The
wonderful experience of being a parent does not have to be forbidden for those
Dominican couples who can not conceive.
And is that
infertility has been increasing among Dominican couples.
"At
present, about 20% of the general population has infertility problems,"
says Dr. Magda Álvarez, a member of the San Rafael Maternity Institute medical
team.
It indicates
that of this percentage, 50% is of female cause, 40% is attributed to male
factors and 10% is of unknown cause.
The most
frequent causes of female infertility are: absence or disease of the fallopian
tubes, cervical factors, hormonal disorders and endometriosis ??, explains
Alvarez.
While in the
male case, he adds, it is related to a low production of spermatazoids, a
decrease in their movement and morphological alterations.
the
alternative
Interested
in offering infertile couples the opportunity to conceive, the San Rafael
Maternity Institute created the First Unit of Sterility and In Vitro
Fertilization in the country.
They carry
out the artificial donor insemination program (IAD), which consists of the
placement of male semen (usually obtained by masturbation) in a part of the
female genital tract, specifically in the neck of the womb.
"This
procedure is performed at a time in the menstrual cycle that is close to or
coincident with ovulation," says Magda, manager of the new unit.
Semen can be
obtained from the husband, in most cases, or from a donor, in case of male
infertility.
In the
latter case, the IAD is the simplest alternative to achieve fertility if they
do not wish to opt for adoption.
The ethical
side
The
Sterility and In Vitro Fertilization Unit will be governed by the ethical
regulations that have been established internationally for this type of
procedure.
The first
rule consists of the anonymity of the donor and the strict confidentiality of
the information and the procedure.
Under no
circumstances will we accept the express identity of the donor, much less
patients or friends of the couple ??, says Álvarez.
For this
they will use a semen bank, located in the United States.
It is
established with strict ethical criteria for donor selection, including
psychological profile, study of genetic and communicable diseases.
It has a
regularly updated catalog listing the physical characteristics of donors
(height, weight, skin color) and other data (profession, skills).
Professor
Ami Amit, founder of the in vitro fertilization unit at Israel's Ha-Kiriah
Hospital, a pioneering establishment and leader in its specialty, and Dr. Yona
Barak, who is in charge of embryology specialization at the University of Bar-
Ilan and heads the in vitro fertilization laboratory at Herzliah Medical Center
in Israel, as well as the renowned Dominican gynecologist Dr. José Plácido
Montero, reported that the average age of the group of patients undergoing
treatment was 34.6 years (range: 23-44) .
Patients
suffered from tubal (mechanical) factor, endometriosis, male factor and low
hormonal response, so they were candidates for in vitro fertilization. In some
of them, intracytoplasmic sperm injection (ICSI) was used to ensure
fertilization of the patient's eggs.
Among the
IRIP medical team, Professor Joseph Lessing, Dr. Israel Yovel, director of the
in vitro fertilization unit of Herzlyia Medical Center; Dr. Abraham Kogosowski
and Dr. Amnom Botcham, among other trained specialists, who have extensive
experience since Israel is the only country in the world to provide these
services for free.
The IRIP
also offers the advantage to Dominican couples resident in the country and
abroad, as well as to those belonging to neighboring countries, that treatment
costs a third of the cost in the United States, as well as the facilities in
the management Financing with local banks.
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