Introduction Infertility affects up to 20% of couples globally (Pan et al., 2018). The risk of poor reproductive insufficiency in males increases at >35 years old due to age-related changes in aged males including high incidence of systemic diseases and infections, vascular insufficiency, reduced levels of sex hormones, mutations, disorders in the architecture of testes, and oxidative stress (Azenabor et al., 2015; Ilacqua et al., 2018). In men over 35 years old, negative changes in sperm quality are reported and become more pronounced with age over 40 years (Rosiak-Gill et al., 2019). By aging, deterioration in semen quality is observed in the ejaculate volume, sperm count, motility, vitality and morphology (Harris et al., 2011). Furthermore, aging is associated with loss of kidney function marked with progressive reductions in renal blood flow and glomerular filtration rate (GFR). The decline in GFR is attributed to reductions in glomerular capillary flow rate, glomerular capillary ultrafiltration coefficient, and afferent arteriolar resistance (Weinstein and Anderson, 2010). These changes lead to loss of renal mass; stiffness of afferent arterioles, sclerosis of glomeruli, and tubulointerstitial fibrosis (Yoon and Choi, 2014). Aging is associated with altered activity and responsiveness to vasoactive stimuli; responses to vasoconstrictor stimuli are enhanced, while vasodilatory responses are impaired. These changes may predispose the older kidney to acute and progressive chronic kidney injury (Weinstein and Anderson, 2010). Therefore, targeting the pathological changes associated with male infertility and kidney dysfunctions could reverse these aging-induced perturbations. Astragalus membranaceus is a Chinese medicinal herb used to treat various diseases and is marketed as life-prolonging extracts for human use in China (Liu et al., 2017). The major components of Astragalus membranaceus are polysaccharides, flavonoids, and saponins (Auyeung et al., 2016). The components of Astragalus membranaceus extract can increase telomerase activity, and has antiinflammatory,