Las Tunas, Cuba.- "The result validates the effectiveness of the guidelines implemented by the program as of 2018. These emerged from the debate in the National Assembly of People's Power that placed the birth rate and aging on the island as demographic problems to be prioritized within the Public Health System", Yulier Lázaro Suárez Acosta, provincial coordinator, told the Cuban News Agency.
After an evaluation process in the family doctor's offices and the eight municipal consultations that exist today in the territory, five thousand 97 infertile couples were treated in May of the current calendar, explained Suárez Acosta.
He added that to the conclusion that among the major causes of infertility were sexually transmitted infections, which lead to complications in both men and women and thus prevent pregnancy.
Once the couple reaches the second level of care, said Mileidys García Márquez, a specialist in Gynecobstetrics at the Provincial Center for Assisted Reproduction, they receive care in Mental Health, an indispensable link in the treatment and that accompanies the patients throughout the process, as well as the indication of the auxiliary diagnostic means, the ultrasonographic monitoring of the ovulation (cyclogram) and the spermogram.
In this regard, the Master in Comprehensive Care for Women stressed that it is important that couples have gone through the infertility consultation from the primary level of care. That is why, in the Guillermo Tejas polyclinic located in the provincial capital, is the largest figure of detected couples with such problems, a comprehensive consultation was revitalized last October 11 and the spermogram service was opened.
With a multidisciplinary approach, about a dozen professionals from the Center for Assisted Reproduction attend couples such as Yudisleidis Téllez Cruz and Marcos Antonio Cruz Peña, both 30 years old.
Marcos Antonio commented that although they are beginners in the consultation, they are very hopeful in this new attempt, because forming a family is a common desire and that is why both members of the couple should come, because more than support, the problem to try can be of either of the two.
Dr. Mileydis, as her patients know her, points out that at the Center, in addition to the specialties of Immunology and Genetics, Urology, Endocrinology, Gynecology and Mental Health, the team deals with all kinds of preconceived ideas about fertility, the use of güira honey, erectile dysfunction and the functioning of the couple, among others.
"There are some couples that the only solution is an ovum donation, a process that takes place in the Territorial Center for Attention to the Infertile Couple, in Holguín. The couples show much resistance to this alternative, in addition to the next step, considered in vitro fertilization as the third level of care, is the minority of patients who arrive to such solution."
Perseverance is one of the fundamental keys to obtaining the long awaited pregnancy, and in these moments of the thousand 30 clinical histories that the Provincial Center had, more than 25 percent are no longer attending, added Mileidys, who also serves as an assistant professor and announced the development of a training workshop in cyclogram for these days.
The measures imposed by the U.S. economic blockade against Cuba prevent the country from having a sperm bank, because, in addition to the legal part, there is much economic resource needed to acquire cryopreservation, liquid nitrogen to keep sperm alive, said the doctor.
She concluded saying that "today the island does not have this technology of cultivation and conservation to preserve the ovum, so it is necessary to discard the embryos, and this not only results in a longer delay in the process, but also that there is a greater expenditure of medicines in each of the six attempts that the process admits."
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