Purpose: The multifaceted nature of male infertility requires innovative approaches, leading researchers to explore the potential of phytotherapy to improve reproductive health. Phytotherapy offers a promising prospect for individuals seeking alternative treatments for male infertility, harnessing the natural therapeutic properties of plant-based compounds. The aim of this work is to investigate the efficacy and mechanisms of action of phytotherapy as a promising alternative treatment for male infertility. Through a comprehensive review of existing literature and clinical trials, this research aims to elucidate the potential benefits of phytotherapeutic interventions in improving sperm quality, enhancing reproductive parameters and addressing the underlying causes of male infertility. Methodology. We conducted a comprehensive literature search using electronic databases including PubMed, Scopus, Web of Science and Google Scholar. The search was conducted from 1970 to 2024, with no language restrictions. The following keywords and combinations of keywords were used: “phytotherapy”, “male infertility”, “herbal medicine”, “plant extracts”, “natural remedies” and “herbal supplements”. In addition, relevant articles were identified through manual searches of the reference lists of the retrieved trials and review articles. Articles were included if they met the following criteria: (1) original research articles, systematic reviews, meta-analyses and clinical trials investigating the efficacy of phytotherapy in the treatment of male infertility; (2) studies reporting outcomes related to sperm quality, reproductive hormones, semen parameters or fertility outcomes; (3) human studies involving adult men diagnosed with infertility or subfertility; (4) studies published in peer-reviewed journals. Scientific novelty. While conventional treatments for male infertility often focus on hormonal therapies, surgery or assisted reproductive techniques, this manuscript highlights the potential of phytotherapy as an alternative approach. By exploring natural remedies derived from medicinal plants, this manuscript offers new insights into complementary strategies for the treatment of male infertility. The emphasis on alternative treatments reflects a growing interest in holistic and integrative approaches to reproductive medicine. In addition to discussing the broader concept of phytotherapy, this manuscript examines the efficacy of specific phytochemicals in the treatment of male infertility. By focusing on individual compounds and their pharmacological effects, this manuscript advances our understanding of the bioactive constituents responsible for the therapeutic effects of medicinal plants. This targeted approach allows for a more nuanced evaluation of phytotherapeutic interventions and facilitates the identification of potential drug candidates. Conclusions. The use of various medicinal plants with benefits for male reproductive health was discussed, including Tribulus terrestris, Apium graveolens, Withania somnifera, Cornus mas, Fumaria parviflora, Phoenix dactylifera and many others, was discussed. The mechanisms by which these herbal remedies may exert their effects on sperm quality, reproductive hormones and overall fertility were also demonstrated. The role of plants as adjunctive therapies to address underlying conditions associated with male infertility, such as oxidative stress, inflammation and hormonal imbalances, was discussed. Although promising, clinical evidence for the efficacy of herbal treatments for male infertility remains limited, highlighting the need for further well-designed clinical trials and studies. Nevertheless, the integration of medicinal plants into comprehensive fertility care protocols offers a promising avenue for improving male reproductive health outcomes and warrants further exploration.