Women's Endocrinology
Addressing FSD, Menopause, PCOS & Fertility

Understanding Female Sexual Dysfunction

Female sexual dysfunction (FSD) can manifest in various ways and stem from a multitude of factors. To effectively address it, we need to consider a woman’s entire sexual wellbeing – physical, emotional, physiological (hormonal), and relational.

You’re Not Alone

The truth is, FSD is more common than you might think. Many women hesitate to seek help due to feelings of shame. However, if sexual difficulties are impacting your intimacy and relationships, know that you’re not alone and support is available.

Common Causes:

• Physical: Certain medical conditions (e.g., kidney failure, multiple sclerosis) and medications (e.g., antidepressants, high blood pressure meds) can contribute to FSD.
• Hormonal: Hormonal fluctuations throughout life, including those caused by birth control, can disrupt sexual function. Decreased estrogen levels, for example, can lead to vaginal dryness and diminished desire.
• Psychological & Social: Relationship conflict, especially involving sex, can negatively impact your sexual response. Similarly, the stress and demands of new parenthood, combined with hormonal changes from childbirth and breastfeeding, can affect your sexual well-being.

Labiaplasty: Considering Your Options

Labiaplasty is a surgical procedure that modifies the appearance of the labia minora (inner lips) and/or labia majora (outer lips) of the vulva. While labiaplasty is often sought for cosmetic reasons, particularly to reduce the size of the labia minora, it can also be used to address certain abnormalities like melanoma.

A Growing Trend

Labiaplasty is becoming increasingly accepted as women gain more information about their bodies and explore their options. Ultimately, the decision to undergo this procedure is a personal one. Here at Neo Fertility Clinic, we understand that every woman’s body is unique, and we are committed to providing confidential consultations to discuss whether labiaplasty is right for you. Our team of qualified surgeons can perform this procedure safely and effectively, ensuring the best possible outcome.

Life After Menopause

As women transition through later stages of life, hormonal changes can impact the body in new ways. One significant change is a decrease in estrogen levels, which can sometimes lead to uncomfortable symptoms. The good news is, there are effective treatment options and lifestyle adjustments that can help you navigate this transition smoothly.

What is Menopause?

Menopause marks the end of a woman’s reproductive years and typically occurs between the ages of 40 and 50. It’s confirmed by the absence of a menstrual period for 12 consecutive months. While menopause is a natural process, some women may experience symptoms that can affect their daily lives.

Managing Menopause Symptoms:

Several approaches can help alleviate common menopause symptoms, including:

• Lifestyle Changes: Healthy habits like regular exercise, a balanced diet, and stress management techniques can make a significant difference.
• Medication: Hormone replacement therapy (HRT) or other medications can be prescribed to address specific symptoms.

Common Symptoms:

• Hot flashes
• Vaginal dryness
• Difficulty sleeping (insomnia)
• Hair loss
• Discomfort during sex
• Decreased libido
• Mood swings and irritability
• Anxiety

Understanding Female Fertility

The ability to conceive a biological child is a fundamental aspect of a woman’s fertility. Here at Neo Fertility Clinic, we understand the journey of parenthood and the questions you may have along the way. If you and your partner have been trying to conceive for at least one year (or six months if you’re over 35) with frequent, unprotected sex, you may want to explore your fertility options.

Potential Causes of Female Infertility:

Several factors can contribute to female infertility. These include:

• Ovulation Disorders: Issues with egg release from the ovaries, often linked to hormonal imbalances like Polycystic Ovary Syndrome (PCOS), high prolactin levels, or thyroid problems.
• Uterine or Cervical Abnormalities: The presence of polyps, fibroids, or structural issues can affect conception.
• Fallopian Tube Blockage: Damage or blockage of the fallopian tubes, often caused by pelvic inflammatory disease (PID).
• Endometriosis: The growth of endometrial tissue outside the uterus can create challenges for implantation.
• Primary Ovarian Insufficiency: Early menopause, where the ovaries stop functioning and menstruation ceases before age 40.
• Pelvic Adhesions: Scar tissue formed after pelvic infections, surgeries, or appendicitis can impact fertility.
• Medical Conditions: Certain medical conditions like uncontrolled diabetes, celiac disease, and autoimmune diseases might affect menstruation and fertility.
• Age: A natural decline in egg quantity and quality with age can make conception more challenging.

We’re Here to Help

If you have concerns about your fertility, visit Neo Fertility Clinic in Parktown. We offer a supportive and personalised approach to guide you through your family-building journey. Contact us today to learn more about our comprehensive fertility services.

Understanding Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS) is a hormonal imbalance that can affect a woman’s reproductive system. Women with PCOS may have enlarged ovaries with multiple cysts on the outer edges. This hormonal imbalance can lead to a variety of symptoms, including:

• Irregular or missed menstrual periods: This is a common symptom of PCOS, and periods may be infrequent, irregular, or heavy.
• Difficulty getting pregnant: PCOS can disrupt ovulation, making it more challenging to conceive naturally.
• Increased androgen levels: Androgens are hormones typically associated with males, but women also produce them in small amounts. PCOS can cause an overproduction of androgens, leading to symptoms like:
  • Adult acne
  • Unwanted hair growth on the face, chest, and back
  • Male-pattern baldness

We Can Help

If you’re concerned about PCOS, Neo Fertility Clinic offers a supportive environment and personalized treatment plans. We understand the impact PCOS can have on your well-being and fertility, and we’re here to help you manage your symptoms and achieve your family-building goals.

Birth Control Options: A Guide for Women

Choosing the right birth control method is a personal decision. Here at Neo Fertility Clinic, we understand that every woman’s needs are unique. We offer a variety of birth control options to help you find the perfect fit:

Oral Contraceptives (The Pill):

• The most common birth control method.
• Contains hormones that mimic a menstrual cycle, but it’s not a real period.
• Requires daily use at the same time each day for best effectiveness.
• Benefits: Regulates periods, reduces acne, treats heavy or painful periods.

The Patch:

• Weekly patch that releases hormones through the skin.
• Same hormones and benefits as the Pill, but with a weekly change.
• Easy to use, but may not be as discreet as the Pill.

Vaginal Ring:

• Flexible ring inserted into the vagina for three weeks, followed by a week off for your period.
• Releases hormones similar to the Pill and patch.
• Convenient and requires less frequent attention than daily pills.
• Not recommended for smokers over 35.

Contraceptive Implant:

• Thin rod inserted under the upper arm that lasts up to 3 years.
• Contains progestin only, making it suitable for women who cannot tolerate estrogen.
• Highly effective and convenient.
• May cause irregular periods or stop them altogether.
• Fertility returns quickly after removal.

Contraceptive Injection:

• Progestin injection administered every 2-3 months.
• Effective, but may cause irregular bleeding and it can take longer for fertility to return after stopping.

Intrauterine Device (IUD):

• Long-term (3-5 years) T-shaped device inserted into the uterus.
• Available in hormonal and copper versions.
• Hormonal IUDs may lighten periods or stop them completely.
• Copper IUD is hormone-free.
• Highly effective and long-lasting.

Finding the Right Choice:

We recommend scheduling a consultation to discuss your individual needs and medical history. Our team can help you explore all your birth control options and choose the method that best suits your lifestyle and preferences.