Sperm viability of 28.82% is on the low side, which may be related to reproductive system infections, varicocele, medications and other factors, and can be treated with medications and surgeries according to the cause of the disease. 1. Reproductive system infections: Bacterial infections in the reproductive system may affect the reproductive function and lead to a decrease in sperm motility. Patients can choose antibiotics, such as levofloxacin and ciprofloxacin, etc., under the guidance of a doctor. All of the above medications need to pay attention to the side effects and adverse reactions of the medications, so please use the above medications under the guidance of a doctor. 2. Varicose veins of the spermatic cord: blood stagnation in the spermatic cord’s trailing vascular plexus due to various reasons leads to localized venous dilatation and tortuosity. This disease may affect fertility. Patients with varicocele can choose open high spermatic vein ligation as well as microscopic spermatic vein ligation and other surgical methods for treatment. 3. Drugs: Hormone drugs, tumor chemotherapy drugs and other drugs may have a certain impact on sperm vitality, and should be discontinued or replaced with other drugs under the guidance of the doctor in a timely manner. There are many reasons for abnormal sperm motility, such as pituitary disease, cryptorchidism, abnormal thyroid function, etc., and the treatment methods are completely different, so patients need to go to the hospital in time, and under the guidance of the doctor to treat the symptoms.