Reproductive Medicine in Spain

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 Spain?

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

About Spain

Historic Spain is home to the third-highest number of UNESCO World Heritage Sites, after Italy and China. Part of the Iberian Peninsula, along with Portugal, Spain also shares borders with France and the less well-known, Andorra. The country itself is made up of several regions, both on the mainland and out at sea, with the Canary Islands closer to Morocco than Spain - they are located in the Atlantic Ocean, whilst the Balearic Islands are a little closer to home, in the Mediterranean Sea. On the mainland there is Central Spain, home to the capital, Madrid, Catalonia in the East, home to the second city, Barcelona, and the Basque Country in the North, to name but a few. 

Spain sees an estimated 100,000 medical tourists each year, many of which travel for Reproductive Medicine procedures. The biggest target market is from the UK, accounting for one in four of Spain's 60m annual tourists. An excellent healthcare system combined with warm temperatures and competitive prices means that Spain is now one of the more popular destinations in Europe for medical tourism. The most popular procedures tend to be cosmetic surgery, fertility treatments, bariatric surgery, cardiac surgery, orthopedics, urology, and bone marrow transplants.

Popular Parts of Spain

Spain has diverse landscapes, dynamic cities, influential art, and delightful food.

• Madrid is the capital of Spain. Modern infrastructure and historic neighborhoods blend nicely in the city. Known for its glorious fashion, food, and nightlife, the city has a lively spirit. Rest in El Retiro Park under the sun or take a guided tour in Palacio Real. Tourists who love sports can watch a Real Madrid soccer match.
• Barcelona has a plethora of attractive architecture, unique food beautiful beaches, and a vibrant nightlife. It is the most popular tourist destinations in the country. Visit Picasso Museum, Enjoy Gaudi’s Architecture the church of the Sagrada Família, or visit the Barcelona History Museum and enjoy the beach.
• Valencia is Spain’s third-largest city. The city is filled with an array of art nouveau buildings as well as Gothic and Renaissance monuments. Try all the food that the city offers, especially the famous paella. Be inspired by the stunning Cuidad de las Artes y las Ciencias, a massive building in the old Turia riverbed.
• Palma de Mallorca is a very welcoming city for international tourists. It has a number of historical attractions, Gothic churches, and the beautiful Mediterranean Sea at its feet. Shopping and gastronomic scenes are two of the best things in the city. Tourists can relax in the seafront cafés after a long day.
• Seville is a stunning artistic, cultural, and financial capital of southern Spain. Being a big university town, it has a very youthful vibe everywhere. Spend a day exploring Parque de Maria Luisa, tour Casa de Pilatos, get lost in the maze of Jewish Quarter’s small streets, and discover what the town has to offer on a bike.
• Ibiza is known to have some of the best nightclubs in the world. It is a beautiful island with dozens of amazing things to discover.

Weather and Climate in Spain

Spain has wonderful weather all year-round. Summer starts from June to August and tends to be nice. Tourists can expect warm and sunny weather. The temperature can get as high as 30 °C, sometimes even higher. Summer is the peak season for tourism so prices can increase by up to 50%.

Spring (April to May) and Autumn (September to October) are great times to visit. The weather is mild and perfect to do outdoor activities, although sometimes it can be unpredictable. The country is not as crowded as during summertime.

Winter in Spain is cold but the temperature does not drop too low. The average temperature is between 4 °C to 10 °C. Northern Spain and the mountainous areas sometimes experience snowfall and rain showers.

Getting Around in Spain

The main international airport in Spain is Adolfo Suárez Madrid-Barajas and Barcelona El Prat Airport. Madrid-Barajas is the largest airport in the country. It operates domestic and international flights. The airport connects Madrid with almost every country in the world. It serves several budget airlines such as Iberia Express, Ryanair, and EasyJet. It is the hub for Air Europa and Iberia.

Barcelona El Prat Airport also serves domestic and international connections with almost every country globally. Budget airlines such as Ryanair and WestJet operate flights from this airport. It is the hub for Level and Vueling.

To get to the city center, both airports provide taxis, buses, and metro. Taxis are the most convenient transportation mode but usually more expensive. Tourists who travel to Madrid are advised to buy the Madrid Tourist Travel Pass which can be used on any Metro, bus, or suburban train for just 5 EUR.

Spain has a well-designed public transportation network. Tourists can get around Spain by train. There are high-speed (AVE) and regular service trains (Talgo) for long-distance or medium distance travel, the fares are based on a 1st and 2nd class system. For short destinations, tourists can use local trains. It offers one class of seats and makes a lot of stops. 60-year-old and older travelers can get a discount between 25 to 40 percent for train tickets. Children under the age of 13 also qualified for discounts. Buses are another excellent option. Intercity buses are affordable, clean, and safe.

Renting a car gives more flexibility for tourists. International car rental agencies are widely available in the country. The highway system is easy for foreigners to follow. Parking can be quite hard in some cities and historic towns because it can get really crowded.

Taxis have a reasonable price. Spanish taxi drivers are usually trustworthy and don’t cheat. The taxi can be hailed on the street or from a taxi stand (parade de taxi). Available taxis have green lights or signs that say “libre” on them. Taxis run on meters, but if you’re traveling a long distance, you will have to agree on the fare in advance.

Tourist Visas in Spain

Citizens of the European Union, Norway, Liechtenstein, Iceland, and Switzerland can travel to Spain with their identity cards only. Citizens of Australia, Canada, Israel, Japan, the United States, and New Zealand are granted visa-free entry and can stay for up to 90 days. Other countries can check with their nearest Spanish embassy or consulate. Spain is a member of the Schengen Convention. If you hold a Schengen visa, you cannot extend it.

Additional Information

1. Local Currency: the official currency is the euro (EUR). 1 USD converts to 0.85 EUR.
2. Money & Payments: ATMs are available. Tourists can withdraw money from ATMs that display the relevant symbols such as Visa and MasterCard with a charge of 1.5% to 2%. Credit and debit cards can be used for most purchases, tourists will often be asked to show a passport. Tipping is optional, tourists can leave small change or up to 5% tip in restaurants.
3. Local Language: the official language is Spanish. People in major tourist cities speak good English; it is also widely spoken in coastal resorts.
4. Local Culture and Religion: The largest religion in the country is Catholic Christianity with 67.5% of the population follows the religion. There are small groups of Muslims, Jews, Buddhists, Hindus, Pagans, Taoists, and Bahá'ís.
5. Public Holidays: Spain celebrates Christian holidays. Known as the country of fiestas and festivals, numerous festivals such as The Holy Week, La Tomatina, and The Fallas of Valencia are hosted annually.