The First Affiliated Hospital, Sun Yat-sen University Reproductive Andrology Specialty

Hospital: The First Affiliated Hospital, Sun Yat-sen University

The Reproductive Andrology Specialty, on the 3rd floor of the Gynecology and Reproductive Medicine Center at the First Affiliated Hospital of Sun Yat-sen University, diagnoses and treats male infertility, sexual dysfunction, and prostatitis. It employs advanced techniques like integrated Traditional Chinese and Western Medicine, surgery, and assisted reproductive technologies (IVF, ICSI, PGT). Led by two Associate Chief Physicians with doctorates, it is a key specialty with extensive clinical ex

Reproductive Andrology Specialty

Department Details

**Basic Information** The Reproductive Andrology Specialty, located on the 3rd floor of the Gynecology and Reproductive Medicine Center Building at the First Affiliated Hospital of Sun Yat-sen University, is a key component of the Reproductive Medicine Center. Evolving from the Male Infertility Specialty, it has consistently been a distinctive specialty of the First Affiliated Hospital of Sun Yat-sen University. As a professional institution for diagnosing and treating male diseases, the Reproductive Andrology Specialty utilizes advanced techniques such as integrated Traditional Chinese and Western Medicine pharmacotherapy, surgical treatment, and assisted reproductive technologies (In Vitro Fertilization and Artificial Insemination) to manage male diseases including male infertility, sexual dysfunction, and prostatitis. The specialty currently employs two Associate Chief Physicians (Gao Yong, Liu Yafeng), both holding Doctorates in Urology and Andrology, with extensive experience in treating male diseases. **Clinical Work** **I. Scope of Diagnosed and Treated Diseases** 1. Male infertility, including oligospermia, asthenospermia, teratozoospermia, azoospermia, high sperm DNA fragmentation index, aspermia, semen liquefaction failure, necrospermia, cryptozoospermia, hemospermia, and other abnormal semen analysis findings. 2. Sexual dysfunction, including erectile dysfunction (impotence), premature ejaculation, low libido, retrograde ejaculation, anejaculation, and difficulty achieving ejaculation. 3. Male reproductive system infections and inflammations, including prostatitis, epididymitis, seminal vesiculitis, and orchitis. 4. Other male diseases, including varicocele, hypogonadism, small testes, testicular dysplasia, vas deferens dysplasia or agenesis, and seminal vesicle dysplasia or agenesis. **II. Specialty Diagnostic and Therapeutic Techniques** 1. **Assisted Reproductive Technologies:** Intrauterine Insemination (IUI), In Vitro Fertilization-Embryo Transfer (IVF-ET), Intracytoplasmic Sperm Injection (ICSI), and Preimplantation Genetic Testing (PGT). As one of the birthplaces of IVF technology in China, the Reproductive Medicine Center of the First Affiliated Hospital of Sun Yat-sen University was the first unit in China to perform ICSI and PGT, holding an internationally leading position in IVF technology. ICSI is particularly suitable for patients with severe oligoasthenoteratozoospermia and azoospermia. PGT is especially suitable for infertile patients with genetic diseases such as chromosomal translocations, thalassemia, and X-linked disorders. 2. **Integrated Traditional Chinese and Western Medicine Diagnostic and Therapeutic Techniques:** Combining Western medical laboratory and imaging examinations with evidence-based medicine, and Traditional Chinese Medicine disease differentiation and syndrome differentiation, this approach allows for comprehensive assessment and precise diagnosis of male diseases. It utilizes a combination of Western and Chinese herbal medicines for treatment, offering advantages such as rapid onset of action, good efficacy, and addressing both symptoms and root causes. 3. **Treatment Techniques for Azoospermia:** Sperm can be retrieved from azoospermic patients through various sperm retrieval surgeries, including Testicular Sperm Aspiration (TESA), Percutaneous Epididymal Sperm Aspiration (PESA), Testicular Sperm Extraction (TESE), and Microdissection Testicular Sperm Extraction (M-TESE). Subsequently, ICSI can be used to achieve biological offspring. For some patients with obstructive azoospermia, andrological microsurgical and minimally invasive procedures such as Microsurgical Vasoepididymostomy (M-VE), Microsurgical Vasovasostomy (M-VV), Transurethral Resection of the Ejaculatory Duct (TURED), and Seminal Vesiculoscopy can recanalize the reproductive tract, allowing sperm to reappear in the ejaculate. Our hospital holds a leading domestic and internationally advanced position in the diagnosis and treatment of azoospermia. The project "Clinical, Basic Research, and Application Promotion of Obstructive Azoospermia" won the Second Prize of the 2014 Guangdong Provincial Science and Technology Award. 4. **Sperm Cryopreservation Technology:** Provides sperm cryopreservation services for patients undergoing assisted reproductive technology treatments such as IVF and IUI at our Reproductive Medicine Center. 