Male infertility has a high incidence. Based on the results of semen routine analysis, it can be classified as azoospermia, oligospermia, weak spermia and abnormal spermia. Therefore, routine semen examination has become the most important “weapon” for male fertility assessment. However, the evaluation of male fertility is much more than that. Once there is an abnormality in the quantity or quality of sperm, it is necessary to go to the root of the problem. 1. Can a single test give a definitive diagnosis? No. Generally, 2-3 routine semen exams are needed to make a comprehensive judgment. 2.Does prostate disease cause fertility problems? The possibility of prostatitis in patients with weak spermatozoa who have semen that is not liquefied is very high, so you need to improve the prostate related examination. The actual fact is that you’ll be able to feel the scrotum and testicles uncomfortable, and you can also feel “little earthworms” on the scrotum. This is the time to check a scrotal spermatozoa ultrasound to clarify whether there is varicose veins, because varicose veins lead to abnormal semen quality is too common. 4.Sometimes couples feel overwhelmed by sex, what could be the reason for this? Sex hormone examination is recommended to understand the male endocrine level, which is very closely related to the sperm production function. 5.Sometimes there is discomfort in the urinary tract, what happened? It is necessary to check mycoplasma and chlamydia to exclude the possibility of reproductive tract infection. 6.It is not impossible to conceive, but it is easy to miscarry after conception. This question involves more content, need to check the anti-sperm antibodies to exclude immune factors, check the integrity of sperm DNA, to understand the degree of destruction of sperm DNA, and sometimes even need to check the chromosomes. 7. Is there no cure for the absence of sperm? No, it is necessary to check whether it is obstructive or not, and if necessary, surgery is needed to unblock the sperm channel. Finally, it is important to remind that fertility problems need to be examined and treated together as a couple.