George Practice

3 Trefoil Square, Gloucester Ln, George Central, 6529

Opening Hours

Mon - Thu: 8am - 5pm
Friday: 8am - 3pm
Sat - Sun: CLOSED
24 Dec - 2 Jan: CLOSED


Fax : 044 874 6299


Feel free to contact us

Trouble getting pregnant?

If you and your partner are struggling to have a baby, you’re not alone. Ten to 15 percent of couples in South Africa struggle with infertility. Infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year for most couples.

Infertility may result from an issue with either you or your partner, or a combination of factors that interfere with pregnancy. Fortunately, there are many safe and effective therapies that significantly improve your chances of getting pregnant.

Most couples will eventually conceive, with or without treatment. Statistics are variable but about 50% of couples conceive in 6 months, 80% by 12 months and 90% by 24 months of trying. Each month you have roughly a 20-25% chance of becoming pregnant, and that’s assuming everything is in full working order

When to see a doctor

You probably don’t need to see a doctor about infertility unless you have been trying regularly to conceive for at least one year. Talk with your doctor earlier, however, if you’re a woman and:

  • You’re age 35 to 40 and have been trying to conceive for six months or longer
  • You’re over age 40
  • You menstruate irregularly or not at all
  • Your periods are very painful
  • You have known fertility problems
  • You’ve been diagnosed with endometriosis or pelvic inflammatory disease
  • You’ve had multiple miscarriages
  • You’ve undergone treatment for cancer

Talk with your doctor if you’re a man and:

  • You have a low sperm count or other problems with sperm
  • You have a history of testicular, prostate or sexual problems
  • You’ve undergone treatment for cancer
  • You have testicles that are small in size or swelling in the scrotum known as a varicocele
  • You have others in your family with infertility problems

Infertility causes can affect one or both partners. In general:

  • In about one-third of cases, there is an issue with the male.
  • In about one-third of cases, there is an issue with the female.
  • In the remaining cases, there are issues with both the male and female, or no cause can be identified.

Causes of male infertility

These may include:

  • Abnormal sperm production or function
  • Problems with the delivery of sperm
  • Overexposure to certain environmental factors,
  • Damage related to cancer and its treatment

Causes of female infertility

Causes of female infertility may include:

  • Ovulation disorders,
  • Uterine or cervical abnormalities
  • Fallopian tube damage or blockage
  • Primary ovarian insufficiency(early menopause)
  • Pelvic adhesions,
  • Cancer and its treatment.

Risk factors

Many of the risk factors for both male and female infertility are the same. They include:

  • Age.A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. Infertility in older women may be due to the number and quality of eggs, or to health problems that affect fertility. Men over age 40 may be less fertile than younger men are and may have higher rates of certain medical conditions in offspring, such as psychiatric disorders or certain cancers.
  • Tobacco use.Smoking tobacco or marijuana by either partner reduces the likelihood of pregnancy. Smoking also reduces the possible benefit of fertility treatment. Miscarriages are more frequent in women who smoke. Smoking can increase the risk of erectile dysfunction and a low sperm count in men.
  • Alcohol use.For women, there’s no safe level of alcohol use during conception or pregnancy. Avoid alcohol if you’re planning to become pregnant. Alcohol use increases the risk of birth defects, and may contribute to infertility. For men, heavy alcohol use can decrease sperm count and motility.
  • Being overweight.An inactive lifestyle and being overweight may increase the risk of infertility. A man’s sperm count may also be affected if he is overweight.
  • Being underweight.Women at risk of fertility problems include those with eating disorders, such as anorexia or bulimia, and women who follow a very low calorie or restrictive diet.
  • Exercise issues.Insufficient exercise contributes to obesity, which increases the risk of infertility. Less often, ovulation problems may be associated with frequent strenuous, intense exercise in women who are not overweight.


Some types of infertility aren’t preventable. But several strategies may increase your chances of pregnancy.


Have regular intercourse several times around the time of ovulation for the highest pregnancy rate. Having intercourse beginning at least 5 days before and until a day after ovulation improves your chances of getting pregnant. Ovulation usually occurs at the middle of the cycle — halfway between menstrual periods — for most women with menstrual cycles about 28 days apart.


