The success rate of IVF with extremely low sperm motility is relatively low, generally below 40%, but the exact probability cannot be determined due to individual differences. Since a fertilized egg is formed when sperm and egg combine, extremely low sperm motility suggests poor sperm quality, which in turn affects the quality of the embryo and greatly reduces the success rate of IVF, which is generally below 40%. For men who are found to have extremely low sperm motility, it is recommended that they change their lifestyles, do not smoke, do not drink alcohol, keep a regular routine, do not stay up late, exercise appropriately, maintain a good state of mind, and if necessary, can be improved through traditional Chinese medicine and vitamins. For couples, it is recommended to improve ultrasound, sex hormones, sperm vitality and other related tests when preparing for pregnancy, to assess the state of physical function, and if necessary, follow the doctor’s advice to actively treat in order to improve the pregnancy rate.