Infertility Treatment in clinic Procrear

Infertility care at Clínica Procrear in Santo Domingo, Dominican Republic, includes testing, assisted reproduction, fertility preservation, and surgery. Fertility-preservation retrieval may cost around $2,500–$7,500; annual egg or sperm storage may cost around $200–$800. Dr. Steven Rabassa leads the team and has postgraduate training in assisted reproduction, reproductive biology, and gynecological endocrinology.

Infertility testing and support

Assessment can include consultations, lab tests, and imaging to investigate possible causes and guide treatment.

• Consultations: Fertility, gynecology, reproductive psychology, nutrition, and genetics.
• Laboratory tests: Semen analysis and hormone tests, including FSH, LH, testosterone, and ovarian reserve testing.
• Imaging and procedures: Transvaginal, obstetric, genetic, and morphological ultrasound; hysterosonography; tubal patency study; and testicular Doppler.
• Other tests: Vaginal culture, Pap smear, and colposcopy.

Assisted reproduction and genetic screening

The clinic has a dedicated assisted-reproduction building and an embryology laboratory with vitrification technology.

• In vitro fertilization (IVF): Ovarian stimulation, egg retrieval, laboratory fertilization, and embryo transfer take about three weeks, plus time for a pregnancy test. Options include own or donor eggs, sperm, or embryos, as well as IVF with ICSI or PGD. The stated success rate is 40–50% for patients under 35.
• Intrauterine insemination (IUI): Prepared partner or donor sperm is placed in the uterus around ovulation. Ultrasound and blood tests can monitor the cycle. The stated success rate is 4.7–25% per cycle.
• ICSI: A selected sperm is injected into an egg under a microscope. It may be used for low sperm count or movement, abnormal sperm shape, blocked ducts, or previous failed IVF fertilization.
• PGD: Embryos are screened for genetic abnormalities before transfer, including when there is a risk of passing on an inherited disease.
• Donor options and sex selection: Donor eggs, donor semen, and embryo selection during IVF are available.

Fertility preservation

Egg freezing uses ovarian stimulation, ultrasound-guided retrieval under sedation, and rapid freezing. Stimulation lasts about 10 days; retrieval takes about 30 minutes. The clinic recommends considering egg freezing before age 35. Sperm freezing includes semen assessment, preparation with a cryoprotectant, and storage in liquid nitrogen at -196°C. Embryo and ovarian tissue cryopreservation are also available.

The retrieval-phase price includes ovarian stimulation and egg retrieval or semen collection. Annual storage includes liquid nitrogen storage; retrieval and travel costs are not included.

Surgical options

• Testicular biopsy (TESE/TESA): Sperm is retrieved through a small incision or needle aspiration. The outpatient procedure takes 20–30 minutes, with same-day discharge and a usual return to normal activities in 2–3 days.
• Tubal recanalization: Previously blocked or cut fallopian tube segments are reconnected by laparoscopy or open surgery.
• Gynecological laparoscopy: A camera and instruments pass through small abdominal incisions. It can assess or treat endometriosis, cysts, fibroids, pelvic pain, and unexplained infertility. Discharge is usually the same or next day.
• Hysteroscopy: A thin scope passes through the cervix to examine or treat uterine polyps, fibroids, scar tissue, or other possible causes of infertility. Diagnosis and treatment may occur in one session.

Virtual consultations are available for patients abroad. Patients can leave a request on Bookimed to discuss suitable next steps.