Your parenting partner: from fertility to grade 1
Irregular cycles, hormonal imbalances, insulin resistance, and fertility challenges are just a few of the daily struggles of PCOS. Fortunately, there’s a science-backed supplement with 13 clinical trials; a supplement that can help you reclaim your health: We’re talking about Sinopol®.
It contains three key ingredients that are designed to target the symptoms of PCOS and support metabolic and reproductive wellness. Each sachet or tablet contains a blend of Myo-Inositol, Alpha Lipoic Acid, and Folic Acid, ingredients clinically shown to improve insulin sensitivity, regulate menstrual cycles, and boost fertility outcomes.
What sets Sinopol® apart from other supplements is its patented fast-slow technology which ensures sustained absorption and 24-hour support. Whether you’re trying to conceive, manage weight, or simply feel more balanced, Sinopol® offers a way to support your journey.
Women using Sinopol® have reported*:
Improved cycle regularity: From 2 to 5 cycles in 6 months.
Reduced insulin resistance:
66,7 % reduction in postmenopausal women and 35 % reduction in adolescent girls.
Reduction of unwanted hair growth: 16,4 % reduction in hirsutism.
Better outcomes with fertility treatments: 44 % increase in pregnancy success in women undergoing IVF.
And the best part? You don’t need a prescription for it, and thanks to the NAPPI code you can potentially claim it from your medical aid.
Sinopol® is available over the counter nationwide, at Dis-Chem, Clicks and independent pharmacies.
The sachets taste pretty good, but if that’s too fussy for you, you can take it in tablet form. Both are equally effective.
Take control of your PCOS. Choose Sinopol®, because every woman deserves to feel her best.
Couples should decide together that the time is right. Talk about things like affordability, timing and the age gap between your children, childcare and work options. If this is your first baby, you can also talk about parenting style and possible support systems.
You can also both consult a doctor and tell them about your plan, so that any potential problems can be detected and treated early. This can prevent unnecessary stress and disappointment.
Dr Mokgohloe Phasha, an obstetrician-gynaecologist practising at Netcare Park Lane Hospital in Johannesburg, says that a pre-conception visit “offers the chance for women to enter pregnancy as their healthiest self, and lay the optimal foundation for their future baby. Although pre-conception appointments have an important role in ensuring a healthy pregnancy, sadly, few people fully appreciate the value this holds both for mother and baby and for managing potential risks before falling pregnant,” she says.
Your fertility depends on your age, health, emotions, menstrual cycle and the type of contraception you use, and how long you have been using it. Young women tend to get pregnant easily because their eggs are younger and because the cervix remains open longer during ovulation (the fertile days of the cycle).
Women who are overweight can have a hormone imbalance because oestrogen is stored in fat cells and because their insulin regulation can be messed up.
It’s also not good to be too thin. Underweight women can stop ovulating.
So the sooner you and your partner start eating right, the better. You also feel better when you eat healthily. Include a wide variety of nutritious foods, and eat from all the food groups. Eating fruits, vegetables, whole grains, lean meats and dairy every day will help ensure that you get your daily recommended amount of vitamins and minerals needed for optimal fertility. It’s also a good idea to start taking a special pregnancy supplement now.
The benefits of folic acid supplementation during pregnancy are well known, but often women only realise they are pregnant after their first trimester, missing a golden window of opportunity to prevent neural tube defects. “This inexpensive intervention has proven to significantly reduce the risk of spina bifida, which can lead to paralysis of the baby’s legs. The mom-to-be’s folic acid requirements are met ahead of conception,” Dr Phasha advises.
Women who are under unusually high stress can also temporarily stop ovulating or ovulate at longer intervals, which means there is less opportunity to conceive a baby. A messy menstrual cycle makes things difficult and frustrating and also takes the fun out of sex.
A woman’s fertility is related to a complex network of hormones that connect the pituitary gland in her brain to her ovaries, uterus, cervix and breasts. These organs have receptor cells that are sensitive to the amount of hormones in the blood. The concentration varies daily, depending on whether you are fertile or infertile, pregnant, breastfeeding or in your menopause.
Men are fertile all the time, but a woman is only fertile for five days in her menstrual cycle. Measure your cycle from the first day of your period to the first day of your next period. During this time, there is a 24-hour window period in which you can get pregnant.
Usually, a woman is in her fertile phase in the middle of her cycle – when she ovulates. This is when an egg is prepared for fertilisation, the ovary releases it, and it slides down the Fallopian tube. Fertilisation (when the egg and sperm meet) must occur within 24 hours. The key to conception is knowing when this 24-hour period has arrived. To conceive a baby, a couple must have sex when the woman’s body is receptive to the sperm. This happens during ovulation when the vagina becomes a sperm-friendly environment thanks to special mucus at the cervix. The slippery mucus is released into the vagina and helps the sperm swim. Once the sperm reaches the cervix, the mucus can keep it alive for five days while it waits for the egg.
Men should be able to produce a teaspoon of semen that contains between 300 and 500 million sperm. Most of the sperm gets lost in the vagina during sex, and less than a third eventually makes it to the cervix.
