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

What is Hypertension?

What is high blood pressure?

High blood pressure(hypertension) is defined as high pressure (tension) in the arteries, which are the vessels that carry blood from the heart to the rest of the body.

When your doctor or nurse tells you your blood pressure, he or she will say 2 numbers. For instance, your doctor or nurse might say that your blood pressure is “140 over 90.” The top number is the pressure inside your arteries when your heart is contracting. The bottom number is the pressure inside your arteries when your heart is relaxed.

  • Normal blood pressure is below 120/80.
  • In 2017, the American College of Cardiology released new guidelines for high blood pressure.
    • Blood pressure between 120/80 and 129/80 is elevated blood pressure, and a blood pressure of 130/80 or above is considered high.
  • The American Academy of Cardiology defines blood pressure ranges as:
    • Hypertensionstage 1 is 130-139 or 80-89 mm Hg, and hypertension stage 2 is 140 or higher, or 90 mm Hg or higher.

What are the symptoms?

High blood pressure may not have any symptoms and so hypertension has been labeled “the silent killer.” Longstanding high blood pressure can lead to multiple complications including heart attack, kidney disease, or stroke.

Some people experience symptoms with their high blood pressure. These symptoms include:

What causes high blood pressure?

The causes of hypertension are multifactorial, meaning there are several factors whose combined effects produce hypertension.

  • High salt intake or salt sensitivity: This occurs in certain populations such as the elderly, African Americans, people who are obese, or people with kidney (renal) problems.
  • Genetic predisposition to high blood pressure: People who have one or two parents with hypertension have high blood pressure incidence about twice as high as the general population.
  • A particular abnormality of the arteries, which results in an increased resistance (stiffness or lack of elasticity) in the tiny arteries (arterioles): This increased peripheral arteriolar stiffness develops in individuals who are also obese, do not exercise, have high salt intake, and are older.

How can I lower my blood pressure?

If your doctor or nurse has prescribed blood pressure medicine, the most important thing you can do is to take it. If it causes side effects, do not just stop taking it. Instead, talk to your doctor or nurse about the problems it causes. He or she might be able to lower your dose or switch you to another medicine. If cost is a problem, mention that too. He or she might be able to put you on a less expensive medicine. Taking your blood pressure medicine can keep you from having a heart attack or stroke, and it can save your life!

Can I do anything on my own?

You have a lot of control over your blood pressure. To lower it:

  • Lose weight (if you are overweight)
  • Choose a diet low in fat and rich in fruits, vegetables, and low-fat dairy products
  • Reduce the amount of salt you eat
  • Do something active for at least 30 minutes a day on most days of the week
  • Cut down on alcohol (if you drink more than 2 alcoholic drinks per day)
  • It’s also a good idea to get a home blood pressure meter. People who check their own blood pressure at home do better at keeping it low and can sometimes even reduce the amount of medicine they take.


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


What is diabetes?

Diabetes is a chronic disease in which the body either cannot produce insulin or cannot properly use the insulin it produces. Insulin is a hormone that controls the amount of glucose (sugar) in the blood. Diabetes leads to high blood sugar levels, which can damage organs, blood vessels and nerves. The body needs insulin to use sugar as an energy source.

What is the pancreas and what does it do?

The pancreas is an organ that sits behind the stomach and releases hormones into the digestive system. In the healthy body, when blood sugar levels get too high, special cells in the pancreas (called beta cells) release insulin. Insulin is a hormone and it causes cells to take in sugar to use as energy or to store as fat. This causes blood sugar levels to go back down

What is type 1 diabetes?

Type 1 diabetes occurs when the immune system mistakenly attacks and kills the beta cells of the pancreas. No, or very little, insulin is released into the body. As a result, sugar builds up in the blood instead of being used as energy. About 10 per cent of people with diabetes have type 1 diabetes. Type 1 diabetes generally develops in childhood or adolescence, but can develop in adulthood.

Type 1 diabetes is always treated with insulin. Meal planning also helps with keeping blood sugar at the right levels.

Type 1 diabetes also includes latent autoimmune diabetes in adults (LADA), the term used to describe the small number of people with apparent type 2 diabetes who appear to have immune-mediated loss of pancreatic beta cells.

What is type 2 diabetes?

Type 2 diabetes occurs when the body can’t properly use the insulin that is released (called insulin insensitivity) or does not make enough insulin. As a result, sugar builds up in the blood instead of being used as energy. About 90 per cent of people with diabetes have type 2 diabetes. Type 2 diabetes more often develops in adults, but children can be affected.

Depending on the severity of type 2 diabetes, it may be managed through physical activity and meal planning, or may also require medications and/or insulin to control blood sugar more effectively.

There are many signs and symptoms that can indicate diabetes.


