Dr Abri de Bruin

Welcome! Please see this website as an educational reference for patients. My practice strives to offer comprehensive and individualized care in minimal access surgery, endometriosis and infertility.

General:

1. Consultations

  • When do I phone for an appointment?
    • New patient  - will be told by the receptionists when to phone
    • Infertility patients - when your period starts
    • Follow up of cysts - when your period starts
    • After surgery - when you are discharged and it will be the next Thursday/Friday

2. Appointments

  • During weekdays - between 07h00 and 18h00
  • During weekends - this will ONLY be for infertility patients busy with a program and depends on the amount of work in Genesis, usually between 7h30 and 10h00 am

Surgery

3. Surgery

  • Monday morning, Tuesday afternoon, Wednesday full day

4. The ward

  • Ward F or C

5. Pre-operatively

  • Check your admission time, surgery time and time to last eat anything

6. In theatre

  • Theatre 4

How long does the surgery last?

  • Till it is finished.  Endometriosis is a very complex disease and one cannot accurately predict the length of surgery.  
  • If it lasts longer than anticipated, then we will phone your family from theatre to keep them updated

7. After surgery in the ward

  • When will the tampon be removed - the following morning
  • When can I eat - this depends on your surgery, but the staff will be informed
  • When can I get up - as soon as you want to - ask someone to be there when you get up the first time
  • When will the catheter come out - On the first or second day depending on the surgery, but in 90% of cases the next morning
    • Only if the bladder had surgery performed, the catheter will stay inside for 10 days

Infertility

What is the monthly chance for a healthy couple to conceive?

  • approximately 22%

When do I phone for an appointment if I am an infertility patient?

  • When you start your period

What about weekends

  • If you start your period over the weekend, then you phone the rooms.  The answering machine will tell you when we will be at the rooms and what number to phone

The treatment itself

What will I take?

  • Tablets or injections or a combination of both

Who will give the injections?

  • You can take them yourself, or your husband can help, we will show you.  As an alternative, you can go to a nursing sister that can help you.  Usually it is not a big problem to take them yourself, as the injections are the same size as insulin injections that diabetics take

How long does the treatment last?

  • Usually the treatment cycle is the same duration as your normal period cycle
  • Timed intercourse - I will see you during your period and then again on day 11 or 12
  • Insemination - I will see you during your period and then again on day 11 or 12
  • IVF  ICSI - I will see you during your period, again on day 7/8 then day 11 and the eggs are retrieved on day 14 and the transfer is either 3 or 5 days later

Will I have to take off work?

  • Yes on the day that the eggs are retrieved and on the day of the embryo transfer

How many eggs are taken out?

  • All the follicles are aspirated and the number of eggs are counted
  • All the eggs are then fertilised

How many eggs are transferred

  • It is actually embryos that are transferred
  • This depends on various factors, but will mostly be two

Can the rest be frozen

  • yes if they are good enough to withstand the freezing and thawing process

For how long

  • at least 5 years

How does the frozen embryo transfer work?

  • A spontaneous ovulatory cycle is used.  If you do not usually ovulate, then ovulation induction will be done with medication
  • Following ovulation, the embryos will be thawed (defrosted), evaluated for quality, and then transferred into the uterus exactly the same way as during the IVF/ICSI procedure

What is the success of fertility treatment

  • as a ball park figure, the true success is between 25-30%
  • at the time of the embryo transfer, this can be updated as we know then what the quality of the embryo is and with great quality embryos, in a young patient, the success can be as high as 70%

PROPERTY OF DR ABRI DE BRUIN 2015