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Archive | Fertility

When Early Menopause Strikes

Dr Merwyn Jacobson The symptoms of menopause are being recognised in younger women with more and more frequency. While its onset can occur for a variety of reasons, it leaves an indelible mark on those the condition affects. For most women, the term ‘menopause’ is synonymous with maturity, wisdom, an established family and a life well […]

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Fertility Treatment to Allow AIDS Couples to Have HIV-negative Children

Dr Merwyn Jacobson New hope has been given to HIV-positive couples wishing to start a family with the recent opening of a dedicated blood-borne viral disease (BBVD), HIV and Hepatitis B and C in vitro fertilisation (IVF)/Intracytoplasmic Sperm Injection laboratory at the Vitalab Fertility Clinic in Gauteng. The separate HIV laboratory, where procedures such as IVF […]

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Infertility: Fighting for Life

Dr Merwyn Jacobson February may be the month of hearts and flowers but it is also Reproductive Health Awareness Month, which places the spotlight firmly on the issue of fertility. With an estimated one in every six South African couples experiencing infertility, the dream of having children is not always readily realised. As a result, reproductive […]

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Causes and Impact of Secondary Infertility

Dr Merwyn Jacobson Secondary infertility is the inability to achieve a pregnancy after already having done so (having carried the pregnancy to term or had a miscarriage). Technically, secondary infertility does not exist if there has been a change of partners. The incidence of infertility is approximately 16%, but this may be slightly higher in […]

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Ectopic Pregnancy: Right Time, Wrong Place

Dr Merwyn Jacobson In an ectopic pregnancy, the fertilised egg implants outside the uterus. Most ectopic pregnancies occur in the fallopian tube (98%) but can occur in other sites such as the ovary, the cervix or in the abdominal cavity. The incidence of ectopic pregnancy is approximately 1:100 in the general population. The causes include […]

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Male Infertility More Common Than Believed

Dr Merwyn Jacobson Infertility in men is a genuine medical issue which accounts for nearly one half of all infertility cases; male infertility is the reason up to 40% of South African couples cannot achieve pregnancy. This is a remarkable statistic considering that infertility still tends to be largely attributed to the woman, a misconception […]

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The Mystery of Endometriosis

Dr Lawrence Gobetz Endometriosis is a common disorder that affects women during their reproductive years. It has a prevalence of 0.5-5% in fertile and 25-40% in infertile women. It occurs when endometrial tissue, which lines the uterus, grows outside the uterine cavity. This misplaced tissue may implant and grow anywhere within the abdominal cavity or, […]

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Mild Stimulation Strategies in In Vitro Fertilisation

Dr Lawrence Gobetz The European Society of Human Reproduction and Embryology (ESHRE) celebrated its 25th annual meeting in Amsterdam, The Netherlands, in June/July this year. Over 7000 internation delegates attended. Eleven pre-congress courses were held on Sunday, 28 June. I attended the course on mild stimulation strategies in in vitro fertilisation (IVF). The course highlighted […]

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