For men, although most types of infertility aren’t preventable, these strategies may help:

  • Avoid drug and tobacco use and excessive alcohol consumption,which may contribute to male infertility.
  • Avoid high temperatures,as this can affect sperm production and motility. Although this effect is usually temporary, avoid hot tubs and steam baths.
  • Avoid exposure to industrial or environmental toxins,which can impact sperm production.
  • Limit medications that may impact fertility,both prescription and nonprescription drugs. Talk with your doctor about any medications you take regularly, but don’t stop taking prescription medications without medical advice.
  • Exercise moderately.Regular exercise may improve sperm quality and increase the chances for achieving a pregnancy.


For women, a number of strategies may increase the chances of becoming pregnant:

  • Quit smoking.Tobacco has multiple negative effects on fertility, not to mention your general health and the health of a fetus. If you smoke and are considering pregnancy, quit now.
  • Avoid alcohol and street drugs.These substances may impair your ability to conceive and have a healthy pregnancy. Don’t drink alcohol or use recreational drugs, such as marijuana or cocaine.
  • Limit caffeine.Women trying to get pregnant may want to limit caffeine intake. Ask your doctor for guidance on the safe use of caffeine.
  • Exercise moderately.Regular exercise is important, but exercising so intensely that your periods are infrequent or absent can affect fertility.
  • Avoid weight extremes.Being overweight or underweight can affect your hormone production and cause infertility.



Why it is so important to have a family doctor?

You’re young, you feel great. No major health concerns and you have a thousand things to do. So why would you want to complicate your already hectic life with one more thing like taking the time for an annual physical or finding a family doctor or primary care provider?

Believe it or not, research shows that people who have a primary care doctor actually live longer. They are less likely to die from cancer, heart disease, stroke and many other illnesses. The reason is simple: over time, you and your doctor form a relationship. You get to know each other, which leads to better medical care by catching small health problems before they become serious.

It’s important to have a family doctor, but many people choose not to do so. There’s really no reason not to have a doctor caring for your family, here are 5 other benefits to building a relationship with a primary care physician:

  1. One-Stop Shopping. A Primary Care Provider knows how to deal with everything from helping you through a bout with the flu to back pain and digestion issues, to uncovering serious illnesses like cancer and heart disease. They can treat almost anything. If not, they’ll get you to a doctor who can.
  2. Someone Who Knows All About You. You establish comfort and trust with a family doctor. Some people avoid physicians because they feel nervous or uncomfortable around them. With a family doctor, you get to know your doctor and they get to know you. You establish a familiarity which makes visits more comfortable.
  3. Having a family doctor can make your medical examinations more accurate and efficient. Meeting with the same doctor offers a huge advantage over meeting with a different doctor every time you need an examination. They know your past health issues and your health history. When you have a family doctor, you’re more than just a stranger with a chart.
  4. Coordination of Care. Your Primary Care Provider is the point person who helps you navigate the healthcare jungle. He or she:

    • knows your health and family history

    • helps you find the best specialist if you need one.

    • knows about all of the medicines and supplements you’re taking and look for possible interactions.

    • orders the right tests and other diagnostics you need at each stage of your life.

    • answers any questions you have regarding your care, no matter where you receive it, so you are clear on all of the details and much more.

  5. Keeps You Healthy. Your Primary Care Provider isn’t just interested in you when you’re sick. He or she wants to partner with you on a wellness and prevention plan too. Consider your Primary Care Provider your best source for information on things like weight management, smoking cessation, help with alcohol and drug use, sexual health and fertility, and managing stress and anxiety.
  6. Routine Screenings. Your PCP will do or arrange for screenings such as mammograms, colonoscopies, blood pressure, glucose, cholesterol and more. It’s important to note that many serious illnesses are found during routine physicals. We’re talking the top three silent diseases that have no symptoms: high blood pressure, high cholesterol and Type 2 Diabetes. When these illnesses are left untreated, they can have severe consequences. Also, many early stage cancers have no symptoms. Detecting cancer early gives you an edge for successful treatment and cure.

So, have we convinced you? Having a Primary Care Provider you trust is one the most important things you can do for a lifetime of good health.

