Reproductive Medicine in Brazil

Reproductive medicine is a field of medicine that deals with the prevention, diagnosis, and management of male and female reproductive issues. It encompasses the prevention and assessment, as well as the treatment and prognosis of a wide variety of reproductive conditions. The main goal of reproductive medicine is to improve or maintain the female and male reproductive systems. Reproductive medicine specialists particularly treat and advise on any issues impacting a person’s or a couple’s ability to conceive. They treat issues of puberty, sexual education, family planning, birth control, infertility, sexual dysfunction, and reproductive system disease, such as:

• Infectious diseases, such as reproductive tract infections (RTIs) and sexually transmitted infections (STIs).
• Cancer that affects the reproductive system, such as breast cancer, ovarian cancer, penile cancer, and prostate cancer.
• Conditions that affect fertility, such as polycystic ovary syndrome (PCOS), endometriosis, fibroids, hypothyroidism, cryptorchidism, vasectomy, and retrograde ejaculation.
• Congenital abnormalities, such as imperforate hymen and epispadias.
• Endocrine disorders, such as teratoma, hypogonadism, idiopathic hirsutism, androgen insensitivity syndrome, ovarian cysts, and hypopituitarism.

Tests and treatments that reproductive medicine may perform include:

• Full medical history assessment
• Physical examination
• Blood tests
• Imaging techniques, such as pelvic ultrasounds
• Investigations of semen samples
• Ovulation induction
• Assisted reproductive technology (ART) such as in-vitro fertilization (IVF), fertility medication, artificial insemination (AI), embryo transfer, and frozen embryo replacement (FER)
• Open surgery
• Laparoscopic surgery
• Prescribing medication, such as antibiotics for bacterial infections or highly active antiretroviral therapy (HAART) for the HIV virus.

Reproductive medicine is a multidisciplinary branch of medicine that combines physiology, endocrinology, and anatomy, as well as some aspects of biochemistry and molecular biology. Reproductive medicine also overlaps with other branches of medicines, such as gynecology, urology, obstetrics, and psychiatry.

How Long Should I Stay in Brazil?

Your length of stay in Brazil depends on your specific condition and the type of test and/or treatment you underwent. In general, it is advisable that you stay in Brazil for at least 1-3 weeks, although you may be able to travel home within 1 to 2 days after some diagnostic tests. During your stay, you will attend follow-up appointments.

What's the Expected Recovery Time?

Your specific condition, the type of test/treatment you underwent, the technique your doctor used, and your overall health determines the recovery time. For open surgery, it may take around 4 to 6 weeks until you are allowed to resume your normal activity and to go back to work. Laparoscopic surgery offers shorter recovery time, usually only 3 to 4 weeks until you can return back to your normal activity level. For non-surgical procedures, such as IVF, you should be able to go back to your normal routine immediately after the procedure.

What Aftercare is Required?

You will be given detailed aftercare instructions that you will need to follow. In most cases, you will attend regular checkups with your reproductive medicine specialist in Brazil or with your local doctor back at home. 

What's the Success Rate?

The advancement of reproductive medicine and a better understanding of the human reproductive system has lead to an increased safety and success rate of the reproductive system’s tests and treatments. The field has allowed the development of assisted reproductive technology (ART), resulting in advances in overcoming infertility. ART is also safer than surgical procedures, minimizing the risks that surgical procedures carry.

Are there Alternatives?

Depending on your specific case, you may be able to see a gynecologist, urologist, obstetrician, or even oncologist as the alternative to seeing a reproductive medicine specialist. It is best, however, to talk to your general physician first as they will be able to direct you to the right specialist. 

Reproductive Medicine in and around Brazil

About Brazil

Occupying the title of the largest country in South America, Brazil embraces a diverse population of over 209 million people. The nation is globally renowned for its passion for football (also referred to as soccer in some parts of the world) and their dynamic, flamboyant carnival traditions, boasting a vibrant mix of music, dance, and colorful attire.

In addition to its vivacious culture, Brazil is a sanctuary of spectacular natural beauty. The country nurtures some of the world's most stunning natural wonders, including the dramatic Iguacu Falls and the world's largest tropical rainforest, the Amazon Rainforest, teeming with diverse plant and animal species. One can't miss the landmark figurine of Christ the Redeemer in Rio de Janeiro that towers 98-feet high, becoming a symbol of Brazil's deep-rooted religious faith and an iconic sight that captures hearts worldwide.

Brazil offers more than 60 JCI-accredited facilities and is one of the leading destinations in the world for cosmetic surgery, with Reproductive Medicine procedures being especially popular. Doctors are often Western-trained and speak English on top of Portuguese and Spanish. Local accreditations include the Consortium of Brazilian Accreditation and the Brazilian Hospital Medical Quality Organization (ONA). Popular locations within Brazil include the capital Brasilia, Rio de Janeiro, Sao Paulo, and Curitiba.

