Reproductive Medicine in Cambodia

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 Cambodia?

Your length of stay in Cambodia depends on your specific condition and the type of test and/or treatment you underwent. In general, it is advisable that you stay in Cambodia 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 Cambodia 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 Cambodia

Introduction

Perched in the heart of Southeast Asia, nestled between Thailand and Vietnam, lies Cambodia — a dynamic blend of ancient and contemporary worlds that makes for an intriguing adventure. Dominating its list of attractions is the globally-renowned Angkor Wat, embroidered by lush jungles. 

It is the soul of Cambodia — its vibrant culture, warm inhabitants, profound historical heritage, stunning coastlines, delightful cuisine, and spirited nightlife — that gives this nation its unique charm. Each element, individually fascinating and collectively harmonious, weaves a magical tapestry that is Cambodia.

Over recent years, Cambodia has strategically bolstered its healthcare infrastructure, aiming to appeal to a global patient community. In this endeavor, the country has witnessed several of its hospitals forging partnerships with institutions from close-by countries, with Thailand being a significant partner.

These strategic alliances have been key in establishing state-of-the-art healthcare facilities across Cambodia. These healthcare establishments strive to cater to a diverse array of medical needs, ensuring the delivery of world-class, professional care that meets, if not surpasses, internationally accepted standards.

Cambodia is relentlessly driving efforts to enhance its healthcare sector, with one main goal - to give patients access to top-notch medical care at costs significantly lower than those in other Southeast Asian nations, Singapore being a prime example.

This strategic approach is geared towards attracting patients from regions like Laos, Taiwan, and China. The essence of this approach is to establish Cambodia as a major healthcare destination that offers high-quality medical services, all within a budget-friendly framework that doesn’t strain patients' finances.

Popular Cities and Regions in Cambodia

Phnom Penh is the capital of Cambodia, as well as the main medical tourism destination in the country. Once the ‘Pearl of Asia,’ this bustling city is now filled with bustling bars, historical architecture, vibrant café culture, a world-class food scene, and a glimmering Royal Palace.

Tourists venturing into Cambodia are invited to traverse the myriad attractions this enchanting nation has to offer. A must-visit is the National Museum of Cambodia which houses the country's extensive cultural history and art. For those who seek a deeper insight into Cambodia's past, the Tuol Sleng Genocide Museum provides a poignant yet important glimpse into the darker chapters of its history. In addition, the Royal Palace stands as a testament to Cambodia's architectural grandeur, drawing admiration from visitors across the globe. Another gem to explore in Phnom Penh is the Silver Pagoda, a unique blend of tranquility and exquisite craftsmanship, making for an unforgettable experience.

Moving beyond the capital city of Phnom Penh, Siem Reap emerges as another popular destination in the Cambodian travel circuit. This city, bustling with energy and soaked in history, captures the diverse ethos of Cambodia in its vibrant art, architecture, and local life. Inclusion of Siem Reap in any Cambodian itinerary lends an additional layer of cultural depth, making the exploration of this intriguing nation an even more enticing proposition. As such, whether it's diving into the past or experiencing the dynamic present, Cambodia offers a varied palette of experiences to delve into.

It’s where the fascinating, UNESCO-listed Angkor Wat is located. Aside from Angkor Wat, Siem Reap also offers other attractions, such as the Angkor Silk Farm, Wat Bo, War Museum, and Senteurs d’Angkor Botanic Garden. Those who want to relax on a beach should visit Sihanoukville. It was once a quiet beach town, but now it has become a modern up-and-coming holiday destination. 

Transport in Cambodia

Phnom Penh International Airport stands as the largest and most bustling airport in Cambodia. Acting as a critical transportation nexus, it facilitates both domestic and international air travel. The airport offers numerous flight connections to various cities across Asia, making it a convenient choice for international tourists. Besides being a gateway into Cambodia, it also serves as a starting point for internal travel.

For tourists looking to cover various parts within the country swiftly, opting for domestic flights is a time-efficient choice. These flights are well-linked, providing easy access to different parts of this captivating country. Despite being the fastest mode of travel, they maintain reasonable fares, ensuring that the journey is equally enjoyable as the destination.

As one navigates within the cities, there is a disparity between the modes of transportation used for intra-city and inter-city travel. While trains and buses are the preferred options for traveling between different cities due to their affordability, city-based transportation adopts a different palette altogether. For daily city commutes and quick visits to local sights, taxis, tuk-tuks, and motorbikes are the most viable options. They're not only readily available but also allow for an intimate view of Cambodian city life. This dynamic and efficient transportation network significantly enhances the convenience of exploring Cambodia's stunning expanse.

Visas in Cambodia

• Citizens of 9 countries, including Laos and Singapore, can visit and stay in Cambodia for up to 30 days without a visa.
• Citizens of most other countries can apply for a visa on arrival or eVisa.
• All visitors must have a passport valid for at least six months beyond their intended date of departure from Cambodia.

Visa on arrival

• A visa on arrival can be obtained at any of the following Cambodian airports: Phnom Penh International Airport (PNH), Siem Reap International Airport (REP), and Sihanoukville International Airport (KOS).
• The visa on arrival fee is USD 30.
• Visitors who obtain a visa on arrival must have a valid passport and two passport-size photos.

eVisa

• An eVisa can be obtained online at the website of the Cambodian government.
• The eVisa fee is USD 35.
• Visitors who obtain an eVisa must have a valid passport and a digital photo.

Weather in Cambodia

Cambodia is blessed with a warm climate throughout the year, making it a destination for all seasons with temperatures seldom falling below 20°C. Cambodian weather is generally categorized into two primary seasons: wet and dry. The wet season, spanning from May to October, is marked by episodic showers during daytime hours, adding to the country's tropical charm.

The dry season, commencing from November and extending up to April, is typified by agreeable and sunny weather conditions, making it an ideal time for travel and exploration. However, it is worth noting that during the peak of the dry season, specifically in March, temperatures can climb up to a sweltering 35°C. Despite the somewhat extreme conditions, the resplendent beauty of the country remains undeterred, with Cambodia promising a riveting experience regardless of the season.

Additional Info

1. Local Currency: Cambodian riel (KHR) is the official currency and 1 USD converts to approx. 4,161.63 KHR. However, USD is widely accepted.
2. Money & Payments: ATMs are widely available and sometimes dispense US dollars. Credit cards are accepted in major cities. Tipping is expected and appreciated.
3. Local Language: The official and mainly spoken language is Khmer. Some people also speak Vietnamese and Chinese. English is mostly used in tourist areas and major cities. 
4. Local Culture and Religion: About 97% of the population follows Theravada Buddhism. Islam, Christianity, and tribal animism make up the remaining 3%.
5. Public Holidays:  Victory over Genocide Day, Khmer New Year, King’s Birthday, Day of Remembrance, and Independence Day are some of the public holidays celebrated in Cambodia.