Sperm total viability of 23% suggests a decrease in total viability, which may lead to male infertility and may be related to hypoxia of testicular tissues, reproductive system infections and other causes. Total sperm motility PR+NP needs to be >40%, and sperm motility is mainly judged by observing sperm motility under the microscope. PR mainly refers to sperm observed under the microscope moving in a forward, fixed direction, and NP mainly refers to sperm observed under the microscope moving, but not in a forward direction, which may be randomly moving in different directions. Therefore, a lower than normal total sperm motility of 23% may not allow normal completion of the fertilization process and may cause infertility. Low total sperm motility may be associated with varicocele, lack of oxygen to testicular tissue, and reproductive system infections. When a man’s total sperm motility decreases, he needs to clarify the cause of the disease under the guidance of a doctor and treat it aggressively.