At present, the status of semen analysis in andrology laboratories of China is as follows: the designations of semen analysis parameters are not used correctly and their connotations are not exactly understood. The quality of semen analysis and the importance of accurate results of semen analysis are neglected in many laboratories. The detection methods of the same parameters in different laboratories are not unified, making the results interpretation difficulty. Therefore, quality assurance and continuous improvement of semen analysis quality is required in many laboratories. Aiming directly at these problems in semen analysis, the following measures should be done. The optimal detection methods should be selected based on the latest World Health Organization (WHO) standard and the current status of semen analysis. The standard operating procedure (SOP) documents for each semen analysis parameter should be formulated according to the WHO standard and laboratory conditions. The operation should be performed strictly according to the SOP documents. Given the circumstance that the external quality assurance (EQA) system in andrology laboratories is difficult to develop, internal quality assurance (IQA) measures are desired. Meanwhile, the training plans in laboratories and academic conferences should be designed yearly, as to improve semen analysis quality continuously. Only in this way, could the exact results of semen analysis be obtained, and high quality and effective services be provided by andrology laboratories.