Fertile, or infertile: that is the question

Dr Wiswedel is one of the pioneers of fertility treatment in South Africa and author of numerous publications pertaining to infertility. After 10 years as head of the IVF and Infertility Unit at Groote Schuur Hospital, University of Cape Town, he started the private Cape Fertility Clinic in 1993 after leaving the hospital.

Under his guidance many successes have been achieved for South Africa, including the first pregnancy from donated eggs, first pregnancy from micro-injection, first to use GnRH agonist and ultrasound guided ovum pick ups.

He answered the following questions:

Dear Parent24
When I was very young I had an abortion. We have been trying now with no success years after the abortion. Do you think that it is possible that the termination could have damaged my womb?

Yes it is possible but very rare.
There are many other reasons which can cause you to not fall pregnant and one should look at common causes first like your husband's sperm quality, whether you ovulate and whether your tubes are open.

Dear Parent24
My husband had been on drugs - cocaine and mandrax. He is clean now for 3 years. Could this have affected his sperm and made him impotent?
Samira Bayat

Yes, these drugs can have a serious impact on sperm quality and I suggest you have the sperm tested. The test is quite cheap and will give a lot of information.

Dear Parent24
My husband and I are both 36. I have been off the pill for over a year now, and no joy. I know that I can go to my gynecologist to be checked out but where does my husband go?

He can also go to your gynae and ask to be sent for a sperm test or he can go straight to a Pathcare laboratory and ask them to do a sperm test.

Dear Parent24
I am 24 and have been trying to get pregnant for about a year now. I have regular cycles. My partner is not the problem as he has a child from a previous relationship. Do you have any advice for me?
Sherise Jackson

You should see your doctor and have some simple investigations done, like a Prosesteron test to see whether you are ovulating and your husband definitely needs a semen test, irrespective whether he had a child previously or not.

Have any questions of your own? Ask Dr Wiswedel.

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