Signs and symptoms can include the following:

  • Unusual thirst
  • Frequent urination
  • Weight change (gain or loss)
  • Extreme fatigue or lack of energy
  • Blurred vision
  • Frequent or recurring infections
  • Cuts and bruises that are slow to heal
  • Tingling or numbness in the hands or feet
  • Trouble getting or maintaining an erection

If you have any of these symptoms, it is important to contact your health-care provider right away. Even if you don’t have symptoms, if you are 40 or older, you should still get checked.

It is important to recognize, however, that many people who have type 2 diabetes may display no symptoms.


Symptoms of diabetes in children

Diabetes affects children of all ages. Most children who develop diabetes do not have a family history of diabetes.

Symptoms of diabetes in your child could include:

  • Drinking and going to the bathroom more frequently than usual
  • Starting to wet the bed again
  • Lack of energy

If you think your child might have diabetes, see a doctor today.

Diagnosis of diabetes

Speak with your doctor and ask him or her to test you for diabetes using one of the following tests. The amount of glucose (sugar) in your blood is measured in mmol/L.

Fasting blood glucose

You must not eat or drink anything except water for at least eight hours before this test. A test result of 7.0 mmol/L or greater indicates diabetes.

Random blood glucose

This test may be done at any time, regardless of when you last ate. A test result of 11.0 mmol/L or greater, plus symptoms of diabetes, indicates diabetes.


This test may be done at any time, regardless of when you last ate. A test result of 6.5 % or greater (in adults) and in the absence of factors that affect the accuracy of the A1C indicates diabetes.

Oral glucose tolerance test

You will be given a special sweetened drink prior to this blood test. A test result of 11.1 mmol/L or greater taken two hours after having the sweet drink indicates diabetes.

A second test must be done in all cases (except if you have acute signs and symptoms). Once diabetes has been diagnosed, ask your doctor to refer you for diabetes education.


What are the complications of diabetes?

Having high blood sugar can cause diabetes-related complications, like chronic kidney disease, foot problems, non-traumatic lower limb (leg, foot, toe, etc.) amputation, eye disease (retinopathy) that can lead to blindness, heart attack, stroke, anxiety, nerve damage, and erectile dysfunction (men).

Diabetes-related complications can be very serious and even life-threatening. Properly managing blood sugar levels reduces the risk of developing these complications.

Hormonal Imbalances

Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Because of their essential role in the body, even small hormonal imbalances can cause side effects throughout the body.

Hormones are chemicals that are produced by glands in the endocrine system. Hormones travel through the bloodstream to the tissues and organs, delivering messages that tell the organs what to do and when to do it.

Hormones are important for regulating most major bodily processes, so a hormonal imbalance can affect a wide range of bodily functions. Hormones help to regulate:

  • metabolism and appetite
  • heart rate
  • sleep cycles
  • reproductive cycles and sexual function
  • general growth and development
  • mood and stresslevels
  • body temperature
  • changes in blood pressure
  • changes in heart rate
  • brittle or weak bones
  • changes in blood sugar concentration
  • irritability and anxiety
  • unexplained and long-term fatigue
  • increased thirst
  • depression
  • headaches
  • needing to go to the bathroom more or less than usual
  • bloating
  • changes in appetite
  • reduced sex drive
  • thinning, brittle hair
  • infertility
  • puffy face
  • blurred vision
  • a bulge in the neck
  • breast tenderness
  • deepening of the voice in female


Everyone will experience natural periods of hormonal imbalance or fluctuations at particular points in their life. But hormonal imbalances can also occur when the endocrine glands are not functioning properly.

Hormonal imbalances in women

Women naturally experience several periods of hormonal imbalance throughout their lifetime, including during:

  • puberty
  • menstruation
  • pregnancy, childbirth, and breast-feeding
  • perimenopause, menopause, and postmenopause

Women are also at risk of developing different types of hormonal imbalance disorders than men because they have different endocrine organs and cycles.

Medical conditions causing irregular hormonal imbalances in women include:

  • polycystic ovary syndrome (PCOS)
  • early menopause
  • primary ovarian insufficiency (POI)
  • ovarian cancer
  • Thyroid disease
  • Pituitary disease
  • Cushing’s or Addison’s disease


Symptoms of hormonal imbalances in women include:

  • heavy, irregular, or painful periods
  • osteoporosis(weak, brittle bones)
  • fatigue
  • hot flashes and night sweats
  • vaginal dryness
  • breast tenderness
  • indigestion
  • constipationand diarrhea
  • acneduring or just before menstruation
  • uterine bleeding not associated with menstruation
  • increased hair growth on the face, neck, chest, or back
  • infertility
  • weight gain
  • thinning hair or hair loss
  • skin tags or abnormal growths
  • deepening of the voice

What can I do if I think I have a hormonal imbalance?

Hormone testing consists of an easy blood test where hormone levels are checked.  This can be ordered by any general practitioner.


Treatment for hormonal imbalances may vary depending on the cause. Every person may require different types of treatment for hormonal imbalances.


Book your consultation today (o44) 874 2741 or complete out online form

Botox for the first time? Here’s what you can expect

What is Botox?

