Dr. Howard Phillip Berger – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Howard Phillip Berger offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at Akausivik Inuit Family Health in Toronto, ON, he provides 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 safe and ethical medical care. Dr. Berger is dedicated to providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on supporting women through all stages of reproductive health, pregnancy, and childbirth.

Dr. Berger graduated with a Medical Degree from Ben-Gurion University of the Negev Faculty of Medicine in 1994 in Israel. He has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 18 years, since 2006. He is certified as a CPSO Recognized Specialist, reflecting his expertise and commitment to high standards of medical practice. His extensive experience allows him to offer tailored, compassionate care to his patients, ensuring they feel supported and informed throughout their healthcare journey.

With a strong dedication to women's health in Toronto, Dr. Berger emphasizes patient-centered care, shared decision-making, and evidence-based practice. He strives to create a welcoming and supportive environment where women of all ages feel empowered to discuss their health concerns openly. Fluent in English and Hebrew, Dr. Berger is committed to serving diverse communities and ensuring accessible, respectful, and personalized care for every patient he serves.

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

Menstrual and Hormonal Disorders

• 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.
• Polycystic Ovary Syndrome (PCOS): A common hormonal disorder among women of reproductive age, characterized by irregular periods, excess androgen levels, and/or polycystic ovaries on ultrasound.
• Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.

Common Benign Gynecological Conditions

• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.
• Endometriosis: A painful disorder in which tissue similar to the uterine lining (endometrium) grows outside the uterus, commonly on ovaries, fallopian tubes, or pelvic lining.
• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.

Screening and Preventative Care

• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.

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. Howard Berger or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Preconception Counseling & Health Optimization: Guidance and health optimization for individuals or couples planning a pregnancy, including discussion of folic acid supplementation, chronic medical conditions, genetic carrier screening, and lifestyle factors.
• 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.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• 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.
• 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).
• 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.
• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Berger 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. Berger practices at Akausivik Inuit Family Health, situated in the vibrant Garden District of Toronto, ON. The clinic is conveniently located near Exhibition Place and Trillium Park, offering a scenic and accessible environment for patients. Easily reachable via TTC (Subway, Streetcar, Bus), the facility is wheelchair accessible, ensuring comfortable access for all patients. Parking is available at the site, providing added convenience for those driving to their appointments. The clinic's central location and accessible amenities make it an ideal choice for women seeking high-quality obstetric and gynecological care in Toronto.

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

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Berger 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. Berger 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.

How can Dr. Berger help with menopause symptoms?

Dr. Berger 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.

Does Dr. Berger manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Berger has a particular focus on/experience with managing high-risk pregnancies, which may include conditions like gestational diabetes, preeclampsia, multiple gestations (twins/triplets), or pre-existing maternal health issues. If your pregnancy is considered high-risk due to specific maternal or fetal conditions, Dr. Berger will provide comprehensive care and may work closely with, or refer you to, a Maternal-Fetal Medicine (MFM) specialist if needed for highly specialized management. It's best to discuss your specific situation with Dr. Berger.

What are some common gynecological surgeries Dr. Berger might perform?

Common gynecological surgeries include procedures like hysterectomy (removal of the uterus), oophorectomy (removal of ovaries), tubal ligation (female sterilization), D&C (dilation and curettage), endometrial ablation, and surgeries to treat conditions such as fibroids (myomectomy), endometriosis, ovarian cysts, or pelvic organ prolapse. Many of these can be performed using minimally invasive techniques like laparoscopy or hysteroscopy. Dr. Berger will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.

Akausivik Inuit Family Health
Suite 300, 30 Bond Street
Toronto, ON M5B 1W8

Phone: (416) 864-6060 | Fax: (416) 864-6073

The facility is wheelchair accessible.

Dr. Berger 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/Berger-Howard-Phillip/0196959-78439