Whether low sperm vitality is difficult to treat depends on the specific cause. Causes of poor sperm vitality include endocrine abnormality, infection of reproductive organs, varicocele, etc. Treatments include medication, physical therapy and surgery. 1. Endocrine abnormality: less secretion of androgen will lead to decreased sperm vitality, gonadotropin secretion drugs, such as testosterone undecanoate, can be taken under the guidance of the doctor. 2. Reproductive organ infections: common prostatitis, orchitis and other reproductive organ infections can also lead to a decline in sperm vitality, and need to carry out anti-infection treatment, such as phosphomycin aminotriol. 3. Varicose veins: you can perform high ligation of the spermatic vein for treatment. All the above drugs need to pay attention to the side effects and adverse reactions of the drugs, please use the above drugs under the guidance of a doctor. Surgery carries certain risks or may not be able to meet psychological expectations, and should be chosen carefully with full knowledge of the pros and cons of the procedure. There are many causes of decreased sperm motility in men, which need to be treated when treating the symptoms. Decreased sperm motility can also be caused by other reasons, it is recommended to go to a professional men’s hospital for consultation and treatment.