Reproductive Medicine in Santo Domingo

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 Santo Domingo?

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

About Santo Domingo

Santo Domingo, the capital of the Dominican Republic and is the most modern and largest metropolis in the Caribbean. The city is the cultural, political, financial, industrial, and commercial center of the Dominican Republic. Founded by Bartholomew Columbus in 1496, Santo Domingo is the oldest styled European City in the Americas. The city has everything that will make any visit worthwhile, from large shopping malls, historical architecture, seaside resorts, to a vibrant nightlife.

Over the last several years, medical tourism in Santo Domingo has been growing steadily. The city contributed to the Dominican Republic’s medical tourism average income of US$265.0 million in 2018. The most popular procedures in Santo Domingo are cosmetic and plastic surgery, dental surgery, cardiology, and heart surgery. Santo Domingo has everything a medical tourist could ask for, including:

• Hospitals and wellness centers governed by international standards.
• The doctors and paramedical staff are well-qualified and studied in the best medical schools from the U.S. and Europe.
• Cost-effective medical treatments with modern technology.
• A wide range of medical treatments to choose from.
• Fast, immediate care without waiting lists.
• The ideal climate and environment for recovery.

Popular Areas in Santo Domingo

Located in the heart of the Caribbean, Santo Domingo has a rich historical and cultural heritage. The Colonial City, a UNESCO World Heritage Site, will amaze tourists with its beautiful architecture and rich history. The neighborhood consists of colonial buildings turned into shops, hotels, museums, and cafés. History fans can enjoy the oldest standing cathedral in the Western hemisphere: Catedral Primada de América.

Mercado Modelo is shopping heaven on Avenida Mella on the outskirts of Colonial City. Tourists will find an indoor maze of small shops offering local crafts, treats, and specialties.

Tourists who want to indulge in nature can go to Jardín Botánico Nacional de Santo Domingo as the gardens are filled with native plants and offer an excellent insight into the natural flora of Santo Domingo, the largest botanical gardens in the Caribbean. The botanical gardens are also home to hundreds of different kinds of orchids.

Santo Domingo has many wonderful beaches since the city’s waterside stretches along the Caribbean Sea. Tourists can go to Playa Najayo or Playa Juan Dolio for picturesque views or enjoy the sparkling blue water. The sunsets are particularly breathtaking.

Weather and Climate in Santo Domingo

The city enjoys a tropical climate that sees warm and humid weather all year long. The wet season (rainy season) starts from May to November, the average temperature on the wet season is around 22 - 31°C with the humidity slightly higher.

December to April is the best time to visit Santo Domingo since it is the dry season. The average temperature ranges between 19°C to 29°C. Showers may occur but they usually do not last long. Tourists should avoid traveling to Santo Domingo during Hurricane Season which runs from August to October.

Getting Around in Santo Domingo

There are two airports in Santo Domingo. The main airport is Las Américas International Airport (also known as Santo Domingo Airport), located Punta Caucedo and Boca Chica, 32km east of the city. This airport has international connections from North America, South America, and Central America to Europe. The airport serves many major airlines such as Delta, Emirates, and American Airlines. Las Américas International Airport also serves budget airlines such as JetBlue. La Isabela International Airport primarily serves domestic flights and some international flights to other Caribbean Islands. The airport is the major hub for Dominican airlines that operates small aircraft.

To get into the city from the airports, tourists can choose taxi, airport shuttle, public bus, shared van, or car rental. Traveling by taxi can get a bit more expensive although it is a good transportation option. The cost to Colonial City from Las Américas International Airport is around US$40. The cheaper option is to ride the public bus (Guagua), the buses depart to Parque Enriquillo in the city center and to Boca Chica.

Getting around in Santo Domingo is fairly easy. To get the most of Colonial City, walking is the best way since they offer plenty of pedestrian attractions, but walking along streets outside Colonial City can be quite challenging.

Taxis in Santo Domingo don’t use meters, tourists have to agree on the fare in advance. The standard fare is around RD$250. It is best not to take any unmarked taxi because it could be dangerous. Tourists usually need to call a dispatcher to have a taxi sent to their location, most businesses and hotels will gladly call a taxi for tourists and this is the safest option.

Tourists can take Públicos, minivans that follow a predetermined route but stops wherever someone flags them down. The fare usual fare is RD$25. Tourists can also take the Santo Domingo Metro, rides cost around RD$15, a contactless card can be purchased to use the metro.

Buses are also available from 6.30 am to 9.30 pm and cost around RD$25, the bus stops are marked with a sign and a word parade which means stop, the routes tend to follow major streets.

Tourists Visas in Santo Domingo

Dominic Republic exempts nationals from 107 countries including the US, Canada, most South American countries, the European Union, and several other countries from Asia and Africa from obtaining a tourist visa. A passport valid for at least six months is required to enter the country.

Visitors need to apply for a tourist card that can be obtained at the Dominican Consulates or directly upon arrival at the airports in the Dominican Republic. The tourist card costs US$10 and is valid for 30 days. Tourists who want to extend their visit will have to go to the offices of Direccion General de Migracion and pay for an extension.

Additional Information

1. Local Currency: The local currency in Santo Domingo is the Dominican Peso (RD$). US$ 1 is equivalent to RD$47. The notes are printed in a variety of colors although some colors are very similar to each other.
2. Money & Payments: ATMs can be found across Santo Domingo. The best and safest way to obtain Dominican pesos is by ATMs. Credit and debit cards (mostly Visa and MasterCard) are accepted in cities, but some business adds a surcharge for credit card purchases. Tipping is generally not expected as 10% to 20% is mostly added to the total bill. Tourists should tip tour guides.
3. Local Language: The Dominican Republic is a Multilanguage nation. However, Spanish is the official language. Other commonly spoken languages in Santo Domingo are Dominican Spanish, Haitian Creole, and Samana English. English is not widely spoken but there are English speaking staff and guides within the tourist areas.
4. Local Culture and Religion: Roman Catholic Christianity is the major religion in Santo Domingo. Other religions including Protestant Christianity, Judaism, and Buddhism are also freely practiced.
5. Public Holidays: Santo Domingo celebrates Christian holidays such as Good Friday and Christmas Day. The city hosts a carnival at the end of February and the beginning of March, the international book fair is in April, as well as a merengue festival in July.