Artificial intelligence (AI) in medicine has gained a lot of momentum in the last decades and has been applied to various fields of medicine. Advances in computer science, medical informatics, robotics, and the need for personalized medicine have facilitated the role of AI in modern healthcare. Similarly, as in other fields, AI applications, such as machine learning, artificial neural networks, and deep learning, have shown great potential in andrology and reproductive medicine. AI-based tools are poised to become valuable assets with abilities to support and aid in diagnosing and treating male infertility, and in improving the accuracy of patient care. These automated, AI-based predictions may offer consistency and efficiency in terms of time and cost in infertility research and clinical management. In andrology and reproductive medicine, AI has been used for objective sperm, oocyte, and embryo selection, prediction of surgical outcomes, cost-effective assessment, development of robotic surgery, and clinical decision-making systems. In the future, better integration and implementation of AI into medicine will undoubtedly lead to pioneering evidence-based breakthroughs and the reshaping of andrology and reproductive medicine.

Male infertility (MI) and male sexual dysfunction (MSD) can often coexist together due to various interplay factors such as psychosexual, sociocultural and relationship dynamics. The presence of each form of MSD can adversely impact male reproduction and treatment strategies will need to be individualized based on patients’ factors, local expertise, and geographical socioeconomic status. The Asia Pacific Society of Sexual Medicine (APSSM) and the Asian Society of Men’s Health and Aging (ASMHA) aim to provide a consensus statement and practical set of clinical recommendations based on current evidence to guide clinicians in the management of MI and MSD within the Asia-Pacific (AP) region. A comprehensive, narrative review of the literature was performed to identify the various forms of MSD and their association with MI. MEDLINE and EMBASE databases were searched for the following English language articles under the following terms: “low libido”, “erectile dysfunction”, “ejaculatory dysfunction”, “premature ejaculation”, “retrograde ejaculation”, “delayed ejaculation”, “anejaculation”, and “orgasmic dysfunction” between January 2001 to June 2022 with emphasis on published guidelines endorsed by various organizations. This APSSM consensus committee panel evaluated and provided evidence-based recommendations on MI and clinically relevant MSD areas using a modified Delphi method by the panel and specific emphasis on locoregional socioeconomic-cultural issues relevant to the AP region. While variations exist in treatment strategies for managing MI and MSD due to geographical expertise, locoregional resources, and sociocultural factors, the panel agreed that comprehensive fertility evaluation with a multidisciplinary management approach to each MSD domain is recommended. It is important to address individual MI issues with an emphasis on improving spermatogenesis and facilitating reproductive avenues while at the same time, managing various MSD conditions with evidence-based treatments. All therapeutic options should be discussed and implemented based on the patient’s individual needs, beliefs and preferences while incorporating locoregional expertise and available resources.

Electro boa acupuncture (EBA) and electro acupuncture (EA) to rehabilitate the motor function for hemiplegic patients caused by cerebral infarction. Objective: (1) Describe the clinical characteristic of hemiplegic patients caused by cerebral infarction. (2) Evaluate the rehabilitation of motor function in Hemiplegic patients acording to clinical characteristics. Method: 100 hemiplegic patients was selected accidentaly. 50 hemiplegic patients caused by cerebral infarction was applied EBA , and 50 hemiplegic patients was applied EA. The result of treatment was compared after 30 days Resuls: Majority of patien was over 60 years old. In EBA group very good result (recovery) was 30%, good effect 56%; in EA group very good result (recovery) was 18%, good effect 58%. According to Orgogozo and Barthel scale, after treatment, group of patients with EBA, the indexes are all higher than group with EA. Conclusion: EBA to rehabilitate the motor function for hemiplegic patients caused by cerebral infarction has better results than EA.
Cerebral Infarction, Electroacupuncture, Therapeutics

Elecotroacupunture was applied on Tuc tam ly site in 50 healthy persons aged 19-25, some organs were affected on cerebroelectrogramme (CEG), on 2 hemispheres wave indices varied (alphawave increased 10-15%, beta, theta, delta decreased 3-5%). Acetylcholin level increased by 210%, catecholamin 227% in comparing with those before the acupuncture. Inhibition of transmission through monosynapse reflexe at myelospinal level was reduced (latent duration after the electroacupuncture at tuc tam ly site was 40ms, prolonged by 35ms in comparing with that before the acupuncture. The amplitude of H wave after acupuncture was 0.3mV, imcomparing with 1.4mV before that).
Acupuncture ; Nervous System ; Medicine, Traditional

