About
Dr. Marisa Nicole Horniachek is a dedicated Obstetrician and Gynecologist (OBGYN) providing comprehensive care for women's reproductive health, pregnancy, and childbirth. She offers a patient-focused approach to manage a wide spectrum of conditions. Practicing at Holland Bloorview Kids Rehab in Kingston, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical care for all her patients.
Dr. Horniachek graduated with a Medical Degree from McMaster University in 2010 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 9 years, since 2015. She is certified as a RCPSC Specialist, demonstrating her expertise and commitment to ongoing professional development in women's health and surgical care.
Her clinical philosophy centers on providing patient-centered, compassionate care that respects each woman's unique needs and choices. Dr. Horniachek is committed to shared decision-making, evidence-based practice, and fostering a supportive environment for her patients. She primarily communicates in English and is dedicated to serving women of all ages in Kingston, Ontario, with a focus on promoting health, wellness, and positive pregnancy experiences.
Dr. Marisa Horniachek provides care for a wide spectrum of women's health issues, including:
Gynecologic Cancers and Precancerous Conditions
- Ovarian Cancer (Epithelial, Germ Cell, Stromal Tumors): Cancer that begins in the ovaries, which can be difficult to detect early and often requires specialized surgical and medical 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.
Pregnancy and Childbirth Related Conditions
- Ectopic Pregnancy: A pregnancy in which the fertilized egg implants outside the uterus, typically in a fallopian tube, requiring urgent medical attention.
- Preeclampsia & Hypertensive Disorders of Pregnancy: Pregnancy complications characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys.
- Postpartum Complications (e.g., Hemorrhage, Infection, Mood Disorders): Health problems that can occur after childbirth, such as excessive bleeding, infection, or postpartum depression/anxiety, requiring prompt attention.
Infertility and Reproductive Health
- Ovulatory Dysfunction (e.g., Anovulation, Oligo-ovulation): Problems with ovulation (the release of an egg from the ovary), such as infrequent or absent ovulation, a common cause of infertility.
- Uterine Factors Affecting Fertility (e.g., Septum, Asherman's Syndrome): Structural abnormalities or conditions of the uterus that can interfere with implantation or pregnancy maintenance.
- Fallopian Tube Disorders (Blockage, Hydrosalpinx, Adhesions): Conditions affecting the fallopian tubes, such as blockages or scarring, that can prevent sperm from reaching the egg or a fertilized egg from reaching the uterus.
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. Marisa Horniachek or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- 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.
- 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.
- 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).
- 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.
- 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.
- 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.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Horniachek 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. Horniachek practices at Holland Bloorview Kids Rehab, located in the heart of Kingston in the Downtown Kingston, Queen's University Area, Sydenham Ward neighborhood. The facility is conveniently situated near Kingston City Hall and Kingston Penitentiary Tours (access). Patients can easily reach the clinic via Kingston Transit. The location is wheelchair accessible, ensuring ease of access for all patients. Metered street parking is available nearby, providing convenient options for those arriving by car. The practice offers a welcoming environment dedicated to supporting women's health needs in the Kingston community.
- Are services from Dr. Horniachek, 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. Horniachek 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. Horniachek, 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. Horniachek 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. Horniachek's office or your referring doctor.
- Does Dr. Horniachek manage high-risk pregnancies?
- Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Horniachek 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. Horniachek 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. Horniachek.
- What are the treatment options for endometriosis that Dr. Horniachek 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. Horniachek will discuss the most appropriate approach for your situation.
- At which hospital(s) does Dr. Horniachek deliver babies or perform surgeries?
- Dr. Horniachek is affiliated with hospitals in Kingston. You can confirm the specific hospital(s) where she performs deliveries and gynecological surgeries by contacting Dr. Horniachek's office directly. This information is important for planning your care and delivery.
- What birth control options can Dr. Horniachek discuss with me?
- Dr. Horniachek 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. Horniachek will help you make an informed choice.
Holland Bloorview Kids Rehab
76 Stuart St
Kingston, ON K7L 2V7
Phone: (613) 548-6067
The facility is wheelchair accessible.
Dr. Horniachek 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/Horniachek-Marisa-Nicole/0265802-92811