Dr. David Hjalmar Lincoln Wilkie

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

Pregnancy and Childbirth Related Conditions

• Recurrent Pregnancy Loss (Miscarriage): The occurrence of two or more consecutive pregnancy losses before 20 weeks of gestation, prompting investigation for underlying causes.
• Postpartum Complications (e.g., Hemorrhage, Infection, Mood Disorders): Health problems that can occur after childbirth, such as excessive bleeding, infection, or postpartum depression/anxiety, requiring prompt attention.
• Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.

Pelvic Floor and Urinary Disorders

• Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.
• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.
• Pelvic Organ Prolapse (Cystocele, Rectocele, Uterine Prolapse, Enterocele, Vaginal Vault Prolapse): A condition where one or more pelvic organs (bladder, uterus, rectum, small bowel, vaginal apex) drop or press into or out of the vagina due to weakened pelvic floor muscles.

Screening and Preventative Care

• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.

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. David Wilkie or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Comprehensive Prenatal Care & Risk Assessment: Regular check-ups, monitoring, and guidance throughout pregnancy to ensure maternal and fetal well-being, including initial risk assessment, ultrasound referrals, genetic screening discussions, and prenatal testing.
• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
• Labor and Delivery Management (Vaginal & Cesarean): Professional medical care and support during labor and childbirth, including management of vaginal deliveries, assisted vaginal deliveries (forceps/vacuum if needed), and planned or emergency Cesarean sections (C-sections).
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• 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).

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Wilkie 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. Wilkie's practice is located at NewWoman™ Canada, situated in the West Point Grey neighborhood of Vancouver. The facility is conveniently positioned near the Commercial Corridor and Granville Bridge, providing easy access for residents in the area. Patients can reach the clinic via TransLink services, including the SkyTrain Expo, Millennium, and Canada Lines, as well as bus routes, SeaBus, and West Coast Express (Waterfront). The clinic is wheelchair accessible, ensuring barrier-free access for all patients. Metered street parking is available nearby, offering additional convenience for those arriving by car.

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

Does Dr. Wilkie support VBAC (Vaginal Birth After Cesarean)?

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Wilkie'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.

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. Wilkie will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

When should a teenager have her first OBGYN visit, and what does it involve?

The first visit to an OBGYN for a teenager is often recommended between ages 13-15, or sooner if there are specific concerns like very painful periods, irregular cycles, or questions about sexual health. This initial visit may not involve a pelvic exam unless there's a specific medical reason. It's primarily an opportunity to build a rapport with Dr. Wilkie, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

At which hospital(s) does Dr. Wilkie deliver babies or perform surgeries?

Dr. Wilkie is affiliated with affiliated local hospitals. You can confirm the specific hospital(s) where he performs deliveries and gynecological surgeries by contacting Dr. Wilkie's office directly. This information is important for planning your care and delivery.

I have uterine fibroids. What treatment options might Dr. Wilkie suggest?

Treatment for uterine fibroids depends on their size, number, location, and the severity of your symptoms (like heavy bleeding or pain), as well as your reproductive goals. Options range from watchful waiting for asymptomatic fibroids, to medications (hormonal therapies to manage symptoms), to minimally invasive procedures (like uterine artery embolization - often by interventional radiology), or surgical removal of fibroids (myomectomy) or the uterus (hysterectomy). Dr. Wilkie will help you decide the best course of action.

NewWoman™ Canada
Box 30003 RPO Marpole, 18-1517 W. 57th Ave, Vancouver Urogynecology and Reconstructive Pelvic, Clinical Professor
Vancouver, BC V6P 5A0

Phone: (604) 736-5404 | Fax: (604) 736-5424 | Website: https://www.newwoman.ca/

The facility is wheelchair accessible.

Dr. Wilkie 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/353298/Wilkie%2CDavid