herbal soup is the main oral dosage form at present. 3.Surgical treatment. The most common varicocele is closely related to semen abnormality. However, not all patients can get improvement in semen after varicocele surgery. So these patients still need medication, especially Chinese medicine, in a multi-pronged way to achieve the goal that surgery and medication work together.