Dr. Andrew Edwin Fletcher Stewart – Obstetrician and Gynecologist (OBGYN) | Kitchener, ON

Specializing in Obstetrics and Gynecology, Dr. Andrew Edwin Fletcher Stewart (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Kitchener, fostering a supportive healthcare environment. Practicing at Queen Square Doctors in Kitchener, ON, he offers accessible and high-quality care to the community. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring every patient receives safe and effective medical attention. Dr. Stewart's role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on women's reproductive health, pregnancy, and childbirth.

He graduated with a Medical Degree from McMaster University in 2004 in Canada and has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 15 years, since 2009. Dr. Stewart is certified as a RCPSC Specialist, reflecting his extensive training and expertise in women’s health care, pregnancy management, and surgical interventions.

Dr. Stewart's clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. He is dedicated to supporting women's health in Kitchener through compassionate, respectful, and personalized treatment approaches. He speaks English fluently and is committed to providing accessible care to diverse patient populations.

Dr. Andrew Stewart provides care for a wide spectrum of women's health issues, including:

Screening and Preventative Care

• Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.
• Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.

Common Benign Gynecological Conditions

• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.
• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.
• Vulvodynia & Vulvar Pain Syndromes: Chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause, requiring careful management.

Pregnancy and Childbirth Related Conditions

• Preeclampsia & Hypertensive Disorders of Pregnancy: Pregnancy complications characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys.
• Ectopic Pregnancy: A pregnancy in which the fertilized egg implants outside the uterus, typically in a fallopian tube, requiring urgent medical attention.
• 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.

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. Andrew Stewart or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• 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.
• Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.
• Management of Menstrual Disorders & Abnormal Uterine Bleeding: Diagnosis and treatment for conditions like heavy menstrual bleeding (menorrhagia), irregular periods, painful periods (dysmenorrhea), amenorrhea (absence of periods), and premenstrual syndrome (PMS)/PMDD.
• Pap Tests, HPV Testing & Cervical Cancer Screening (Colposcopy, LEEP): Cervical cancer screening through Pap tests and HPV testing, with follow-up diagnostic procedures like colposcopy and treatment for precancerous changes (e.g., LEEP - Loop Electrosurgical Excision Procedure).
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Stewart 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. Stewart practices at Queen Square Doctors, located in the Central Frederick neighborhood of Kitchener, ON. The clinic is conveniently situated near Fairview Park Mall and Sportsworld Crossing, making it accessible for local residents. Patients can reach the facility easily via Grand River Transit (GRT), with options for both bus and ION Light Rail services. The practice location is wheelchair accessible, ensuring barrier-free access for all patients. Paid parking options are available nearby for those coming by car, providing convenient and flexible parking solutions.

Are services from Dr. Stewart, 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. Stewart 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. Stewart, 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. Stewart 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. Stewart's office or your referring doctor.

How can Dr. Stewart help with menopause symptoms?

Dr. Stewart can help manage bothersome menopause symptoms such as hot flashes, night sweats, vaginal dryness, mood changes, sleep disturbances, and bone density concerns. Treatment options may include lifestyle modifications (diet, exercise, stress reduction), non-hormonal medications, vaginal estrogen for localized symptoms, or systemic hormone replacement therapy (HRT) after a thorough discussion of the benefits and risks based on your individual health profile and preferences.

What are the treatment options for endometriosis that Dr. Stewart might recommend?

Treatment for endometriosis aims to manage pain and improve fertility if desired. Options vary based on symptom severity and patient goals and can include pain medications (NSAIDs), hormonal therapies (like birth control pills, progestins, GnRH agonists) to suppress endometrial tissue growth, and surgical treatments (laparoscopy) to remove endometrial implants and scar tissue. Dr. Stewart will discuss the most appropriate approach for your situation.

What is an IUD insertion like? Does Dr. Stewart perform this?

Yes, Dr. Stewart 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. Stewart 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.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Stewart 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. Stewart 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.

Queen Square Doctors
Suite 201, 335 Lancaster St W
Kitchener, ON N2H 4V4

Phone: (519) 746-7878 | Fax: (833) 596-1619

The facility is wheelchair accessible.

Dr. Stewart 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/Stewart-Andrew-Edwin-Fletcher/0210335-81136