Dr. Jennifer Margaret Nicholson

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

Pelvic Floor and Urinary Disorders

• Pelvic Organ Prolapse (Cystocele, Rectocele, Uterine Prolapse, Enterocele, Vaginal Vault Prolapse): A condition where one or more pelvic organs (bladder, uterus, rectum, small bowel, vaginal apex) drop or press into or out of the vagina due to weakened pelvic floor muscles.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
• Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.

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.

Menstrual and Hormonal Disorders

• 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.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
• 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.

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. Jennifer Nicholson or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• Diagnosis & Treatment of Vaginal Infections & Sexually Transmitted Infections (STIs): Management of conditions such as yeast infections, bacterial vaginosis, trichomoniasis, and screening/treatment for STIs like chlamydia, gonorrhea, syphilis, and HIV counseling.
• 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.
• 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.
• 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.
• 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.
• Postpartum Care & Follow-up: Medical follow-up and support for mothers in the weeks following childbirth, addressing physical recovery, incision care (if applicable), breastfeeding support, contraception planning, and screening for postpartum mood disorders.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Nicholson 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. Nicholson practices in a well-equipped clinic located in the areas near central Owen Sound. The facility is situated within a short distance from prominent local points of interest, making it convenient for patients to access. It is accessible via local public transit, ensuring ease of travel for community members. The clinic is wheelchair accessible, accommodating patients with mobility needs. Paid parking options are close by, providing additional convenience for those driving to appointments. The practice is in a prominent, easily reachable location in Owen Sound, dedicated to providing high-quality women’s health services in a comfortable environment.

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

At which hospital(s) does Dr. Nicholson deliver babies or perform surgeries?

Dr. Nicholson is affiliated with hospitals in Owen Sound. You can confirm the specific hospital(s) where she performs deliveries and gynecological surgeries by contacting Dr. Nicholson's office directly. This information is important for planning your care and delivery.

What are the treatment options for endometriosis that Dr. Nicholson might recommend?

Treatment for endometriosis aims to manage pain and improve fertility if desired. Options vary based on symptom severity and patient goals and can include pain medications (NSAIDs), hormonal therapies (like birth control pills, progestins, GnRH agonists) to suppress endometrial tissue growth, and surgical treatments (laparoscopy) to remove endometrial implants and scar tissue. Dr. Nicholson will discuss the most appropriate approach for your situation.

I have uterine fibroids. What treatment options might Dr. Nicholson suggest?

Treatment for uterine fibroids depends on their size, number, location, and the severity of your symptoms (like heavy bleeding or pain), as well as your reproductive goals. Options range from watchful waiting for asymptomatic fibroids, to medications (hormonal therapies to manage symptoms), to minimally invasive procedures (like uterine artery embolization - often by interventional radiology), or surgical removal of fibroids (myomectomy) or the uterus (hysterectomy). Dr. Nicholson will help you decide the best course of action.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Nicholson 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. Nicholson 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. Nicholson help with menopause symptoms?

Dr. Nicholson 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.

1800 8th St E
Owen Sound, ON N4K 6M9

Phone: (519) 371-2651 | Fax: (519) 371-6178

The facility is wheelchair accessible.

Dr. Nicholson 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/Nicholson-Jennifer-Margaret/0196820-78556