Dr A. Mapanga Gynaecologist

18/08/2025

A true friend supports you and allows you to grow , they only step in to protect you from harm. They are there to stop you from falling....

Happy new week!

11/08/2025

https://vm.tiktok.com/ZMAJbGuV5/

312 likes, 4 comments. “Nine months later…..labour and childbirth”

07/08/2025

Lactational amenorrhea refers to the period during breastfeeding when the periods are absent. It is due to hormones released by the body when baby suckles, which prevents the release of eggs from o***y, hence no me**es.

This lactational amenorrhea can be used as temporary contraception method during the first 6 months of giving birth.

It is effective only if the following criteria are met:

- Baby is less than 6 months
- Exclusively breastfeeding with baby suckling at the breast
- The mother has not had any menstruation since giving birth
- Frequent breastfeeding, especially at night

If a woman is not exclusively breastfeeding ovulation may return 4-6 weeks after giving birth. In breastfeeding women, it may return later depending on breastfeeding patterns. In obese women, periods may even return earlier. Using a breast pump , expressing milk or bottle feeding may result in lactational amenorrhea not working as it requires the baby to actually suckle at the breast for it to work effectively.

Talk to your healthcare provider and find out what family planning method works for you after giving birth.

07/08/2025

If you fall pregnant while breastfeeding do not rush to wean off baby. Talk to your healthcare provider to assist you to manage this situation in a way that is healthy for you and your babies.

Specialist in delivering babies and providing medical care to women during pregnancy (antenatal care) and women's health issues

05/08/2025

Puberty refers to the transition when a child grows into an adult. It is an important and sensitive period with physical, emotional and hormonal changes. This short video summarises the changes as well as the gynaecological issues that may arise as well as how to tackle them.

30/07/2025

The food one eats may have some effects on their periods, including period pain and regularity. Being overweight or underweight will affect hormonal balance as well. Junk food can worsen premenstrual syndrome, while excess caffeine can worsen period cramps. So what food can one eat to improve their periods:

~Magnesium
Foods like dark chocolate, nuts, avocados, and green leafy vegetables are rich in Mg, which help reduce cramps,mood swings, and breast tenderness.

~Omega-3 Fatty Acids
These also help reduce period pain and are found in fish as well as chia seeds

~Iron
Iron rich foods help replenish blood loss during periods. Red meat, liver, beans, and spinach are rich in iron.
Vit C from citrus fruits assists in absorption of iron.

~Vit B6 and Calcium
Food like eggs, bananas, chicken,fish, and potatoes have this vitamin, which is essential for progesterone production. Overall, this helps with reducing mood changes in PMS.

~Zinc
This helps reduce inflammation and period pain. Whole grains and pumpkin seeds are a source of zinc.

Talk to your health care provider if you have problems with your periods.

17/07/2025

17/07/2025

Women suffering from vaginismus have involuntary muscle spasm , experience extreme pain and fear even at the anticipation of pe*******on . It is a chronic condition to manage and most women learn to live with it . Management is multidisciplinary involving gynaecologist, pelvic floor physiotherapy,psychosexual therapy and a supportive partner. Devices such as dilators, Kiwi devices and vibrating pelvic wands have been used to try and manage this condition, some are still to get clinical validation.

Talk to your healthcare provider if you think you suffer from this condition.

06/07/2025

One thing about being a gynaecologist is that it doesn't matter what time of day it is , when its time, it is time and we come....it can only be God! Thank you for the strength to keep going. Amen.

01/07/2025

Step into this new month with purpose and positivity!

Happy new month!

26/06/2025

Fibroids are non cancerous growths of the uterus that are common during reproductive age. What causes them is unknown, but there are several risk factors, which include age (more common, 30-50 years), family history ( having a mother or sister with fibroids),obesity, diet, hormonal factors and being black.

The decision to remove fibroids before falling pregnant depends on the size, location, and number of the fibroids. Symptomatic fibroids, e.g, if they are causing problems like heavy bleeding and pain, may need to be removed. If a woman has subfertility or any previous history of complications in pregnancy associated with fibroids such as recurrent miscarriages, preterm labour, or abruption, removal of fibroids may be advised.

Talk to your healthcare for an individualised approach to your care if you have fibroids.