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Fertility & Reproductive Health
in Malmesbury

Struggling to conceive is more common than most couples realise — and more treatable. Dr Amon Siveregi provides complete fertility assessment and treatment at Crestcare Hospital, close to home for the Swartland.

Book a Fertility Consultation

Answers first, then a plan

A fertility journey usually begins with uncertainty: Am I ovulating? Is something wrong? How long is too long to keep trying? A structured fertility assessment replaces that uncertainty with answers. As a specialist obstetrician and gynaecologist in Malmesbury, Dr Siveregi investigates both partners systematically, explains what the results mean in plain language, and builds a treatment plan around your specific situation — never a one-size-fits-all protocol.

Importantly, most fertility problems do not require IVF. Many couples conceive after targeted, far simpler treatment — once the actual cause has been found.

What a fertility workup includes

  • Detailed history for both partners: cycles, previous pregnancies, medical and surgical history, lifestyle factors
  • Ovulation assessment: menstrual pattern review, hormonal blood tests and, where appropriate, ultrasound cycle monitoring
  • Hormonal profiling: thyroid function, prolactin, androgens and ovarian reserve testing where indicated
  • Pelvic ultrasound: assessment of the uterus and ovaries, including signs of PCOS, fibroids or endometriosis
  • Tubal and uterine evaluation where indicated, since treating ovulation alone cannot overcome blocked tubes or uterine problems
  • Semen analysis: male-factor problems contribute in a large proportion of couples and are checked early, not last
  • Ovulation induction: for women who are not ovulating regularly — commonly with letrozole as first-line treatment, prescribed and monitored properly
  • PCOS management: lifestyle guidance, cycle regulation and fertility treatment for polycystic ovary syndrome
  • Onward referral when needed: if IUI or IVF is genuinely indicated, you'll be referred to a fertility laboratory with your workup complete — saving time and money

When should you seek help?

After 12 months of trying

For couples where the woman is under 35 with regular cycles and no known problems.

After 6 months if you're over 35

Ovarian reserve declines with age — earlier assessment protects your options.

Straight away if cycles are irregular

Irregular or absent periods suggest irregular ovulation — don't wait a year to find out.

With known risk factors

Previous pelvic surgery or infection, endometriosis, PCOS, recurrent miscarriage, or known male-factor issues.

Living with PCOS? Read Dr Siveregi's guide to PCOS and your fertility — and if you have experienced pregnancy losses, see when to seek help for recurrent miscarriage.

Frequently asked questions

Does seeing a fertility specialist mean I'll need IVF?

No. IVF is one tool among many, reserved for specific situations. Many couples conceive after ovulation induction, treatment of an underlying condition, or simply targeted timing — once the cause is identified.

Should my partner be tested too?

Yes. Male-factor problems contribute in roughly half of couples struggling to conceive, so a semen analysis is part of a proper workup from the start — not an afterthought.

I have PCOS — can I still fall pregnant?

Very often, yes. PCOS does not mean infertility; the main issue is usually irregular ovulation, which is frequently treatable with lifestyle changes and ovulation induction medication such as letrozole.

What should I bring to a first fertility consultation?

Any previous test results, a note of your cycle dates for the last few months, your medication list, and your partner if possible — fertility is a shared journey and both histories matter.

Ready for answers about your fertility?

Book a consultation at Crestcare Hospital, Malmesbury — no referral needed.

Schedule a Visit