Reproductive Medicine in Costa Rica

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 Costa Rica?

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

Costa Rica is a tiny country in Central America, bordered by Panama, Nicaragua, the Caribbean Sea, and the Pacific Ocean. This country is generally regarded as having the most democratic and stable government of all the Central American countries. It charms its visitors with unspoiled beaches, lush rainforests, a plethora of wildlife, and steaming volcanoes. Besides its breathtaking landscape, Costa Rica is also famous for its healthcare. Tens of thousands of medical tourists come to this country to take advantage of its world-class yet inexpensive medical care. Most of the medical procedures in the country are 40% to 50% cheaper than in the United States or Europe. Cosmetic surgery and dentistry are the most sought-after procedure, but a growing number of foreign patients also come for orthopedic treatment, bariatric surgery, and eye surgery. 

Popular Parts of Costa Rica

Surrounded by volcanoes and green hills, San José, the capital and largest city of Costa Rica, has one of the most spectacular settings in the world. This laid-back and pleasant capital is filled with colonial mansions that have been converted into contemporary galleries, amazing food, and vibrant nightlife. The most popular attractions in this city are Museo de Jade, Teatro Nacional, Museo Nacional de Costa Rica, and Mercado Central. Those who want to relax under the sun usually visit Tamarindo, which is famous for its beaches. Here, visitors can visit Las Baulas National Marine Park, go rafting in the Colorado River, or relax in Playa Tamarindo.

Weather and Climate in Costa Rica

Due to its close proximity to the Equator, Costa Rica is a tropical country with two seasons: the dry “summer” season and rainy “winter” season. The dry season, from January to April, is warm and pleasant. Rain is very unlikely to fall during this season, even in the rainforests. The rainy season, sometimes called the “green season,” is hot and humid. Rain usually falls in the afternoon and evening, while the mornings are often sunny. On the Caribbean coast, rainfall is spread out throughout the year, but it gets far less rain in September and October.

Getting around in Costa Rica

Juan Santamaría International Airport is the main international airport in Costa Rica, located in San José. It has various flights to domestic and international destinations, including Toronto, Mexico, New York, and London. Affordable domestic flights between San José and popular destinations are the fastest way to get around and handy for accessing the more remote areas. Buses are reasonably priced and have an extensive network, but they can be slow. Private and shared shuttles are available, the best way to get around is, however, by renting a car as it gives more flexibility and allows you to access more remote destinations. 

Tourist Visas in Costa Rica

Everyone who wants to visit and stay in Costa Rica is required to have a passport unless they are a citizen of one of the visa-exempt countries. The visa-exempt countries include EU countries, the UK, the US, Australia, Russia, and several other nations. Citizens of other countries not listed in the visa exemption agreement need to apply and obtain a visa before visiting.

Additional Information

1. Local Currency: Colón (CRC) is the national currency of Costa Rica. 1 USD is equivalent to 601 CRC. In some places, such as tourist areas, US dollars are accepted. 
2. Money & Payments: ATMs accepting foreign cards, particularly Visa, can be found in all major cities and small towns. Credit cards, such as Visa and MasterCard, are all accepted in larger establishments. Tipping is not mandatory but appreciated. 
3. Local Language: Costa Rican Spanish is the official and most commonly spoken language in Costa Rica. English is widely spoken in tourist areas.
4. Local Culture and Religion: Roman Catholicism is the official religion in Costa Rica, but the constitution provides for freedom of religion. Around 17% of the population is unaffiliated with any religions and around 3% follows either Buddhism, Islam, Judaism, Hinduism, Neo-Paganism, or other religions. 
5. Public holidays: New Year’s Day, Juan Santamaria Day, Guanacaste Day, Assumption, Mother’s Day, Independence Day, Day of the Cultures, and Christmas Day are some of the most celebrated public holidays in Costa Rica.