These days, I’ve been pondering a question: Are our women too “great” to carry all the responsibility themselves, or is it really “machismo” at work? Last month, a patient from Jiangxi, married for 4 years without pregnancy, in several local hospitals for more than 2 years, and the fallopian tube imaging, and ovulation treatment, after exhaustion came to Shaoguan, I look at her husband: tall, white skin, bare chin – no beard, so I asked: sperm check? Answer: he has been working in Guangdong for a long time, did not have time to come back to check, so did not check. Hurry up a check: indeed no sperm! Doing chromosomes, the results 47, XXY, Creutzfeldt-Jakob syndrome. The couple was informed that the woman regretted: “I suffered so much, so it was your problem?” Today, I met another patient with irregular menstruation, considering polycystic ovary syndrome, ready to regulate the endocrine and then ovulation treatment, so I told her: now check your husband’s sperm, if there is no major problem, follow this plan. She shook her head like a rattle, “Doctor, he’s fine, it’s just that I can’t conceive because of my bad periods. “How do you know he’s okay?” I asked. “You’d better treat me first, check me out before you examine him.” She said very firmly. I …… , hey! Shaoguan Maternal and Child Health Hospital Reproductive Medicine Center Zhou Xianqiong For every first-time patient, I try to tell them in detail the basic examination process of infertility, but not everyone cooperates with the doctor to spend the least amount of money and the shortest time to find out the cause of the disease early and make a treatment plan. Therefore, I would like to solemnly inform all infertility patients here today that the first step in screening for infertility causes is to check the semen of the male partner (unless there is a solid basis to confirm the fertility of the male partner)! That is, the principle of male first, then female! Why? Because this is the simplest, least expensive and fastest way to know the results, while many tests on the female side are related to the menstrual cycle, some of which are painful (such as tubal examinations, etc.) and even traumatic (such as laparoscopy, etc.)! So, men, give more love to your wives and give priority to men in the matter of fertility tests!