Influenced by the traditional feudal thinking, think that can not give birth to a child is the woman’s business, the husband always blame his wife “a piece of salty alkaline land, planting what do not grow!” Therefore, there are many infertile couples treatment for many years, but has always been the woman in the hospital running around, the man is unwilling to do the most basic checks. Usually healthy, never had any minor illnesses, in the case of fertility problems first take the female “open”, this is actually the health and fertility function is completely equal to the misconception. According to statistics, in most cases of male infertility, although there is a decline in semen quality or even azoospermia, there may not be any discomfort. Therefore, it is recommended that during the diagnosis and treatment of fertility problems, the male partner should actively cooperate with the examination (because the examination of the male partner is simpler than that of the female partner, and semen routine is the most basic item), so as to exclude the male partner’s factor and clarify the cause of the disease as soon as possible. Fertility function is completely linked to the results of semen examination. In outpatient treatment, there are many husbands who wait for the results of semen tests with anxiety, and once they are told that the results are within the normal range, they will tell their wives with a long sigh of relief, “I’m fine, that’s your problem!” This either/or judgment is actually another misconception, because normal semen test results ≠ fertile. The results of routine semen examination can only be from the amount of semen, smell, color, liquefaction time and the number of sperm in the semen, motility, activity rate, morphology have a general understanding of the internal structure of the sperm normal, fertilization ability and genetic material is not known to be complete. That is to say, we can only know its “external image” but not its “internal quality”. In addition, about 10% of all infertile couples have unexplained infertility, in which all the tests that can be done on both partners are normal, but they just can’t get pregnant. Some couples get divorced due to infertility, and when he/she gets married again, they can easily get pregnant again. So, if the semen test results are normal, after the woman undergoes further tests, if they are basically normal, then the man has to undergo further tests. Evaluation of fertility function by one routine semen test alone. Men’s clinics often find that some patients, after getting the first semen test report, are eager to know whether their situation is good or not, and whether it is possible to make the woman pregnant. In fact, it is too early to draw conclusions. We know that the condition of male semen is greatly influenced by other factors, such as the interval between semen collection and the last ejaculation, whether there is a sauna 2 weeks before the semen collection, whether to take drugs affecting sperm vitality, and the examination of the personnel and machines are closely related to each other. Therefore, a semen examination sometimes cannot fully and correctly reflect the real condition of semen. For this reason, the World Health Organization specifically requires that routine semen examination should be done more than 2 times in 2 weeks before a diagnosis can be made based on the results. Therefore, we should not jump to conclusions after getting the report, especially if the result is abnormal, sometimes it takes 3 consecutive times to get a clear picture. Normal sexual function fertility is certainly not a problem We have also encountered such patients in the clinic, its self-reported normal sexual function, even stronger than the average person, the libido is quite strong, sex life is also relatively regular, but has never been contraceptive women have not been pregnant, the man has always insisted on their “no problem”, the woman ran around for years without success. The woman has been going around for several years without any success. Finally, after several persuasive examination of semen routine suggests azoospermia, chromosome karyotype 47, XXY (that is, we say “super-hung”). Therefore, this case fully illustrates that sexual function is not fully equivalent to fertility. In summary, fertility is a process that requires both men and women to work together to complete, due to its special physiological characteristics, I hope that when we encounter fertility problems can be treated scientifically, especially the man should not take things personally, give up the so-called face and machismo, as soon as possible to clarify the cause of the disease, to find out the right method, and I hope that we can be successful soon, happy family!