About
Specializing in Obstetrics and Gynecology, Dr. Gary Edward Miles (an OBGYN) is committed to delivering personalized and evidence-based care to patients in North Saanich, fostering a supportive healthcare environment. Practicing at a clinic and/or hospital setting in North Saanich, BC, 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 British Columbia (CPSBC). Dr. Miles provides comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring women of all ages receive attentive and compassionate treatment. His focus encompasses prenatal and postnatal care, reproductive health, and managing various gynecological concerns, always prioritizing patient well-being and informed decision-making.
Dr. Miles graduated with a MB ChB from the University of Cape Town in 1988, South Africa. He completed extensive postgraduate training in Obstetrics and Gynecology, acquiring a wealth of knowledge and clinical expertise. He holds certifications recognized by the College Registration Committee, along with other relevant professional qualifications, demonstrating his commitment to maintaining high standards of practice and continuous learning in his field.
Dedicated to patient-centered care, Dr. Miles emphasizes shared decision-making and evidence-based treatment approaches. He is committed to addressing women's health needs in North Saanich with compassion and professionalism. Fluent in English, Dr. Miles ensures clear communication and personalized care, fostering a trusting relationship with his patients. His practice philosophy centers on empowering women through education and support, helping them navigate their reproductive health with confidence and comfort.
Dr. Gary Miles 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.
- Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.
- Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
Sexual Health and Dysfunction
- Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.
- Dyspareunia (Painful Intercourse): Persistent or recurrent genital pain that occurs just before, during or after sexual intercourse.
- Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
Common Benign Gynecological Conditions
- Vaginitis (Yeast Infections, Bacterial Vaginosis, Trichomoniasis): Inflammation of the vagina that can result in discharge, itching, and pain, commonly caused by infections or imbalances in vaginal flora.
- 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.
- Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.
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. Gary Miles or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- 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.
- External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
- 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.
- 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.
- Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
- 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.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Miles 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. Miles practices at a well-equipped clinic located in the areas near central North Saanich. The facility is situated in a convenient location close to local points of interest and is easily accessible via local public transit. The clinic is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility, providing additional convenience for those arriving by car. This central location allows Dr. Miles to serve women in North Saanich and surrounding communities with comprehensive obstetric and gynecological care in a comfortable and accessible environment.
- Are services from Dr. Miles, 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. Miles 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. Miles, 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. Miles 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. Miles's office or your referring doctor.
- Does Dr. Miles support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Miles'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.
- What can I expect during my first prenatal visit?
- Your first prenatal visit with Dr. Miles 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. Miles 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.
11205 Elderberry Way, Cottage
North Saanich, BC V8L 5J6
Phone: (250) 589-1963
The facility is wheelchair accessible.
Dr. Miles 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/310514/Miles%2CGary