Obstetrics & Gynaecology with Dr. Mwando Chrispin

Obstetrics & Gynaecology with Dr. Mwando Chrispin Passionate OBGYN Registrar educating on women's health. Let's learn together!
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What is infertility?Infertility means a couple is unable to get pregnant after 12 months of regular, unprotected s*x (or...
02/03/2026

What is infertility?

Infertility means a couple is unable to get pregnant after 12 months of regular, unprotected s*x (or 6 months if the woman is over 35).
It doesn’t always mean you can never have children — it just means it’s taking longer than expected.

Types of infertility

1) Primary infertility - The couple has never been able to get pregnant.

2) Secondary infertility - The couple has had a pregnancy before, but now cannot conceive again.

what are some Common causes?

Infertility can come from:
I) The woman
II) The man
III) Both partners
Or sometimes IV) no clear cause

In women: 1) Problems with ovulation (not releasing eggs regularly)
2) Blocked fallopian tubes
3)Hormonal problems
(Conditions like PCOS)

In men:
1) Low s***m count
2) Poor s***m movement
3) Problems with s***m shape

Tests that may be done:
Doctors usually test both partners.

For the woman:
1) Ovulation tests → to check if eggs are being released
2) Ultrasound scan → looks at the uterus and ovaries
3) Hormone blood tests → checks reproductive hormones
4)HSG (hysterosalpingogram) → dye test to see if tubes are open

For the man:
1) Semen analysis (main test)
→ checks s***m count, movement, and shape

Treatment options
Treatment depends on the cause:
1. Lifestyle changes
Healthy diet
Reduce alcohol/smoking
Weight control
Stress management

2. Medications
-To help the woman ovulate
-To correct hormone problems

3. Surgery
-To open blocked tubes
-To remove fibroids or other abnormalities

4. Assisted reproduction (advanced options)
IUI (Intrauterine Insemination)
→ s***m is placed directly into the uterus
IVF (In Vitro Fertilization)
→ egg and s***m are combined in a lab, then the embryo is placed in the uterus

Are you suffering from infertility or know someone that does? Help exists.
Please seek help from your nearest health facility

Should you be worried about ovarian cysts? Short answer: Sometimes—but most of the time, not really.What are ovarian cys...
01/11/2025

Should you be worried about ovarian cysts?
Short answer: Sometimes—but most of the time, not really.

What are ovarian cysts and where do they come from?
Ovarian cysts are fluid-filled sacs that develop on or inside the ovary—just like the one shown in the image above. These cysts can be functional (physiological) or pathological (disease-related or cancerous).

Functional cysts are the most common and usually harmless. They’re thin-walled, fluid-filled sacs that often form as part of the normal menstrual cycle.

During a menstrual cycle, a follicle grows to release an egg. If ovulation doesn’t occur, that follicle may remain and become a follicular cyst. This type may cause mild discomfort or none at all, and it often disappears on its own within a few weeks.

Another common type is the corpus luteum cyst, which forms after the egg is released. Sometimes, it can appear in early pregnancy and helps produce progesterone to support the pregnancy during the first few weeks.

Cysts can also develop in the second trimester of pregnancy, caused by hormonal changes. These usually resolve on their own and may even be seen incidentally during a cesarean section.

Certain ovulation induction medications (used in fertility treatment) can also cause temporary cyst formation.

Because most functional cysts are small (less than 10 cm) and harmless, treatment is usually conservative—watch and wait. They typically resolve on their own. You do not need to take a 14-day course of antibiotics.

Stay tuned for Part II, where we’ll discuss the less common but more concerning pathological cysts.

29/10/2025

Good morning everyone. It’s been a while since I last shared anything on this platform, but I’ll do my best to post something every week going forward.

Newest specialist in town! Dr. Mwando Chrispin — BScHB, MBChB, and now officially MMed in Obstetrics and Gynecology. May...
23/05/2025

Newest specialist in town! Dr. Mwando Chrispin — BScHB, MBChB, and now officially MMed in Obstetrics and Gynecology. Maybe I will be active posting on this page again 😁.

Happy women's day.
08/03/2025

Happy women's day.

Fertility awareness
29/12/2024

Fertility awareness

Good morning,
02/12/2024

Good morning,

Good morning   Do not use herbal medications to induce or speed up labour.
29/11/2024

Good morning Do not use herbal medications to induce or speed up labour.



Good morning,
28/11/2024

Good morning,



Good morning all. do you know the importance of aspirin in pregnancy?
27/11/2024

Good morning all. do you know the importance of aspirin in pregnancy?



Good morning. Malaria is a serious yet preventable disease
26/11/2024

Good morning. Malaria is a serious yet preventable disease

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Lusaka
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