”This is a common viewpoint shared by Professor Xu Fusong, a famous Chinese medicine male specialist, and Professor Huang Yufeng, a Western medicine male specialist, at a professional seminar on male medicine. However, for a long time, gynecology is basically a “must” in general hospitals, while the same “half of the sky” of male disease is not a relatively independent department, many hospitals are the diagnosis and treatment of male disease by the urologist “incidentally look”, there are many patients who can not understand the way to the general internal medicine, urology and even gynecology. In recent years, with the continuous development of industrialized society, the gradual deterioration of environmental pollution, the further intensification of social competition, infertility is growing year by year. According to statistics, infertility accounts for 10-15% of couples of childbearing age. This not only affects the harmony of couples and family happiness, but also affects the harmony and stability of society. For a long time, due to historical limitations, there is a great misunderstanding of infertility, which used to be attributed to the female side of the problem, completely ignoring the male factor. In recent years, due to the development of science and technology, people have gradually realized that the male partner accounts for 50% of the many factors of infertility. Due to the complexity of the fertility mechanism, male and female factors are equally divided, and different couples have different reasons. Therefore, China’s first post-doctoral doctorate in Chinese and Western medicine, Professor Jin Baofang pointed out that infertility must be 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 a detour, less detours, as soon as possible to achieve the purpose. 1, normal sexual function, does not mean normal reproductive function Due to the peculiarities of female anatomy and physiology, many women will have more or less gynecological discomfort, coupled with the historical subordinate status of women, so many men will be the cause of infertility attributed to the female, a reason for men to cheer up is “I’m good, I have no problem”. The experts reminded that male sexual function and reproductive function are two concepts, which are two separate and completely different mechanisms, an obvious phenomenon is that there are many men who have given birth to a sexual dysfunction, right? On the contrary, patients with azoospermia have a strong sexual desire, normal erection, normal ejaculation during intercourse, but there is 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”. Experts remind, infertility is divided into primary infertility and secondary infertility, the so-called secondary infertility is the history of fertility and conception history and now can not make the woman pregnant. In the past, the normal fertility, after many years of azoospermia is also found in the clinic. In one case, a male patient from Anhui province, who had impregnated 3 girlfriends before the age of 25, was infertile for 5 years after marriage. Most of these people are congenitally spermless or have severe oligospermia, weakness or teratospermia, but experts speculate that although this person has a spermatogenesis gene deficiency, there is still a spermatogenesis compensatory function in the body, and this compensatory function is lost after a certain age, so it is naturally impossible to have children after getting married at the age of 25 and having no sperm. 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 the mouth of many patients is only the normal semen routine analysis. Due to the delayed development of male science, most hospitals do not have a specialized male establishment or corresponding examination equipment, and most hospitals are only able to carry out routine semen examination. In fact, there are many indicators that affect male fertility, in addition to semen routine, sperm function, immune factors (mainly anti-sperm antibodies), chromosomes, etc. are decisive factors, any one of these links is a problem, when the semen routine examination is completely normal, it is also impossible to have children. 4, less, weak sperm is not absolute sterility Male infertility is also divided into absolute sterility and relative sterility, many men once or more check, identified as less, weak sperm, then insist on treatment, and ignore the possible existence of (female) absolute factors, wasting time and money. Theoretically, as long as there is a morphologically intact and well-activated sperm, it is possible to get pregnant, only with less chance. However, it is still possible for the average patient with low or weak spermatozoa to relax and increase the chances of conception. By improving the sperm condition through treatment, of course, the chance of pregnancy will be greatly increased. But never see the disease treatment, and ignore the female party further examination there is a patient in northern Jiangsu, 9 years after marriage, due to oligo- and weak sperm treatment for 7 years, footprint almost all over China, sperm condition is not much improved. At the initial consultation, the female partner agreed to the examination only at the strong request of the specialist. The results showed that the female partner had bilateral fallopian tube incompetence. The male partner not only wasted 7 years of time and money for nothing, 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. Whereas in the past it was thought that a woman had the possibility of becoming pregnant as long as she had normal periods, recent studies have shown that a significant percentage of women, 7 or 8 years before menopause, have already lost their reproductive function. It is very important for male doctors to master the fertility pattern of women and to establish the rules of treatment 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 incompetence of the fallopian tubes. Although it is said that the tubes can be recanalized through imaging access technology (recanalization rate can reach more than 90%), the natural pregnancy rate is only about 35% and the chance of ectopic pregnancy is 5-6 times higher than normal, not to mention that the female partner is 37 years old. In view of this situation, experts recommended direct IVF, which resulted in a successful outcome. 6, azoospermia is not a sure thing Since the world’s first IVF case was born in 1978, assisted reproduction technology has 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 IVF can be performed, it should also be actively treated in order to obtain more and more qualified sperm through epididymal or testicular puncture for the maximum success rate of IVF. It is well known that the cause of any disease should be clearly identified before targeted treatment can be taken 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 of some completely from their own interests of bad hospitals and bad doctors to take advantage of the opportunity. The World Health Organization has so far been unable to come up with a guiding program, relying entirely on the experience of clinicians in the use of drugs. Experts remind that for patients with unexplained infertility, they should neither give up the treatment nor blindly cast their eyes on doctors, and the combined treatment of Chinese and Western medicine has better clinical efficacy. The Department of Male Medicine (Reproductive Medicine) of Wuhu Hospital of Traditional Chinese Medicine in Anhui Province is characterized by the combination of Chinese and Western medicine, couples with the same diagnosis, mind and body treatment, treating male and female infertility and sexual dysfunction, as well as carrying out medical consultation on adolescent sexual development, sexual psychological abnormalities, male and female menopausal syndrome diagnosis and treatment, and reproductive genetics and health care. We wish you all the best of luck and dreams come true!