Botox is the brand name of a chemical derivative of botulinum toxin. Botox is developed and sold by Allergan. Unlike regular botulinum toxin, Botox is not harmful to your health and does not cause illnesses that are associated with the toxin, such as botulism.

Botox works to temporarily weaken the muscles in your face that cause laugh lines, the creases that form at the sides of your mouth, crow’s feet, wrinkles that present around the outer corners of your eyes, and other forms of wrinkles. The treatment results in the reduction of wrinkles and an improved appearance of younger looking skin. Botox does not paralyse the face completely or result in an unnatural appearance when the procedure is done by a qualified specialist.

Who is eligible for Botox?

With time, the contraction of muscles caused by laughing, smiling, or frowning produce permanent wrinkles and furrows in the skin. Generally, patients consider getting Botox after they notice these signs of aging. However, Botox is also effective as a preventative treatment beginning in your late 20s or early 30s. While Botox is most commonly associated with women, 9% of all Botox treatments are done on men.

If you’re considering Botox, we’ll help you determine if you’re a good candidate for the treatment during your consultation appointment.

What can you expect?

Botox is a quick, safe, and effective treatment. In an effort to be completely transparent with our patients, here’s what you can expect before, during, and after your Botox treatment.

Before your Botox treatment

Before getting Botox for the first time, you’ll meet with Dr Shani van der Spuy for a consultation appointment. At your consultation appointment, you’ll be asked to share the details of your medical history, to ensure Botox is a safe treatment option for you.

Our specialists will also answer any questions you may have regarding the treatment, and discuss which areas of the face you wish to have treated. At the end of the consultation appointment, you’ll have a clear understanding of the amount of Botox you will be getting, and where you will be getting it.

During the appointment, we will need to know about the following items before recommending you for Botox treatments:

  • Medications
  • Medical conditions
  • Surgical history
  • Pregnancy


We need to know all the medications you take, including prescription medicines and over-the-counter remedies such as aspirin, vitamins, and herbal supplements. This is done to ensure that Botox will not react negatively with any of your medications.

Medical conditions

Any medical conditions you have will be discussed at your consultation appointment. If you have any muscle or nerve conditions, or have had swallowing or breathing problems in the past, you may not be a candidate for Botox treatments.

Surgical history

If you have had surgery on your face, or plan to, our specialists will need to know, as this can impact treatment. Facial surgeries include elective procedures, such as brow lifts and face lifts, as well as medically necessary surgeries to the face and jaw.


If you are pregnant, nursing, or plan to become pregnant, your specialist will need to know. Botox is not generally recommended for pregnant women. While there have been no studies to indicate that there is any risk involved with getting Botox while pregnant, stay on the safe side and schedule your treatment for after the baby is born.

During your Botox treatment

Your first Botox appointment will likely be quick and easy. Typically, the entire treatment is completed in 20 minutes or less. Here’s a detailed list of what to expect from beginning to end of the treatment:

  1. I will review how much Botox you’re getting and in which areas.
  2. I will carefully identify and mark the areas to be treated.
  3. If you’re concerned about discomfort, I will use ice or a numbing cream to numb the targeted area(s).
  4. I will use a narrow micro-needle to inject Botox directly into the facial muscles.
  5. Ice and pressure will be applied to the treated areas to discourage swelling.

After your Botox treatment

Botox requires no initial downtime or recovery period. Meaning, you’ll be able to resume most of your normal activities immediately after your treatment. You should begin to notice results in the first week following treatment.

Sun Care Tips

  • Avoid direct sun exposure between 10AM – 5PM when the sun is at its hottest.
  • Always wear protective sun gear (glasses, hats, UV protected clothing etc).
  • Stay in the shade when and where you can.
  • AVOID tanning devices like tan-can – it can cause accelerated skin ageing and can even cause skin cancer.
  • You should apply sunscreen every day, and use a day cream with UVA and UVB protection.
  • Drink water. This is important to keep your skin hydrated, flush out toxins from your body, and feel refreshed during the hot summer days.

For more advanced skin concerns, book a consultation with Drs van der Spuy.

Enjoy the summer sun, but enjoy it responsibly.



Are you feeling overwhelmed and daunted by what will happen during the “Change of life”? Are you suffering from hot flushes, insomnia, depression, irregular or heavy periods?



Starting in your late 40’s you may experience physical and psychological changes over the space of a few years.  Changes can occur well into your postmenopausal years (age 55 and over). On average women have their last period at 51.  Menopause is really just another phase in your life and if you understand the physical changes that are taking place you will be better prepared for the psychological changes.

What happens during menopause?

As you get older, the ovaries slowly start producing less and less of the hormone estrogen.  During menopause the ovary stops producing estrogen completely and you stop having monthly periods.  The lack of estrogen causes the symptoms of menopause.

Interested to know more? We can help guide you through menopause and make it a time of positive change!

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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.

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