Dr. Janine Ashley Silver – Obstetrician and Gynecologist (OBGYN) | Richmond Hill, ON

Specializing in Obstetrics and Gynecology, Dr. Janine Ashley Silver (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Richmond Hill, fostering a supportive healthcare environment. Practicing at St. Joseph's Healthcare in Richmond Hill, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Silver provides comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring women receive attentive and compassionate medical attention. She is dedicated to supporting women of all ages, including prenatal, postnatal, and general gynecological care, in a nurturing and respectful setting.

Dr. Silver graduated with a Medical Degree from McMaster University in 2008 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 10 years, since 2014. She is certified as a RCPSC Specialist, reflecting her advanced training and commitment to maintaining high standards of care. Her expertise encompasses a wide range of women's health issues, and she continually updates her knowledge to provide the latest evidence-based treatments and procedures.

With a patient-centered approach, Dr. Silver emphasizes shared decision-making and personalized care plans tailored to each woman's unique needs and health goals. She is dedicated to promoting women’s health and well-being in Richmond Hill, providing education and support throughout all stages of life. Fluent in English, she strives to create a welcoming environment where patients feel comfortable discussing their concerns and preferences.

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

Pregnancy and Childbirth Related Conditions

• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.
• Routine & High-Risk Prenatal Care: Comprehensive monitoring and management throughout all stages of pregnancy, including those with increased maternal or fetal risks.
• Placenta Previa & Placental Abruption: Conditions where the placenta is abnormally positioned (previa) or detaches prematurely from the uterine wall (abruption), posing risks to mother and baby.

Pelvic Floor and Urinary Disorders

• 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.
• 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.

Common Benign Gynecological Conditions

• Adenomyosis: A condition where endometrial tissue exists within and grows into the muscular wall of the uterus, often causing heavy, painful periods.
• 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.
• 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. Janine Silver or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Endometrial Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.
• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• 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.
• 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.
• Management of Menstrual Disorders & Abnormal Uterine Bleeding: Diagnosis and treatment for conditions like heavy menstrual bleeding (menorrhagia), irregular periods, painful periods (dysmenorrhea), amenorrhea (absence of periods), and premenstrual syndrome (PMS)/PMDD.
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Silver 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. Silver practices at St. Joseph's Healthcare, located in the vibrant Oak Ridges and Lake Wilcox neighborhood of Richmond Hill. The facility is conveniently situated near Richmond Green Sports Centre and Park as well as the Richmond Hill GO Station, making it accessible by public transit via York Region Transit (YRT) / Viva. The clinic is wheelchair accessible to accommodate all patients, and paid parking options are close by for added convenience. This prime location ensures that women in the community can easily access high-quality obstetric and gynecological care in a comfortable and welcoming environment.

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

How can Dr. Silver help with menopause symptoms?

Dr. Silver 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 birth control options can Dr. Silver discuss with me?

Dr. Silver 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. Silver will help you make an informed choice.

What is an IUD insertion like? Does Dr. Silver perform this?

Yes, Dr. Silver can perform IUD (Intrauterine Device) insertions in the office. The procedure involves placing a small, T-shaped device into your uterus for long-acting, reversible contraception. During the insertion, you might experience some cramping, similar to period pains. Dr. Silver can discuss pain management options, such as taking an over-the-counter pain reliever beforehand or using local anesthetic in some cases. The actual insertion usually takes only a few minutes.

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

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Silver'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. she 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 are my options for pain management during labor discussed by Dr. Silver?

Dr. Silver will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Silver during your prenatal visits.

St. Joseph's Healthcare
13291 Yonge Street, Suite 100
Richmond Hill, ON L4E 4L6

Phone: (905) 773-7759 | Fax: (905) 773-1325

The facility is wheelchair accessible.

Dr. Silver 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/Silver-Janine-Ashley/0249986-89108