About
Specializing in Obstetrics and Gynecology, Dr. Andrew John Kotaska (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Nelson, fostering a supportive healthcare environment. Practicing at a clinic and/or hospital setting in Nelson, BC, he offers accessible and high-quality care to the community. The facility is located in the areas near central Nelson, providing convenient access for patients from surrounding neighborhoods. It is situated close to local points of interest and easily accessible via local public transit. The facility is wheelchair accessible, ensuring equitable access for all patients. Metered street parking is available nearby, offering additional convenience for visitors. Dr. Kotaska adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of British Columbia (CPSBC), maintaining the highest level of professionalism and patient safety.
He graduated with a Medical Degree from the University of British Columbia in 1992 and has completed extensive post-graduate training in Obstetrics and Gynecology. Dr. Kotaska holds certifications including the Royal College of Physicians and Surgeons of Canada, among others, reflecting his dedication to ongoing professional development and excellence in women's health care. His training and certifications enable him to provide a broad spectrum of services, from routine gynecological care to complex obstetric procedures.
Dr. Kotaska’s clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. He is dedicated to supporting women’s health in Nelson throughout all stages of life, from adolescence through menopause and beyond. Fluent in English and German, he strives to communicate effectively and compassionately with his diverse patient population, ensuring they feel heard, respected, and empowered in their healthcare choices.
Dr. Andrew Kotaska provides care for a wide spectrum of women's health issues, including:
Gynecologic Cancers and Precancerous Conditions
- Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).
- Ovarian Cancer (Epithelial, Germ Cell, Stromal Tumors): Cancer that begins in the ovaries, which can be difficult to detect early and often requires specialized surgical and medical treatment.
- Cervical Dysplasia (CIN) & Cervical Cancer: Precancerous changes (Cervical Intraepithelial Neoplasia) or malignant tumors of the cervix, the lowermost part of the uterus, often linked to HPV infection.
Screening and Preventative Care
- Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
- Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
- Cervical Cancer Screening (Pap Tests & HPV Testing): Regular screening to detect precancerous changes or cancer of the cervix, primarily through Pap tests and HPV DNA testing.
Common Benign Gynecological Conditions
- Adenomyosis: A condition where endometrial tissue exists within and grows into the muscular wall of the uterus, often causing heavy, painful periods.
- Lichen Sclerosus / Lichen Planus (Vulvar): Chronic inflammatory skin conditions that can affect the vulvar area, causing itching, pain, and changes in skin appearance.
- 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.
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 Kotaska or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- Postpartum Care & Follow-up: Medical follow-up and support for mothers in the weeks following childbirth, addressing physical recovery, incision care (if applicable), breastfeeding support, contraception planning, and screening for postpartum mood disorders.
- Diagnosis & Treatment of Vaginal Infections & Sexually Transmitted Infections (STIs): Management of conditions such as yeast infections, bacterial vaginosis, trichomoniasis, and screening/treatment for STIs like chlamydia, gonorrhea, syphilis, and HIV counseling.
- Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
- Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
- Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
- 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.
- Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Kotaska 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 British Columbia (CPSBC). A referral may be required for insured services.
Dr. Kotaska practices in a dedicated clinic and hospital setting located in the vibrant community of Nelson, BC. The facility is situated in the areas near central Nelson, making it easily accessible from various neighborhoods and close to local points of interest. Patients can reach the clinic conveniently via local public transit, ensuring accessible healthcare options for all. The facility is fully wheelchair accessible, providing a welcoming environment for patients with mobility needs. For those arriving by private vehicle, metered street parking is available nearby, offering flexibility and ease of access. This central location underscores Dr. Kotaska’s commitment to providing timely, compassionate, and high-quality obstetric and gynecological care to women of all ages in Nelson and the surrounding region.
- Are services from Dr. Kotaska, an Obstetrician and Gynecologist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Kotaska are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP) or the clinic.
- Do I need a referral from my family doctor to see Dr. Kotaska, an Obstetrician and Gynecologist?
- Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Kotaska 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. Kotaska's office or your referring doctor.
- Does Dr. Kotaska support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Kotaska's approach to VBAC will depend on your specific medical history, the reason for your previous C-section, the type of uterine incision you had, and current pregnancy factors. he will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.
- Does Dr. Kotaska discuss or offer the HPV vaccine?
- The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Kotaska can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.
- How often do I need a Pap test, and what is it for?
- A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Kotaska will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.
3 View St Ste 410, Kootenay Lake Hospital
Nelson, BC V1L 2V1
Phone: (250) 352-1122
The facility is wheelchair accessible.
Dr. Kotaska is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/308212/Kotaska%2CAndrew