• Uterine Fibroids Uterine Fibroids
  • Abnormal Pap Smears Abnormal Pap Smears
  • Fertility Management Fertility Management
  • Hysterectomy Hysterectomy
  • Laparoscopy Laparoscopy
  • Abdominal Utrasound Abdominal Utrasound
  • Hysteroscopy Hysteroscopy
  • Endometrial Ablation Endometrial Ablation
  • Tubal Ligation Tubal Ligation
  • Menopausal Care Menopausal Care
  • Menstrual Disorders Menstrual Disorders
  • Pregnancy Scans Pregnancy Scans
  • Childbirth Childbirth
  • Prenatal Care Prenatal Care
  • Recurrent Miscarriage Recurrent Miscarriage
  • Prenatal Emergencies Prenatal Emergencies

Fertility Management: Contraception, Basic Infertility Evaluation

Infertility occurs when a woman is unable to become pregnant after trying to conceive for at least a year. If a woman keeps having recurrent miscarriages, it is also viewed as infertility. Female infertility may be caused by her age, physical problems, hormone problems, menopause and lifestyle.


When it comes to female infertility, there is often confusion as to the correct methods of treatment, as well as the options available. Dr Essel, obstetrician and gynaecologist in the East Rand, provides useful information regarding these two important aspects of fertility management such as contraception and basic infertility evaluation.


Basic Infertility Evaluation

In any basic infertility evaluation, the following fertility tests will be conducted:

  • History
  • Physical examination
  • Assessment of ovarian reserve
  • Assessment of adequate ovulation
  • Semen analysis
  • Blood tests
  • Testing for tubal patency
  • Testing for the normalcy of the uterine cavity
  • Laparoscopy
  • Menstrual history

There are a number of surgical procedures that may assist in treating female infertility, but treatment depends entirely on what is the underlying cause of infertility.


Surgical treatments include:

  • Laparoscopy this is a procedure where Dr Essel will make incisions on your abdomen and insert a laparoscope to get rid of the scar tissue, treat endometriosis, open blocked tubes, or remove ovarian cysts.
  • Hysteroscopy this is a procedure where Dr Essel will insert a hysteroscope through the cervix to the uterus to remove polyps, uterine fibroids or tumours, to divide scar tissue and open up blocked tubes.

If you may be experiencing ovulation problems, Dr Essel may prescribe oral medication such as clomiphene citrate, gonadotropins or letrozole to help regulate ovulation. These oral medications may also aid in becoming pregnant by causing your ovaries to release multiple eggs even though normally one egg is released each month. Dr Essel may prescribe gonadotropin in the case where infertility is unexplainable or other treatments couldn’t help you get pregnant.