About
Dr. Andra Iulia Nica is a respected Obstetrician and Gynecologist (OBGYN) practicing in Hamilton, Ontario. She focuses on empowering women through all stages of life with expert medical and surgical care, from adolescence through menopause and beyond. Practicing at a clinic and hospital setting in Hamilton, she offers accessible and high-quality care to the community. Dr. Nica adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that her practice meets the highest professional and ethical guidelines. Her role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on personalized and compassionate treatment. She serves women of all ages, including those seeking prenatal and postnatal care, supporting them through pregnancy, childbirth, and beyond.
Dr. Nica graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2013.0 (Canada). She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over six years, since 2018. She is certified as a RCPSC Specialist, demonstrating her commitment to maintaining the highest standards of professional competence and ongoing education in her field.
Her clinical philosophy centers on providing patient-centered care, emphasizing shared decision-making and evidence-based practice. Dedication to women's health in Hamilton is at the core of her approach, ensuring that every patient receives respectful, thorough, and individualized treatment. Dr. Nica speaks English and Romanian, enabling her to communicate effectively with a diverse patient population and provide culturally sensitive care.
Dr. Andra Nica provides care for a wide spectrum of women's health issues, including:
Menstrual and Hormonal Disorders
- Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD): A collection of emotional and physical symptoms that occur in the one to two weeks before a woman's period, with PMDD being a more severe, debilitating form.
- Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).
- Menopause & Perimenopausal Symptoms: The natural cessation of menstruation and the preceding transitional period, often accompanied by symptoms like hot flashes, night sweats, vaginal dryness, and mood changes.
Common Benign Gynecological Conditions
- Ovarian Cysts (Functional, Dermoid, Endometriomas): Fluid-filled sacs or pockets in an ovary or on its surface, which are common and often benign but can sometimes cause pain or require intervention.
- Lichen Sclerosus / Lichen Planus (Vulvar): Chronic inflammatory skin conditions that can affect the vulvar area, causing itching, pain, and changes in skin appearance.
- Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs (uterus, fallopian tubes, ovaries), often caused by sexually transmitted bacteria, which can lead to serious complications if untreated.
Pregnancy and Childbirth Related Conditions
- Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.
- Hyperemesis Gravidarum (Severe Morning Sickness): A severe form of nausea and vomiting during pregnancy that can lead to dehydration and weight loss, requiring medical management.
- Routine & High-Risk Prenatal Care: Comprehensive monitoring and management throughout all stages of pregnancy, including those with increased maternal or fetal risks.
This list highlights some common conditions managed within Obstetrics and Gynecology and is not exhaustive. For personalized advice regarding your specific health concerns, please schedule a consultation with Dr. Andra Nica or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- Dilation and Curettage (D&C) / Dilation and Evacuation (D&E): Procedures to dilate the cervix and remove tissue from the inside of the uterus, for diagnosis or treatment of various uterine conditions or after miscarriage.
- Contraceptive Counseling & Full Range Management: Comprehensive discussion and provision of various birth control methods, including oral contraceptives, patches, rings, injectables, IUD insertion/removal (hormonal and copper), and contraceptive implant insertion/removal.
- Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
- Hysterectomy (Abdominal, Vaginal, Laparoscopic, Robotic-Assisted): Surgical removal of the uterus, performed through various approaches including minimally invasive techniques, depending on the medical indication and patient factors.
- Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
- Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.
- Laparoscopic Surgery for Endometriosis & Ovarian Cysts (Excision/Ablation): Minimally invasive surgical techniques for diagnosing and treating endometriosis implants (excision or ablation) and removing benign ovarian cysts.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Nica provides a wide array of diagnostic, therapeutic, and surgical options tailored to individual patient needs within women's health, pregnancy, and childbirth. Specific services offered can be confirmed by contacting the clinic.
All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO). A referral may be required for insured services.
Dr. Nica practices in a clinic located within a hospital setting in the Hamilton Mountain Central (Inch Park, Eastmount) neighborhood of Hamilton. The facility is conveniently situated near the Delta Area and is easily accessible via the Hamilton Street Railway (HSR). The location is wheelchair accessible, ensuring barrier-free access for all patients. Metered street parking is available nearby, providing convenient options for patients visiting the clinic. The practice is situated in a vibrant community setting, serving women from Hamilton and surrounding areas, with a focus on accessible, comprehensive women's health services.
- Are services from Dr. Nica, an Obstetrician and Gynecologist, covered by Ontario Health Insurance Plan (OHIP) in ON?
- Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Nica are generally covered by Ontario Health Insurance Plan (OHIP) in ON when you have a valid referral from your family doctor or another referring physician. Some elective procedures, certain fertility treatments, or non-medically indicated services may not be covered. It's always recommended to confirm specific coverage details with Ontario Health Insurance Plan (OHIP) or the clinic.
- Do I need a referral from my family doctor to see Dr. Nica, an Obstetrician and Gynecologist?
- Yes, for services to be covered by your provincial health plan (Ontario Health Insurance Plan (OHIP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Nica for most consultations and treatments. This ensures coordinated care. Some specific services or clinics (e.g., some sexual health or contraception clinics) might have different access pathways, but for ongoing obstetrical or gynecological care, a referral is standard. Please check with Dr. Nica's office or your referring doctor.
- What can I expect during my first prenatal visit?
- Your first prenatal visit with Dr. Nica is usually quite comprehensive, typically scheduled around 8-10 weeks of pregnancy. It will involve a detailed review of your medical history, your partner's medical history (if applicable), and any previous pregnancies. Dr. Nica will likely perform a physical exam, which may include a pelvic exam, confirm your pregnancy (often with an ultrasound referral), estimate your due date, and discuss important aspects of a healthy pregnancy such as nutrition, lifestyle, prenatal vitamins, and options for genetic screening and prenatal testing. You'll also have the opportunity to ask any questions you may have.
- What is an IUD insertion like? Does Dr. Nica perform this?
- Yes, Dr. Nica can perform IUD (Intrauterine Device) insertions in the office. The procedure involves placing a small, T-shaped device into your uterus for long-acting, reversible contraception. During the insertion, you might experience some cramping, similar to period pains. Dr. Nica can discuss pain management options, such as taking an over-the-counter pain reliever beforehand or using local anesthetic in some cases. The actual insertion usually takes only a few minutes.
699 Concession St
Hamilton, ON L8V 5C2
Phone: (905) 387-9495 | Fax: (905) 575-6343
The facility is wheelchair accessible.
Dr. Nica is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nica-Andra-Iulia/0288961-100681