Dr. Nancy Lynn Mitenko – Obstetrician and Gynecologist (OBGYN) | Vancouver, BC

Dr. Nancy Lynn Mitenko, 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 a clinic and/or hospital setting in Vancouver, BC, she offers accessible and high-quality care to the community. Her practice is aligned with the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). Providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, Dr. Mitenko is dedicated to addressing the diverse health needs of women. She serves women of all ages, offering prenatal and postnatal care, as well as management of various gynecological concerns.

Dr. Mitenko graduated with an MD from the University of Calgary in 1997 and completed extensive postgraduate training in Obstetrics and Gynecology. She holds certifications including those from the Royal College of Physicians and Surgeons of Canada, demonstrating her commitment to maintaining high standards of practice and continuous professional development.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. She is dedicated to promoting women’s health in Vancouver through compassionate, personalized treatment and education. Dr. Mitenko communicates fluently in English, ensuring clear and effective dialogue with her patients.

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

Common Benign Gynecological Conditions

• Vulvodynia & Vulvar Pain Syndromes: Chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause, requiring careful management.
• 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.
• 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.

Sexual Health and Dysfunction

• Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
• 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.

Gynecologic Cancers and Precancerous Conditions

• Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).
• 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.
• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.

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. Nancy Mitenko 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.
• 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.
• 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.
• 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.
• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Mitenko 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 British Columbia (CPSBC). A referral may be required for insured services.

Dr. Mitenko practices in Vancouver, BC, at a modern clinic located in the vibrant Yaletown, Downtown South neighborhood. The facility is situated close to the Mount Pleasant Neighbourhood and Science World, making it a convenient choice for women across the city. Easily accessible via TransLink, including SkyTrain (Expo, Millennium, Canada Lines), Bus, SeaBus, and West Coast Express (Waterfront), the location ensures easy access for patients coming from various parts of Vancouver. The clinic is wheelchair accessible, providing barrier-free access for all patients. Metered street parking is available nearby, offering additional convenience for those arriving by car.

Are services from Dr. Mitenko, an Obstetrician and Gynecologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Mitenko are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP) or the clinic.

Do I need a referral from my family doctor to see Dr. Mitenko, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Mitenko 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. Mitenko's office or your referring doctor.

What birth control options can Dr. Mitenko discuss with me?

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

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

Yes, Dr. Mitenko 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. Mitenko 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.

How can Dr. Mitenko help with menopause symptoms?

Dr. Mitenko 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.

1290 Hornby St
Vancouver, BC V6Z 1W2

Phone: (604) 736-7131 | Fax: (604) 736-7173

The facility is wheelchair accessible.

Dr. Mitenko is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/313256/Mitenko%2CNancy