Blood hypertension of Can hoa vuong (from of “aggressive liver fire”) form was common in subjects aged above 50 years (73%) and mainly in intellectual subjects (60%). Electroacupuncture was applied on the sites of Thai xung, Phong tri, Bach hoi, Thuong tinh, Thai duong, Tam am giao, giving an effect of reduce blood pressure. Before the acupuncture, there were 52% of cases were hypertension of 1st stage and 48% of 2nd stage. After the treatment, on 40% of subjects, normal blood pressure had been restored and 60^ had returned to hypertension of 1st stage, none in 2nd stage of hypertension.
Hypertension ; Therapeutics ; Medicine, Traditional ; Electroacupuncture

Electro-acupuncture was applied for 149 perceptive deaf children. The control group included 43 deaf children treated by speical education method. Results showed that: in the group of electro-acupuncture, 53.3% had got improvement, higher than the group of special education by 23.3%. The improvement rate was higher in mild deaf group, than in severe group. It was also higher in acquired deaf subjects than in congenital subjects. In the deaf caused by “can dom hoa cuong” (aggressive fire of liver and bile), improvement level was higher than the deaf caused by “than am hu” (failure of kidney yinn). The treatment with more courses had got higher improvement than with less courses.
Rehabilitation of Hearing Impaired ; Child ; Deafness ; Electroacupuncture

155 patients with thyroid tumors were operated under acupuncture anaesthesia associated with medicaments (group 1) and undergone topical anesthesia in superficiel cervical plexus area (group 2). Observation showed that in the course of vascular, operation, pulse, blood presure and respiratory rhythm increased in both two groups but in group 1, these indices were less increased than in group 2 (in average, mean pulse increased by 4 cycles/minute, max. blood pressure increased by 5mmHg, min. blood pressure 3mmHg, respiratory rythm 0,6 times/minute. After the anesthetic acupuncture, beta endorphine level increased dramatically (45,25pg/ml) versus before that (35,58pg/ml) acetyl choline level increased by 273% and catecholamin by 267% versus before that
Thyroid Gland ; Surgery ; Biological Markers ; Acupuncture Analgesia

Study on 216 patients of drug addicts were treated by electro accupuncture shown that: the majority of drug addicts were 21 to 40 years old. It was rare for man become addicts at the age of under 20 and over 40. Incidence of addicts in cities was higher than those in countries side. Jobless person was easy to become drug addicts. Heavy addicts and moderate one were taking drug with sniffing and injection. The drug addicts were treated by electro acupuncture, and results as follow: A level (very good) taken up 92.6%, B level (good) taken up 7.4%. Symptoms of withdrawal syndrom after 4 days and 8 days in duration of treatment remarkably reduced (p<0.01). After treatment, content of beta - endorphinemia statistically increased (p<0.01) in compare with before treatment.
Electroacupuncture ; Therapeutics ; Morphine Dependence

Study on 120 patients having ureterstonectomy and bladderstonectomy anesthesia with acupuncture anesthesia showed that: in group of acupuncture anesthesia combined with supporting medicines (AACSM) pulsation increased average 9 cycles per minute, systolic BP increased average 8 mmHg, breathing rhythm increased average 1 time per minute, oxygen saturation in blood of patient seem unchageable during the time of operation. The anesthesia level A and B were 86.7%, the same for group of SA (90%). After acupuncture anesthesia, pain threshold of patient in AACSM group were 2.23 (K=2.23) higher than those of patient in group applying acupuncture anesthesia with out supporting medicine (K=1.95).
Surgery ; Pain ; Acupuncture Analgesia

A study performed on 120 patients who underwent a gastric surgery under an anesthesia with associsted acupuncture. The indicators of pulse, blood persure, breathing rhythms, blood saturation of oxygene were increased correspondly in comparing with those before the surgery. Immediately first after the operation, these indicators returned to normal level. 30 min after the acupuncture anesthesia, endomorphine level enhanced by 163%, acetycholine by 237,59%…i.e higher in blood than that before the acupuncture.
Gastrectomy ; Acupuncture Analgesia ; Pharmaceutical Preparations