In the clinic, I often encounter patients who come in and ask, “Doctor, I can’t get it out, what should I do?” Often, after asking for half a day, they end up realizing that they didn’t eat breakfast, suggesting to go eat hot, soupy food, and then it’s done. Why? It is actually very simple. The ancient saying “the desire for warmth and lust”. The psychological explanation is the hierarchy of needs theory. By the American psychologist Abraham Maslow in 1943 in the “theory of human motivation” paper proposed. The most basic first level is the physiological needs including: breathing – water – food – sleep – physiological balance – secretion – sex, if any of these needs (except sex) is not satisfied, the human physiology can not function properly. In this sense, sex comes second to these physiological needs. Only after these most basic needs are satisfied to the extent necessary for survival, sex and other needs can become new motivating factors. So the first thing is to eat well and sleep well. There is also a second level: the need for safety here is expressed in the requirements of the environment for sperm extraction, will not worry about people to disturb, will not be unexpectedly frightened. Sometimes it is better to take it in your own home than in the hospital, that’s why. So turn off your cell phone during sperm retrieval, have quality, and stop some people from knocking on the door and other uncivilized behavior while waiting in line. Level 3: Emotional and Belonging Needs Some people can’t get it out on their own, not just because they are not used to it, but they need more care emotionally, and in vitro sperm extraction may be a better solution.