Having worked in infertility treatment for decades, I have come into contact with many male infertility patients! The low self-esteem brought about by men’s self-esteem, which is probably stronger than women’s, men’s confusion and the harm caused to themselves by blindly seeking medical treatment! It makes me often feel the emotion and urge to write something! Perhaps this is the sense of mission as a general practitioner! The fact is that most of the men’s semen quality problems can not be improved by drugs or surgery! The so-called traditional Chinese medicine, proprietary Chinese medicine, all kinds of various types of physical therapy in addition to increase the financial burden, the human body is harmed, a comprehensive view of almost a hundred disadvantages rather than a benefit! I really hope that more male patients get scientific and standardized treatment! Is the change in sperm count in the millions meaningful? There are many factors that affect the quality of male semen, including smoking, alcohol, work and rest, time of abstinence and physical condition. Male sperm count fluctuates a lot. Diagnosing male semen quality needs to be confirmed through 2-3 reviews, so be wary if a doctor makes a diagnosis based on just one report! Of course if the semen quality is normal, one report is enough. Try to choose public hospitals, I have seen the report of a private hospital, obviously the picture of sperm density is very high, the report is a severe oligospermia, the patient spent more than 10,000 yuan to take medication, and a month later review told the efficacy of the treatment is remarkable, semen quality is normal! The patient thanked me profusely. I often see patients with two reports, saying that after treatment with a certain Chinese medicine practitioner, their sperm density has increased from 25 million to 40 million per milliliter. I wonder if I should tell him that this change may not be caused by the drug, but by the fluctuation of the semen itself. If a man’s sperm density is within the normal range (15 million or more per milliliter), this change in the number of millions is clinically meaningless. If a man’s sperm density is not normal (below 10 million per milliliter), a million count change is also not clinically significant, such as 2 million becoming 5 million. Mild oligozoospermia can be treated with artificial insemination, while severe oligozoospermia is recommended to take the second generation IVF technique as soon as possible! In addition to being deceived and wasting money and energy, blind treatment may also delay the timing of treatment, especially as the chances of conception decrease as the female partner gets older. Male semen problems that cannot be treated medically or surgically 1. Obstructive azoospermia, where testicular puncture confirms the presence of mature spermatozoa in the testes. There is no medication and surgery is not recommended for this group of patients. The complex network of various varicocele in the testis can be made worse by recurrent adhesions as well as obstruction caused by surgery! It is recommended to use testicular puncture sperm extraction for second-generation IVF technology as soon as possible. 2, congenital azoospermia, caused by abnormal testicular development, chromosomal or spermatogenesis genetic abnormalities. If the couple is acceptable, it is recommended to consider using sperm bank sperm. 3.Severe oligozoospermia without a clear cause and clearly diagnosed by repeated reviews. It is recommended to use second generation IVF technology as soon as possible. Men’s semen problems that can be treated medically: 1, semen not liquefied or liquefaction incomplete, can be moderately adjusted by traditional Chinese medicine. 2, increased sperm deformity rate of micronutrient deficiencies, you can moderate vitamin and zinc supplementation. 3, based on the original semen normal occasional mild oligozoospermia, can be improved through moderate exercise, regular work and rest, moderate Chinese medicine conditioning. 4, due to endocrine disorders, test results suggest that low gonadotropin oligozoospermia, through the use of gonadotropin can be improved moderately.