Dr Johan Markram – Obstetrician & Gynaecologist – Centurion

Dr Johan Markram – Obstetrician & Gynaecologist – Centurion

Dr Johan Markram – Obstetrician & Gynaecologist – Centurion practises in Centurion, where he specialises in fertility, minimally invasive gynaecologic surgery, and complex obstetrics. He earned his MBChB from the University of the Orange Free State in 1997, completed an internship at Pietersburg–Mankweng Hospital Complex in 1998, and 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. Then, seeking to deepen his expertise, he completed an MPharmMed at the University of Pretoria in 2018, topping his class with innovative research on uterine pharmacokinetics. Since founding his private practice and fertility clinic in 2008, he has served at Netcare Unitas Hospital and Intercare Day Hospital Southdowns, guiding colleagues as a Medtronic Proctor in advanced laparoscopic hysterectomy techniques.

Moreover, Dr Markram holds active membership with the South African Society of Obstetricians & Gynaecologists (SASOG) and the HPCSA, and he frequently presents at national conferences. Consequently, he integrates cutting-edge pharmacological protocols with surgical innovation. Finally, his patient-centred philosophy emphasises clear communication and shared decision-making, ensuring that every woman feels supported from initial consultation through postpartum recovery.

Services

Dr Markram offers a comprehensive suite of reproductive, obstetric, and gynaecological services, each designed to address specific patient goals:

• Fertility Assessment & Management: He performs advanced ovarian reserve testing, partner semen analysis, and tailored ovulation induction protocols using gonadotropins, thereby maximising chances of conception.

• In Vitro Fertilisation (IVF) Coordination: He collaborates with leading IVF centres to streamline embryo transfer, offers on-site monitoring, and adjusts stimulation regimens based on real-time hormone assays.

• Minimally Invasive Laparoscopy: He conducts diagnostic and operative laparoscopy for endometriosis ablation, adhesiolysis, and ovarian cyst excision, utilising 5 mm ports to reduce scarring and pain.

• Laparoscopic Hysterectomy: Employing Medtronic’s gas-less techniques, he removes uteri afflicted by fibroids or adenomyosis with minimal blood loss and faster recovery.

• Hysteroscopy: He evaluates the uterine cavity under direct vision to perform polypectomy, submucosal fibroid resection, and targeted myometrial biopsies.

• High-Risk Pregnancy Care: He manages gestational diabetes, pregnancy-induced hypertension, and fetal growth restriction through multidisciplinary monitoring and Doppler ultrasound assessment.

• Routine Antenatal & Delivery Services: He provides personalised birth plans for vaginal births or elective caesarean sections, incorporating pain-management options like epidural and nitrous oxide.

• Postpartum & Contraceptive Counselling: He supports breastfeeding, offers pelvic-floor rehabilitation, and prescribes hormone-balanced family-planning methods tailored to individual risk profiles.

• Menopause Management: He prescribes bioidentical hormone therapy, oversees bone-density screening, and offers lifestyle coaching to alleviate vasomotor symptoms.

• Recurrent Miscarriage Work-Up: He conducts immunological screening, uterine septum imaging, and implements targeted therapies—including low-dose aspirin or heparin—when indicated.

Additional Information

His Centurion practice features state-of-the-art operating theatres with high-definition laparoscopic towers, integrated fluoroscopic imaging, and dedicated day-surgery suites that enable same-day discharge for eligible procedures. Moreover, an on-site advanced ultrasound unit provides 3D/4D imaging for detailed fetal and pelvic assessments.

Dr Markram leads a multidisciplinary team of specialist nurses, ultrasound technicians, anesthetists, and physiotherapists. Consequently, each patient receives comprehensive preoperative education, nutritional counselling, and structured rehabilitation plans. In addition, telehealth follow-ups offer convenient postoperative monitoring, and same-day appointments accommodate urgent concerns.

Furthermore, he hosts quarterly women’s health seminars on fertility optimisation, surgical recovery, and menopause wellness. Finally, if you seek expert, compassionate obstetric and gynaecological care in Centurion—backed by advanced technology and personalised attention—schedule your consultation today to embark on your journey toward health and well-being.