The current situation of semen analysis in China, based on a survey of 296 laboratories

Dear Editor, Semen analysis is a basic test to assess male fertility and is a fundamental test in assisted reproductive technology.From the first publication ofWorld Health Organization(WHO)Laboratory Manual of Human Semen and Sperm-Cervical Mucus Interaction in 1980,1 to the publication of the WHO Manual,6th edition in 2021,2 these 40 years have been recognized as providing a global standard that is widely used in research and clinical laboratories worldwide.The WHO Manual,6th edition in Chinese,which we have been authorized by the WHO to translate,will be published soon.It has been 13 years since the 5th edition was released in 2010,3,4 when the Asian Journal of Andrology published a special issue on semen analysis in the 21st century medicine.5 In more than 10 years,our team has been dedicated to the training and promotion of the manual.What kind of situation has semen analysis arrived at in China currently,compared with that situation in 2009?6 And how do we start for the next phase of work?