5. **Comprehensive Semen Analysis Techniques:** Includes routine semen analysis, sperm morphology staining analysis, sperm acrosome reaction analysis, sperm nuclear DNA fragmentation analysis, anti-sperm antibody (AsAb) detection, seminal plasma biochemical analysis, sperm hypo-osmotic swelling test, and semen infectious marker analysis. These techniques enable precise classification and diagnosis of male infertility, guiding the selection of the optimal treatment plan. 6. **Male Reproductive Genetic Testing Techniques:** Includes chromosome karyotype analysis, Y-chromosome microdeletion analysis (AZF gene deletion analysis), CFTR gene mutation testing, thalassemia gene mutation testing, pathogenic gene testing for male genetic diseases, whole-exome sequencing analysis, and whole-genome sequencing analysis. 7. **Laboratory and Imaging Techniques for Male Diseases:** Includes sex hormone testing, inhibin B testing, male reproductive system ultrasound (scrotal color Doppler ultrasound and transrectal color Doppler ultrasound), male reproductive system magnetic resonance imaging (pelvic MRI), nocturnal penile tumescence (NPT) monitoring, and penile sensitivity testing. **Scientific Research, Teaching, and Talent Development** Professor Gao Yong and the Reproductive Andrology team have conducted in-depth research on the pathogenesis, diagnosis, and treatment of male diseases such as male infertility and sexual dysfunction. They have led numerous research projects funded by the National Natural Science Foundation of China, the Doctoral Program Foundation of the Ministry of Education, the Natural Science Foundation of Guangdong Province, the Guangdong Provincial Science and Technology Planning Project, and the Guangdong Provincial Medical Research Fund. The team holds a leading domestic position in male disease research. Key scientific research directions in the past five years include "Clinical and Basic Research on Azoospermia," "Pharmacological Treatment Research for Oligoasthenoteratozoospermia," and "Stem Cell Therapy for Androgen Deficiency Disorders." They have published over 20 research papers in renowned domestic and international journals such as *Cell Research*, *Human Molecular Genetics*, *Biomaterials*, *Journal of Sexual Medicine*, *Asian Journal of Andrology*, *Chinese Medical Journal (CMJ)*, *National Medical Journal of China*, *Chinese Journal of Andrology*, and *Chinese Journal of Andrology*. They have edited works including *Male Reproductive Health*, *Vital Matters: Sexual Function is the "Weather Vane" of Male Health*, and *Seeing a Specialist for Male Infertility*. They have also contributed to the writing of medical monographs and industry standardization documents such as the *Chinese Guidelines and Expert Consensus for Diagnosis and Treatment of Male Diseases (2016 Edition)*, *Clinical Routine Diagnosis and Treatment in Reproductive Medicine*, *Diagnosis and Treatment of Premature Ejaculation*, *Rare and Uncommon Diseases in Urology and Andrology*, *Operative Andrology* (People's Medical Publishing House edition), *Microsurgical Andrology* (People's Medical Publishing House edition), and *Discussion of Difficult Cases in Assisted Reproductive Technology*. In 2017, Professor Gao Yong was awarded the first "Future Star of Chinese Andrology" honorary title by the Chinese Society of Andrology (CMA) and the China Sexology Association. In 2019, he was awarded the "Outstanding Young Medical Talent of Guangdong Province" honorary title by the Guangdong Provincial Health Commission. Our hospital currently serves as the chair unit of the Chinese Society of Andrology (CMA), a training base for reproductive medicine specialists (National Health Commission), and a training base for Chinese andrologists (Chinese Medical Association). Both Professor Gao Yong and Professor Liu Yafeng are postgraduate supervisors, actively involved in teaching undergraduate, graduate, and visiting medical students. They also host the national continuing medical education program "Reproductive Andrology Training Course." The Reproductive Andrology Specialty has trained dozens of visiting reproductive andrology physicians from medical institutions across the country, significantly promoting the disciplinary development of andrology in China and establishing itself as one of the most renowned national centers for andrology diagnosis, treatment, and teaching/training. **Patient Consultation Guide** **1. Consulting Physicians:** * Gao Yong, Associate Chief Physician * Liu Yafeng, Associate Chief Physician **2. Consultation Hours:** Monday to Friday, 8:30 AM - 12:00 PM; Monday, Tuesday, Wednesday, and Friday, 2:30 PM - 5:30 PM. **3. Consultation Location:** Gynecology and Reproductive Medicine Center Building, First Affiliated Hospital of Sun Yat-sen University (No. 1 Zhongshan Er Road, Yuexiu District, Guangzhou; Exit F, Dongshankou Metro Station). 3rd Floor, Reproductive Medicine Center, Andrology Clinic Room 1 (Associate Chief Physician Gao Yong) and Andrology Clinic Room 2 (Associate Chief Physician Liu Yafeng). **4. Registration Method:** Register at the registration counter on the 1st floor of the Gynecology and Reproductive Medicine Center Building for an appointment with Professor "Gao Yong" or "Liu Yafeng." Same-day registration can also be done via the official WeChat public account of "The First Affiliated Hospital of Sun Yat-sen University" (gz_zsyy) or the official mobile app "Palm First Affiliated Hospital of Sun Yat-sen University." After registration, please proceed to the nurse station on the 3rd floor
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