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nd registered at the Chinese Clinical Trail Registry (registry number ChiCTR-IPR-16009293 ). This was a cross-sectional study in China which analyzed the levels of macrophages (Mφ) in semen and evaluated the influence of Mφ levels in semen on sperm quality. The subjects involves 78 males, 25- to 35-year old. The samples were divided into a low group (Mφ 6 × 10 /ml) and a high group (Mφ 6 × 10 /ml). Evaluation included consideration of the influencing factors of male semen quality, macrophage concentration, sperm motility, morphol