About
Dr. James McLaren Hillen, a respected Obstetrician and Gynecologist (OBGYN), focuses on empowering women through all stages of life with expert medical and surgical care, from adolescence through menopause and beyond. Practicing at North York General Hospital in Kingston, ON, he offers accessible and high-quality care to the community. His practice adheres strictly to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Hillen provides comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring women of all ages receive personalized and compassionate treatment. His dedication extends to supporting women through pregnancy, childbirth, and beyond, fostering a trusting and reassuring environment for his patients.
Dr. Hillen graduated with a Medical Degree from McMaster University in 1983. He has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 1988, accumulating over 36 years of experience. He is certified as a RCPSC Specialist, demonstrating his commitment to maintaining the highest professional standards and ongoing education in women’s health. His extensive experience allows him to offer expert care tailored to each patient's unique needs and circumstances.
Guided by a philosophy of patient-centered care, Dr. Hillen emphasizes shared decision-making, evidence-based practice, and compassionate communication. He is dedicated to improving women’s health outcomes in Kingston through comprehensive and empathetic care. Dr. Hillen speaks English fluently and values building strong, trusting relationships with his patients, ensuring they feel heard, informed, and supported throughout their health journey.
Dr. James Hillen provides care for a wide spectrum of women's health issues, including:
Pelvic Floor and Urinary Disorders
- Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.
- Interstitial Cystitis / Painful Bladder Syndrome (IC/PBS): A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, ranging from mild discomfort to severe pain.
- 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.
Gynecologic Cancers and Precancerous Conditions
- Gestational Trophoblastic Disease (GTD) (e.g., Molar Pregnancy): A group of rare pregnancy-related tumors that develop in the uterus from cells that normally form the placenta, requiring careful monitoring and treatment.
- Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
- 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.
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.
- 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.
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 Hillen 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.
- Oophorectomy / Salpingo-oophorectomy (Laparoscopic or Open): Surgical removal of one or both ovaries, and potentially fallopian tubes, often for cysts, tumors, endometriosis, or cancer risk reduction.
- 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).
- Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.
- Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
- 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.
- 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).
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Hillen 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. Hillen practices at North York General Hospital, located in the heart of Kingston's Downtown Kingston, Queen's University Area, Sydenham Ward. The hospital is conveniently situated near the Downtown Core and Leon's Centre (Arena), making it easy to access via Kingston Transit. The facility is wheelchair accessible, ensuring comfortable entry for all patients. Paid parking options are close by, providing convenient options for visitors. The hospital's central location allows patients to access specialized obstetric and gynecological services within a well-equipped, reputable medical environment, committed to patient comfort and safety.
- Are services from Dr. Hillen, 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. Hillen 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. Hillen, 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. Hillen 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. Hillen's office or your referring doctor.
- What birth control options can Dr. Hillen discuss with me?
- Dr. Hillen can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Hillen will help you make an informed choice.
- 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. Hillen will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.
- How can Dr. Hillen help with menopause symptoms?
- Dr. Hillen 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.
- 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. Hillen, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.
North York General Hospital
8 North, 812C, 552 Princess St
Kingston, ON K7L 1C7
Phone: (613) 483-6116
The facility is wheelchair accessible.
Dr. Hillen 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/Hillen-James-McLaren/0038673-52649