男子不孕症大多数原因不明,因此尚无病因疗法,多半进行经验治疗。本文介绍了目前最常用的方法。药物疗法包括非内分泌疗法与内分泌疗法。前者常用血管舒缓素、L-谷酰胺等药物治疗,疗效良好。后者常用hCG、hMG等促性腺激素及克罗米芬、它莫西芬等非类固醇性抗雌激素,其疗效已充分肯定。对精索静脉瘤及隐睾等所致的不孕症可采用外科疗法。 Most of the causes of infertility in men is unknown, so there is no cause of treatment, most of the experience of treatment. This article describes the most commonly used method. Medications include non-endocrine therapy and endocrine therapy. The former commonly used kallikrein, L-glutamine and other drug treatment, good effect. The latter commonly used hCG, hMG and other gonadotropins and clomiphene, tamoxifen and other non-steroidal anti-estrogen, its efficacy has been fully affirmed. Surgical treatment of infertility caused by varicocele and cryptorchidism can be used.