Andrology

What we do

The Male Infertility Clinic at the Kameda General Hospital Assisted Reproductive Technology (ART) Center provides specialized medical evaluations, advanced diagnostics, and treatment programs tailored for male fertility and pre-conception care.

Our clinic is led by board-certified Reproductive Medicine Specialists from the Department of Urology (recognized by the Japan Society for Reproductive Medicine). We offer comprehensive urological and overall health evaluations to identify underlying causes and create effective treatment pathways.

Specialized Diagnostics & Testing Services
We conduct thorough physical, hormonal, genetic, and seminal evaluations:

In-House Diagnostic Procedures

Physical & Ultrasound Examinations: Testicular volume measurement, scrotal ultrasonography (evaluating varicoceles, scrotal masses, or testicular tumors)
Laboratory & Endocrine Testing: Comprehensive hormonal profiling, serum zinc level measurement, CBC, and blood chemistry panels
Advanced Semen & Genetic Testing: Standard semen analysis, Sperm DNA Fragmentation Index (DFI), and cytogenetic/genetic evaluations (G-band Chromosome Analysis, Y-Chromosome Microdeletion testing, with dedicated genetic counseling)

Specialized Advanced Testing (Affiliated Facility - Kameda IVF Clinic Makuhari)
Oxidative Reduction Potential Measurement (MiOXSYS®): Evaluates seminal oxidative stress levels (Self-pay / Out-of-pocket screening).

Semen Collection Facilities:

For semen analysis, collection containers can be picked up in advance for home collection and prompt drop-off
A dedicated, private Semen Collection Room (Masterbation Room) is also fully equipped inside the Kameda ART Center

Outpatient Therapies & Surgical Interventions
We offer personalized medical, lifestyle, and surgical solutions tailored to each patient's specific diagnosis:

Medical & Outpatient Management: Lifestyle modification counseling, hormonal therapy, Kampo (Japanese herbal) medicine, medical treatments for Erectile Dysfunction (ED) or Ejaculatory Dysfunction, treatment for underlying medical comorbidities, nutritional/dietary counseling (in collaboration with Endocrinology for obesity management), and preventive sperm cryopreservation (sperm freezing)
Surgical Interventions: Advanced surgical treatments including Varicocelectomy and Testicular Sperm Extraction (TESE / Micro-TESE)

Surgical Care Standard: Both surgical procedures are performed under general anesthesia with a standard 3-day/2-night inpatient stay, fully covered by national health insurance.

Outpatient & Laboratory Schedule

Service Category	Operational Days & Hours
Outpatient Consultation (First & Follow-up Visits)	2nd & 3rd Thursday afternoons (By Appointment)
Semen Analysis, DFI, Endocrine & Blood Testing	Monday – Saturday: 8:30 AM – 4:00 PM (Excluding public holidays)
Genetic Testing (G-Band, Y-Microdeletion)	Monday – Friday: 8:30 AM – 4:00 PM (Excluding public holidays & day before holidays)

Web Seminars & Educational Resources
We offer comprehensive educational resources for couples planning pregnancy, exploring fertility treatments, or currently undergoing care:

Online Web Seminar Registration (15-minute modular videos covering fertility care fundamentals, co-hosted with Kameda IVF Clinic Makuhari)
Male Fertility Knowledge Column (Latest evidence-based articles written by reproductive specialists)

Conditions we handle

We provide comprehensive care for all aspects of male factor infertility:

Spermatogenic Disorders: Idiopathic infertility, varicoceles, endocrine dysfunction, chromosomal abnormalities, testicular tumors, and azoospermia
Male Sexual Dysfunction: Erectile Dysfunction (ED) and Ejaculatory Dysfunction (retrograde, delayed, or anejaculation)
Obstructive Azoospermia / Tract Disorders: Physical blockages of the male reproductive tract
Inflammatory & Deficiency Conditions: Pyospermia (pus/white blood cells in semen) and Zinc Deficiency
Systemic Comorbidities: Hypertension, diabetes mellitus, dyslipidemia, hepatic impairment, hyperuricemia, and obesity affecting fertility potential

List of Doctors

Chief, Department of Urology (in charge of male infertility); Deputy Chief, Medical Safety Management Office

Akira KOMIYA

Subspeciality
Urology, andrology, reproductive medicine, endocrinology

Department name	Andrology
Medical School	Chiba University
Special Qualifications	JUA Board Certified Urologist / Instructor Board Certified Member of the Japanese Society for Sexual Medicine Board Certified Specialist / Instructor of Japan Society for Reproductive Medicine Certified Urologist in the Endoscopic Surgical Skill Qualification System of the Japanese Urological Association and the Japanese Society of Endourology Certified Proctor for urological robot-assisted surgery of the Japanese Urological Association and the Japanese Society of Eudourology and Robotics General Clinical Oncologist certified by the Japanese Board of Cancer Therapy Board Certified Endocrinologist and Certified Endocrine Educator by the Japan Endocrine Society (Urology) Certified Testosterone Replacement Physician of the Japan Society for Men's Health Board Certified Physician in Endoscopic Surgery of the Japanese Society for Endoscopic Surgery (urologic laparoscopy) Completed the palliative care praining program Completed the clinical training instructor workshop Completed the seminar for administrators and practitioners of the Japan Council for Medical Safety M.D., Ph.D.
Education & Career	Mar 1992: Graduated from School of Medicine, Chiba University Jun 1992: Staff Physician (Resident), Department of Urology, Chiba University Hospital Apr 1993: Resident, Department of Urology, Chiba Rosai Hospital Apr 1994: Graduate School of Medicine, Chiba University Apr 1998: Staff Physician, Department of Urology, Chiba University Hospital Oct 1998: Assictant, Department of Urology, Chiba University Hospital Oct 2000: Research Fellow, Department of Urology, Johns Hopkins University School of Medicine Apr 2003: Assistant, Department of Urology, Chiba University Hospital Apr 2006: Lecturer, Department of Urology, Chiba University Hospital Mar 2007: Assistant Chief, Department of Urology, Chiba Cancer Center Dec 2007: Assitant Professor, Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences,Toyama University Apr 2016: Assistant Professor (Department of Urology), Chiba University Hospital Oct 2016: Assistant Professor (Department of Urology), Chiba University Graduate Shool of Medicine Oct 2021: Clinical Professor (Department of Urology), Chiba University Hospital Apr 2022: Joined Kameda Medical Center as Chief, Department of Urology (in charge of male infertility) Jul 20022: Chief, Department of Urology (in charge of male infertility); Deputy Chief, Medical Safety Management Office

Andrology

Andrology

What we do

Conditions we handle

List of Doctors

Akira KOMIYA

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