Endocrinology in South Africa

Endocrinology is the field of medicine that relates to the endocrine system, which is the system that controls hormones. Endocrinologists are specifically trained physicians who diagnose and treat diseases related to hormones, the glands, and tissues that produce them, as well as complications that may be caused by them. They work closely with other specialists, such as specialists in ophthalmology, obstetrics, radiation oncology, and otolaryngology. The conditions that endocrinologists commonly treat are as follows:

• Diabetes​​​​​​
• Menopause
• Osteoporosis
• Metabolic disorders
• Thyroid diseases
• Certain types of cancers
• Short stature
• Excessive or insufficient production of hormones
• Infertility
• Transplantation
• Gender dysphoria

Endocrinology treatment usually involves controlling the amount of hormone the body produces. The goal of the treatment is to restore the normal balance of hormones found in a person’s body. The following are some of the procedures that an endocrinologist perform:

• Bariatric procedures (such as gastric bypass surgery)
• Adrenalectomy
• CT scan
• MRI
• Pancreas transplant
• Thyroidectomy
• Thyroid fine-needle aspiration
• Minimally invasive parathyroidectomy
• Brain stereotactic radiosurgery
• Home enteral nutrition
• Biliopancreatic diversion with duodenal switch (BPD/DS)
• Lipid management
• Transnasal endoscopic procedures
• Wound care
• Feminizing hormone therapy
• Facial feminization surgery
• Feminizing surgery
• Top surgery for transgender men/women
• Voice feminizing therapy and surgery.

How Long Should I Stay in South Africa?

Your length of stay in South Africa depends on the type of procedure you underwent. In general, you may need to stay in the hospital for a few days after treatments, particularly after surgery, then plan to stay in South Africa for at least 7 to 14 more days. During your stay, you will attend follow-up checkups where your endocrinologist monitors your healing progress and, if needed, will remove any stitches. For diagnostic procedures, you may be able to leave the hospital on the same day, then plan to stay in South Africa for 3 to 7 days until the results are available.

What's the Expected Recovery Time?

While the recovery time can vary from one person to another, depending on the procedure you underwent and your overall health, you may be advised to take a week or two off of work. It may also take around 6 weeks until you fully recover and are allowed to perform strenuous activities, such as exercise. Your endocrinologist will give you a detailed recovery timeline.

What Aftercare is Required?

Your endocrinologist will give you a set of instructions that you need to follow after your treatment. In general, you may need to take the medicine (if any) as prescribed and have a healthy lifestyle, such as having enough sleep, follow a healthy and balanced diet, and exercise regularly. You may also need to attend regular checkups to check on your condition with your local doctor.

What's the Success Rate?

The field of endocrinology has advanced, with cutting-edge technology, new medicines, sophisticated imaging and diagnostic equipment, and innovative therapies that have helped to increase the success rate of endocrinology procedures. There are risks of side effects and complications which include infection, allergic reaction to the anesthesia, bleeding, and injury to nearby organs.

Are there Alternatives?

There is no alternative to endocrinology. If you have any conditions mentioned above, you may need to see an endocrinologist. If your condition is found out to be caused by other problems unrelated to endocrinology, your endocrinologist will refer you to the relevant specialist.

Endocrinology in and around South Africa

About South Africa

South Africa is home to some of the world's most luxurious private game reserves and lodges. Wildlife lovers come here from all corners of the globe in search of the "Big Five": lion, buffalo, leopard, rhino, and elephants. Coral reefs, shark dives, dragon-backed mountain ranges, white-water rafting, and golden beaches lapped by legendary surf breaks are some of South Africa's many other attractions. Traveling around this vast land and touring the vibrant cities, visitors can learn about the nation's turbulent history. Travelers coming to South Africa for medical treatments do so for cost savings, advanced medical technology, and the internationally qualified and skilled doctors. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Endocrinology procedures. Medical Tourists travel from all across the globe, particularly from African countries with an inferior healthcare system. Popular destinations include the capital city, Pretoria, neighboring Johannesburg, and the stunning Cape Town.

