Whether male primary infertility can be cured depends on the cause of infertility. If it is congenital oligozoospermia or necrospermia, there is a cure rate through timely treatment; however, if it is congenital testicular dysplasia, it will be difficult to be cured completely. 1. Congenital azoospermia: it is caused by abnormalities in sperm production or output channels. There is a certain cure rate for this kind of disease, and some patients can achieve fertility through microscopic surgical reconstruction of the spermatic duct; however, some of the patients can only undergo in vitro fertilization (IVF) transplantation to achieve fertility. 2. Congenital necrospermia: It is usually caused by lesions in the testes or vas deferens, and may also be caused by lesions in the structure of the accessory sex glands and their functions. If the cause of the disease is actively searched for and comprehensive treatment is carried out, there is a certain degree of cure rate, and the quality of semen can be improved to achieve the purpose of procreation; however, some patients do not have a good therapeutic effect, and artificial assisted procreation may be needed to achieve the purpose of procreation. 3. Congenital testicular dysplasia: it is a chromosomal system with family heredity, this kind of disease is difficult to be completely cured by later treatment, so most patients can only complete fertility through reproductive assisted technology. When men find themselves suffering from primary infertility, they need to go to regular hospitals in time to consult doctors and find out the causes of infertility before carrying out treatment, so as not to delay the condition.