Pap Smear

What is a PAP and when do I get it done?

A Paptest, also called a Pap smear, is an exam a doctor uses to test for cervical cancer in women. It can also reveal changes in your cervical cells that may turn into cancerlater.

What Happens During the Test?

It’s done in your doctor’s office or clinic and takes about 10 to 20 minutes.

You’ll lie on a table with your feetplaced firmly in stirrups. You’ll spread your legs, and your doctor will insert a metal or plastic tool (speculum) into your vagina. The doctor will open it so that it widens the vaginal walls. This allows him/her to see your cervix. Your doctor will use a swab to take a sample of cells from your cervix. It will then be placed into a liquid substance in a small jar and sent to a lab for review.

The Pap test doesn’t hurt, but you may feel a little pinch or a bit of pressure.

When do I need a PAP?

Guidelines in South Africa differ with regards to resources available.  In the public sector resources are lower that in the private sector.


Initiate screen: Age 25 or at diagnosis of HIV positivity

End screen: Age 55 or hysterectomy. Only after previous negative tests. Never end if HIV positive

Interval: 5 years if HIV neg or unknown, 3 years if HIV positive

Follow-up: After single abnormal screening test or after treatment: HIV negative and < 35 years: 5 yearly until normal.

HIV positive or > 35 years: yearly until normal.

Back to SCREEN when normal Treat after second abnormal test


Initiate screen: Age 25 or at diagnosis of HIV positivity

End screen at Age 65 or hysterectomy. Only after previous negative tests. Never end if HIV positive

Interval cytology: 3 years if HIV neg or unknown. Yearly if HIV positive

Follow up: After single abnormal screening test or after treatment:

HIV negative and < 35 years:  yearly until normal.

HIV positive or > 35 years: yearly until normal.

Back to SCREEN when normal Treat after second abnormal test

What Do the Results Mean?

Your doctor will get them within a few days. They’ll come back either negative or positive.

A negative result is a good thing. That means your doctor didn’t find any strange-looking cells on your cervix. You won’t need another Pap until you’re due for your next scheduled one.

If your results come back positive, it doesn’t mean you have cancer. You could have slight inflammation. Or, you might have minor cell changes (doctors call this “dysplasia”). These often clear up on their own, so your doctor may take a “wait and see” approach. He’ll may suggest you have another Pap test in a few months. If the abnormal cells haven’t cleared up by then, your doctor may order more tests. These might include a procedure called a colposcopy.


Pap Smear

Pap Smear


Stomach Cramps

The term stomach cramps is nonspecific and is used to refer to a number of different symptoms or sensations rather than true muscle crampsof the stomach. People often refer to a “stomach ache”, “abdominal cramps”, “belly pain” to refer to painthat is perceived anywhere in the abdominal area. As such, the list of potential causes is extremely varied depending on the degree and origin of the perceived pain. Organs of the abdomen include the stomach, small intestine, colon, liver, gallbladder, and pancreas, and problems or diseases of all of these organs may be the source of pain. Some typical causes of abdominal painand associated symptoms that arise from the gastrointestinal tract include

Occasionally, pain may be felt in the abdomen even though it is arising from organs that are close to, but not within, the abdominal cavity, such as conditions involving the lower lungs, kidneys, uterus, or ovaries. These causes can include pelvic inflammatory disease, endometriosis, and pregnancy-related complications.

If you are concerned about your stomach cramps it is best to see your doctor who will take a thorough history and do an examination.


Stomach Cramps

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  • Mon - Thu8:00 - 17:00
  • Fri8:00 - 15:00
  • Sat - SunClosed
  • HolidaysClosed
  • 24 Dec - 2 JanClosed

Welcome! We are two dedicated doctors offering a full-service family practice situated in the centre of George on the beautiful Garden Route. We are eager to optimize the health of patients in and around George, as well as the surrounding area. Our doctors collaborate in order to meet the health needs of the whole family, from baby-care to care of the elderly, in a friendly relaxed atmosphere. We regard our role as being family doctors, concerned with care and support to each member of the family. Being familiar with the personal and family history of each patient, ensures that we will be able to give high quality care and service.

Drs. van der Spuy © 2019 All Rights Reserved