Popular Parts of South Africa

With more than 57 million inhabitants, South Africa is the world’s 24th most populous nation. It is a multiethnic society with a large variety of cultures, languages, and religions. Known for its exhilarating outdoor adventure, fascinating wildlife, magnificent landscapes, and opulent history makes South Africa a truly magical destination

• Cape Town is the oldest city and the legislative capital of South Africa. This pleasant city has a lot to offer as you can Hike the Table Mountain, take a wine tour, cruise to Robben Island, relax on beautiful beaches, visit District Six Museum, discover Kirstenbosch Botanical Gardens, and watch the Boulders Penguin Colony or shop in trendy markets. 
• Johannesburg is the largest and the most populous city. It is changing rapidly into an ultra-modern metropolis. Other than being an urban city, it also boasts a rich history. Tourists can visit the Apartheid Museum to learn more about the country’s difficult past through exhibitions. Other museums such as MOAD and MuseuMAfriCA are also worth a visit to view the city’s art and history.
• Durban is a cosmopolitan city with sunny beaches and charming Afro-Indian culture. There are more Indian nationals residing in this city than any other country outside of India. It is the place to go if you want to see marine life. Visit uShaka Marine World where you can snorkel, dive, and interact with animals. 
• Pretoria is a scenic city and you will find various historic buildings with astounding architecture such as the Voortrekker Monument, Union Buildings, and Church Square with its statue of Paul Kruger. Those who are looking for some outdoor activities can explore Pretoria National Botanical Garden and Rietvlei Nature Reserve for some wildlife viewing.
• Kruger National Park is one of the largest national parks and one of the most exciting safari destinations in the world. Here you can view all of Africa’s safari species such as Lion, Elephant, Rhino, Leopard, Buffalo, Hippo, and Giraffe along with more than 100 mammal species and 500 varieties of bird.

Weather and Climate in South Africa

South Africa’s climate is determined by its situation in the Southern Hemisphere’s subtropical zone and between the Atlantic and Indian Oceans. The country is a year-round destination thanks to its varying regional climates. May to September is the Dry Season with little to no rain. The days are mostly sunny, but it gets cold in the evenings and mornings. The average temperature during this season is around 14 °C with June to August as the coldest months. The wet season starts in October and ends in April. There will be occasional short rain showers in the afternoon. The average temperature during the wet season is around 20 °C, but it can also be as high as 35 °C, especially in December, January, and February.

Getting Around in South Africa

The main and the busiest airport in South Africa is the O.R. Tambo International Airport. The airport is located in Kempton Park, near Johannesburg and Pretoria. It serves as the primary domestic and international gateway to and from South Africa. The airport operates flights to other cities in South Africa as well as numerous major cities in the world including London, Singapore, Sydney, Abu Dhabi, and Atlanta. There are also two other major international airports: Cape Town International and King Shaka International. The inexpensive way to travel around the country is by flying with budget airlines such as FlySadair, Kalula.com, and Mango.

South Africa has an excellent infrastructure and is easy to navigate. However, if you wish to visit several cities, expect to have at least one long-distance trip. You can travel around by bus, train, or rental car. There are several long-distance bus companies you can choose, such as Intercape, Translux, and Greyhound. The buses are relatively affordable and safe. They are generally equipped with air-conditioning and an onboard toilet. For short-distance travel, Baz Bus is the best choice. A one-way ticket fare starts at around 500 ZAR.

Although trains are slow, they are less expensive than flights and more comfortable than buses. Shosholoza Meyl long-distance trains serve Cape Town, Johannesburg, Durban, Bloemfontein, and several other major cities. This train is very affordable with tickets costing as low as 400 ZAR for a sleeper train. If you’re looking for a more luxurious train, try the Blue Train which offers comfortable compartments, good food, and wine for around 18,300 ZAR. 

Taxis are available to get around major cities. Tourists can hail one directly from the streets. However, since the taxi ranks are not common, it is best to call for one. The base fare can be different in every city, ranging between 11 ZAR to 20 ZAR. 

Tourist Visas in South Africa

A valid visa is required if you wish to visit South Africa. Citizens of more than 60 countries can enter and stay for up to 90 days. Other countries not listed in the visa exemption agreement must apply and obtain a visa to the nearest South Africa embassy or consulate. All visitors must hold a passport valid for at least 30 days after the expiration of their intended visit, and the passport must have at least two unused pages. 

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency. 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs all around the country. Credit Cards are widely accepted. However, since South Africa has a reputation for scams, you should inform your bank about your travel plans to avoid declined transactions. It is also advisable to always bring some cash with you. Tipping is expected here and you can tip around 10% to 15% of the bill in restaurants and cafes and the standard tip in hotels is 10 to 20 ZAR. 
3. Local Language: There are 11 official languages in the country, including Zulu, Xhosa, Afrikaans, Northern Sotho, Tswana, Southern Sotho, Tsonga, Swazi, Venda, Southern Ndebele, and English. Zulu is the most widely spoken language.
4. Local Culture and Religion: As a secular state, South Africa has a diverse religious population. Most of the population follows Christianity. Other religions such as the traditional African religion, Islam, Hinduism, and Judaism are also freely practiced.
5. Public Holidays: The country has 12 public holidays such as New Year’s Day, Good Friday, Freedom Day, and Christmas Day.