Dr Johan Markram – Obstetrician and Gynaecologist – Centurion

Dr Johan Markram – Obstetrician and Gynaecologist – Centurion

Obstetrician and Gynaecologist Dr Johan Markram leads Midstream Fertility’s Centurion practice, specialising in reproductive medicine, minimally invasive surgery, and complex obstetrics. Moreover, he earned his MBChB from the University of the Orange Free State in 1997 and completed an internship at Pietersburg–Mankweng Hospital Complex in 1998. Subsequently, he served as a medical officer at Lydenburg Hospital before returning to academia. In 2005, Dr Markram graduated MMed (O&G) with distinction from the University of the Free State. Furthermore, he topped his class when he obtained an MPharmMed from the University of Pretoria in 2018, focusing on uterine pharmacokinetics. He maintains active membership with SASOG and the HPCSA, ensuring his practice reflects the latest evidence-based protocols.

Services

Dr Markram offers a comprehensive array of reproductive, obstetric, and gynaecological treatments, each tailored to individual goals:

• Fertility Assessment & Management: Advanced ovarian reserve testing, partner semen analysis, and personalised gonadotropin-based stimulation.

• In Vitro Fertilisation (IVF): Seamless coordination with Midstream’s IVF lab, on-site embryo monitoring, and real-time hormone adjustments.

• Ovulation Induction: Customised protocols using clomiphene citrate or recombinant FSH, with serial ultrasound and estradiol monitoring.

• Intrauterine Insemination (IUI): Ultrasound-guided sperm placement timed to peak follicular development for optimal conception rates.

• Diagnostic & Operative Hysteroscopy: Direct uterine inspection for polypectomy, fibroid resection, and endometrial sampling.

• Diagnostic & Operative Laparoscopy: Minimally invasive surgery for endometriosis ablation, adhesiolysis, and ovarian cyst removal.

• Laparoscopic Hysterectomy: Gas-less, Medtronic-assisted technique to remove fibroid-affected uteri with minimal blood loss.

• Recurrent Miscarriage Work-Up: Immunological panels, uterine septum imaging, and targeted therapies, including low-dose aspirin protocols.

• High-Risk Pregnancy Care: Multidisciplinary monitoring of gestational diabetes, hypertension, and fetal growth restriction with Doppler studies.

• Natural & Elective Caesarean Sections: Individualised birth plans with options for epidural, nitrous oxide, and enhanced recovery pathways.

• Postpartum & Family Planning: Breastfeeding support, pelvic-floor rehabilitation, and hormone-balanced contraception planning.

• Menopause Management: Bioidentical hormone replacement therapy, bone-density screening, and lifestyle coaching for symptom relief.

• Genetic Counselling: Collaboration with in-house genetic counsellors for preimplantation and prenatal screening strategies.

Additional Information

Midstream Fertility’s Centurion centre features state-of-the-art operating theatres with high-definition laparoscopic towers and integrated fluoroscopic imaging for real-time guidance. Additionally, an on-site 3D/4D ultrasound unit enables detailed fetal and pelvic assessments. Consequently, many procedures qualify for same-day discharge in the dedicated day-surgery suite, reducing hospital-acquired risk.

Dr Markram leads a multidisciplinary team of specialist nurses, embryologists, anesthetists, and physiotherapists. Therefore, each patient receives comprehensive preoperative education, nutritional counselling, and a structured postoperative rehabilitation plan. Moreover, telehealth follow-ups and same-day urgent appointments enhance continuity of care for busy schedules. Finally, Dr Markram hosts quarterly women’s health seminars on fertility optimisation, surgical recovery, and menopause wellness. If you seek expert, compassionate obstetric and gynaecological care in Centurion—backed by the latest technology—schedule your consultation today to begin your personalised journey toward health and well-being.