Dr. James Chian-Ming Wang

Dr. James Wang 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.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.
• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.

Menstrual and Hormonal Disorders

• Hirsutism (Excess Hair Growth) & Acne (Hormonal): Excessive growth of dark or coarse hair in a male-like pattern or persistent acne, often related to hormonal imbalances like those seen in PCOS.
• 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.
• Abnormal Uterine Bleeding (Heavy, Irregular, Prolonged Periods): Menstrual bleeding that is different in frequency, duration, or amount than what is typical for an individual, requiring investigation.

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.
• 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.
• Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs (uterus, fallopian tubes, ovaries), often caused by sexually transmitted bacteria, which can lead to serious complications if untreated.

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. James Wang 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.
• 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).
• 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.
• Endometrial Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.
• 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.
• 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.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Wang 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. Wang practices in a clinic or hospital setting situated in the areas near central St Catharines. The facility is conveniently located close to local points of interest and is easily accessible via local public transit. The clinic is wheelchair accessible, ensuring barrier-free access for all patients. Paid parking options are available nearby, providing convenient parking for visitors. The practice is committed to providing accessible, comprehensive, and patient-focused obstetric and gynecological care within a welcoming environment.

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

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

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Wang'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. Wang manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Wang 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. Wang 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. Wang.

How can Dr. Wang help with menopause symptoms?

Dr. Wang 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 can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Wang 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. Wang 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.

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. Wang, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

245 Pelham Rd
St Catharines, ON L2S 1X8

Phone: (289) 479-0273 | Fax: (905) 227-0217

The facility is wheelchair accessible.

Dr. Wang 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/Wang-James-ChianMing/0310781-109301