Yes, you need to get busy between the sheets, but improve your chances of conception with the following knowledge.
Avoid sex during your period.
For the four days after your period, you can have sex every other night. Although sperm cannot pass through the cervix at this stage, regular sex can ensure a constant fresh supply of sperm.
When your ovaries become active, your cervix will first secrete sticky mucus. Avoid sex during this time for a few days, as this will help increase sperm count.
When your vaginal mucus becomes as smooth as raw egg white, and your genitals feel slightly swollen and sensitive, it’s time to have as much sex as you want. Sperm can survive in your body for up to six days, but an egg only lives for 12 to 24 hours. That’s why sex before, during and after ovulation is recommended, as it increases the chance that sperm and egg will meet.
After the ovulation period, you can of course remain sexually active, but the window period for conception is over for now.
Wait until your period is a week late before taking a pregnancy test. If fertilisation has occurred, it takes the egg 10 days to travel to the uterus. During this time, the cell mass increases (it is called a blastocyst) and the cells that will become the placenta already exist. The cells attach to the lining of the uterus. The lining is what is usually shed and excreted during menstruation. You will produce the hormone hCG, which is excreted in your urine, and this is what makes a pregnancy test positive.
Source: Morton & Partners Radiologists
A varicocele is the most frequently identified correctable cause of male factor infertility. It causes no pain, no visible symptoms, and is present in up to 40 percent of men being investigated for fertility difficulties. Many are never told it can be treated without surgery.
When a couple discovers that male factor infertility is contributing to their difficulty conceiving, the conversation in many fertility clinics moves quickly. A semen analysis raises questions; IVF is discussed; a path is laid out that is expensive, physically demanding for both partners, and not always the necessary first step.
What is frequently not discussed at that point, not because it is irrelevant, but because the question is not always asked, is a varicocele. It causes no pain. There is no visible swelling, no discomfort, no reason a man would seek help on his own. The only indication is what shows up on a semen analysis.
A varicocele is an enlargement of the veins within the scrotum, the same mechanism as varicose veins in the legs, occurring in the vessels that drain blood away from the testicle. It is present in approximately 15 percent of men in the general population. In men being investigated for fertility difficulties, that figure rises to 35 to 40 percent, making it the most commonly identified correctable cause of male factor infertility.
Why Temperature Is Everything
The mechanism, once explained, is straightforward. Sperm production is acutely sensitive to temperature. The body's design, the testes positioned outside the core, exists precisely to maintain the cooler environment that healthy sperm production requires. It is not incidental anatomy. It is a specific biological requirement. When the draining veins of the testicle become enlarged and fail to clear blood efficiently, it pools. The local temperature rises. The effect on sperm production is measurable: reduced count, impaired motility, abnormal morphology. All three are the kinds of findings that appear on a semen analysis and prompt a fertility investigation. All three can, in many cases, improve when the underlying cause is addressed.
The Referral Conversation That Does Not Always Happen
Varicoceles are well understood. The evidence for their impact on fertility is not disputed. What falls short, in many cases, is the referral pathway. A couple presents with a poor semen analysis. The male factor is noted. The next step is often a fertility specialist, and the next step after that is often a conversation about assisted reproduction.
Varicocele embolization, a minimally invasive, non-surgical procedure with a strong track record, is sometimes raised, and sometimes not. The cost is lower than IVF. The burden on both partners is significantly less. And for couples where the varicocele is the primary contributing factor, the outcomes can be meaningful. It is not that the procedure is unavailable or experimental. It is that the question of whether a varicocele has been looked for is not always the first one asked.
Varicocele Embolisation
The procedure is performed through a small puncture, typically at the neck or groin, without surgery or general anaesthetic. A catheter is guided under real-time X-ray imaging to the affected testicular vein. From the inside, the vein is closed, blood reroutes through healthier vessels, the pooling stops, and temperature normalises. The procedure takes 30 to 45 minutes. Recovery is typically a day or two of relative rest, with no surgical wound and no hospital stay. For many men, the impact on semen parameters becomes measurable within three to six months. It is not a guarantee. Not every case of male factor infertility is attributable to a varicocele, and not every varicocele responds to embolisation in the same way. But for couples facing a semen analysis that raises questions and a fertility pathway that is moving quickly, it is a step that deserves to be part of the conversation before more complex interventions are considered.
What to Ask
If a semen analysis has shown reduced sperm count, impaired motility, or abnormal morphology, it is worth asking specifically whether a varicocele has been identified on examination or ultrasound. If one has been found, it is worth asking whether embolisation has been considered, and if not, why not.
The procedure is available at Morton and Partners. Referrals are accepted from fertility specialists, gynaecologists, urologists, and GPs. For couples who have been told the next step is IVF, this is a question worth asking before that step is taken. It takes one conversation to find out whether it applies. For some couples, that conversation changes everything.
Morton and Partners Radiologists provides interventional radiology services across 16 branches in the Western Cape and KwaZulu-Natal. GP and specialist referrals are accepted. Visit morton.co.za or contact your nearest branch.
This article is intended for general informational purposes and does not constitute medical advice. Consult your GP or specialist for guidance specific to your clinical situation.