Popular Parts of Brazil

• Rio de Janeiro is a combination of natural attractions and metropolis. It is known to be a party city that offers good times and an unforgettable experience. Lounge around in the world-famous beaches of Ipanema and Copacabana, sample Brazilian cuisine, hike the summit of Corcovado and see the high statue of Christ the Redeemer, dance in Rio Carnival, and see the spectacular views of Ipanema and Guanabara Bay from the Sugarloaf Mountain.
• São Paulo is the largest city in Brazil. It is a huge city that at first glance seems intimidating. It offers hundreds of museums, quirky urban art, delicious cuisine, lively nightlife, and intense cultural experience. Visit Avenida Paulista (Paulista Avenue), a street filled with shopping centers, parks, bars, restaurants, museums, theatres, and cultural spaces.
• Salvador is full of vibrant cultures. It is the heart of Brazil’s Afro-Brazilian community. The city’s charm lies in its pastel-colored neighborhood, centuries-old architecture, and freshly-cooked acarajé and completed with wild festivals and capoeira circles every night.
• Brasília is Brazil’s capital. It’s very modern with futuristic architecture that looks more like artworks than ordinary buildings. It’s a paradise for architecture buffs. Besides the architecture, the food and nightlife in this city is something that should not be missed.
• Manaus might be isolated in terms of location, but it’s actually a large city with a prospering industry and a rich culture. The city is also filled with natural beauty; green spaces, waterfalls, and ecological parks surround its colonial buildings. It is the gateway to the Amazon Rainforest.

Weather and Climate in Brazil

As a large country, the weather in Brazil varies from tropical in the north to temperate in the south. A large part of the country lies in the topics. Brazil is a year-round destination because it has a steady average annual temperature. The temperature rarely drops below 20 °C.

Winter in Brazil starts in May and ends in September. The weather remains tropical in the north with an average temperature ranging between 20 °C to 30 °C. In Rio de Janeiro, the temperature varies between 14 °C to 25 °C. However, the evenings usually feel a lot colder.

During this particular season, one can expect a fair amount of rainfall in Rio, leading to many wet and rain-soaked days. If you plan a visit at this time, it's wise to keep that in mind and prepare accordingly. In contrast, further inland, São Paulo experiences significantly cooler temperatures compared to Rio, reflecting the country's vast geographical expanse and diverse microclimates spread across its regions.

This temperature drop might require some warm clothing, especially during late evenings and nights. So, whether you wish to enjoy the rainy murmur in Rio or seek the cool retreat of São Paulo, there's something unique for every traveler in Brazil during this season.

The temperature in Rio rise between November and March, with the highest temperature of around 40 °C but with a thermal sensation of around 50 °C. The Rain rarely lasts long during these months. In the north of Brazil, the rainy season starts in December. March and May see the heaviest rainfall. It’s hot and humid with frequent rain throughout the year in the Amazon.

Getting Around in Brazil

The most popular international airports are Rio de Janeiro–Antonio Carlos Jobim International Airport (popularly known as Galeão International Airport) and São Paulo/Guarulhos–Governador André Franco Montoro International Airport. Both airports serve domestic and international flights to many cities around the globe. The airports mainly serve major airlines but there are budget airlines such as Norwegian Air UK. Tourists can take taxis, bus, train, or car rental from both airports to the city centers.

Brazil is really big, so there will be a lot of long-distance travel to get around the country. The easiest and fastest way to get from one city to another is by domestic flights. The only downside is that the tickets are very expensive. LATAM and GOL Airlines offer multi-trip tickets or air pass. The most economical option is to buy an air pass if you plan to visit a number of different cities.

Buses are popular in Brazil, servicing most areas of the country. The bus system is excellent and provides a comfortable and economical way of travel. Be aware that the distance can be really tiring and overwhelming; some trips can take over 40 hours. The buses are operated by hundreds of different private companies, but the price is standardized. The fare varies from 75 BRL to 240 BRL. There are luxurious buses too.

A good way to get around major cities like São Paulo and Rio is to use Brazil Metro (subway). The fares are around 3.50 BRL to 3.80 BRL. You can purchase rechargeable travel cards. The metro does not operate at night. Be sure to watch your belongings at all times when traveling on the metro.

Taxis run on a metered system, but if you travel a bit further out of town, you need to negotiate the price with the driver. It is best to phone for a taxi or pick one up at a taxi station and make sure to get into a licensed taxi. Ferries and other water travel are important in many parts of Brazil.

Tourist Visas in Brazil

Nationals of 72 countries and territories can enter and stay in Brazil for up to 90 days without a visa. In some cases, an identity document may be accepted instead of a passport. Citizens of other countries, including China and India, must apply for and obtain a visa before entering Brazil. It is recommended to contact the nearest Brazilian embassy or consulate for the most up-to-date visa information.

Brazil offers an electronic visa (e-Visa) for citizens of eligible countries. The e-Visa is valid for two years and allows multiple entries for stays of up to 90 days per year. Applicants can apply for the e-Visa online through the Brazilian government's website.

Additional Information

1. Local Currency: The official currency is the Brazilian Real (BRL). 1 USD will get you approximately 5.04 BRL.
2. Money & Payments: ATMs are widely available in Brazil and it is the easiest way of getting cash in big cities. ATMs in smaller towns usually don’t work for non-Brazilian cards. Credit cards (Visa and MasterCard) are accepted in numerous shops, restaurants, and hotels. It might be handy to always have cash with you, but always be extremely cautious. Tipping is optional for housekeepers, tip parking assistants 2 BRL, or more since they do not receive wages and depend on tips. Taxis do not expect tips. Restaurants usually include a 10% service charge in the bill.
3. Local Language: The official language is Portuguese. English is not widely spoken, especially outside Rio and São Paulo.
4. Local Culture and Religion: The largest religion in Brazil is Christianity with more than 60% of the population follows Roman Catholicism.
5. Public Holidays: Brazil celebrates major Christian religious holidays as well as Independence Day and Civil Servants Day. Festa Junina, Parintins Folklore Festival, and Oktoberfest are three of the biggest annual festival in the country.