Testicular sperm extraction (TESE) in clinic Procrear

Procrear is a private fertility clinic in Santo Domingo, Dominican Republic. The center focuses on assisted reproduction and gynecological care. It operates as a dedicated building serving local and international patients. Dr. Steven Rabassa leads the medical team.

Fertility and Assisted Reproduction

The clinic treats various forms of infertility through laboratory-based techniques. In vitro fertilization (IVF) success rates for patients under 35 range between 40% and 50%. Specialists also perform artificial insemination, with success rates between 4.7% and 25% per cycle. For severe male-factor infertility, the team uses ICSI to inject sperm directly into eggs.

Procrear offers several reproductive procedures and diagnostic tools:

• Intracytoplasmic sperm injection (ICSI)
• Preimplantation genetic diagnosis (PGD) for inherited disease risk
• Intrauterine insemination
• Diagnostic and surgical hysteroscopy
• Embryo transfer

Hysteroscopy lets surgeons view the uterine cavity and cervical canal directly. This method identifies causes of abnormal bleeding or fertility issues. If problems appear during the diagnostic phase, surgical treatment can follow immediately.

Fertility Preservation Services

The clinic offers options for those wishing to preserve their reproductive potential. Women can undergo oocyte cryopreservation, which includes ovarian stimulation and egg retrieval. The clinic uses vitrification technology for egg freezing to maintain cell quality. Men can access sperm cryopreservation for future assisted reproduction treatments.

Sperm freezing follows a specific laboratory process to ensure sample viability:

1. Evaluation of semen quality in the laboratory
2. Mixing the sample with a specialized cryoprotector
3. Gradual freezing of the prepared cells
4. Storage in liquid nitrogen at –196ºC

These services support patients facing medical treatments that might affect fertility. This includes those preparing for chemotherapy or vasectomy. The clinic also recommends preservation for men with fluctuating seminal quality.

Gynecological Surgery

Specialists use gynecologic laparoscopy as a minimally invasive diagnostic and surgical tool. This approach explores internal organs to treat reproductive system conditions. Surgeons make small abdominal incisions rather than large openings. This reduces post-operative pain and speeds recovery.

Laparoscopic techniques treat several specific conditions:

• Endometriosis and severe menstrual pain
• Chronic or recurrent pelvic pain
• Pelvic masses and cysts
• Unexplained fertility challenges
• Tubal recanalization

During the procedure, doctors fill the abdomen with carbon dioxide for better visibility. A laparoscope with a camera guides instruments through small ports. Most patients go home the same day or the day after surgery.

Technological Capabilities

Procrear uses advanced embryology lab techniques to support fertilization outside the body. The facility handles complex genetic screening through PGD. For surgical procedures, high-definition cameras guide both hysteroscopy and laparoscopy. These tools ensure precision when treating the uterus or pelvic organs.

International Patient Care

The clinic supports patients traveling from the United States and Spain. The scheduling system allows international coordination by selecting specific countries and cities. Patients can access virtual consultations to discuss treatment plans before traveling. This helps international patients prepare for their stay in Santo Domingo.