Due to the dispersive and multimode natures, only nonlinear Lamb waves with exact phase-velocity matching were generally used in previous studies to evaluate the evenly distributed microstructural evolution in the incipient stage of material degradation, because of the cumulative generation of second harmonics, which was also found within a significant propagation distance for mode pair S0-s0 with quasi phase-velocity matching at low frequency. To explore the feasibility of fatigue damage evaluation by using this mode pair and fully utilize its unique merits, the cumulative second harmonic analysis was performed on aluminum alloy specimens with various material damage produced by the continuous low cycle fatigue tests. Similar to mode pair S1-s2 with exact phase-velocity matching, a mountain shape curve between the normalized acoustic nonlinearity parameter and the fatigue life was also achieved with the peak point at about 0.65 fatigue life for mode pair S0-s0, even though a relatively higher sensitivity to fatigue damage was observed for mode pair S1-s2. The excited frequency selection was further analyzed in a certain frequency range, where the quasi phase-velocity matching condition was satisfied for mode pair S0-s0 owing to the less dispersive property. Results show that the fatigue damage can be effectively detected using the mode pair S0-s0, and a relatively lower excited frequency was preferred due to its higher sensitivity to microstructural evolution.