Dr. Patrick Manzano Liao – Obstetrician and Gynecologist (OBGYN) | North York, ON

Dr. Patrick Manzano Liao is a dedicated Obstetrician and Gynecologist (OBGYN) providing comprehensive care for women's reproductive health, pregnancy, and childbirth. He offers a patient-focused approach to manage a wide spectrum of conditions. Practicing at the University Health Network in North York, ON, he offers accessible and high-quality care to the community. His practice aligns with the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical care for all patients.

Dr. Liao has an extensive medical education background, having graduated with a Medical Degree from Cebu Institute of Medicine in 1977 in the Philippines. He has practiced as a specialist in Obstetrics and Gynecology for over 36 years, since 1988. He is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, reflecting his commitment to maintaining the highest standards of specialty care.

His clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practices. Dr. Liao is dedicated to addressing women's health needs in North York with compassion and professionalism. He speaks Chinese, English, and Filipino, facilitating effective communication with diverse patient populations and ensuring that each woman receives personalized and respectful care.

Dr. Patrick Liao 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.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
• 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.

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.
• Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD): A collection of emotional and physical symptoms that occur in the one to two weeks before a woman's period, with PMDD being a more severe, debilitating form.
• Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.

Screening and Preventative Care

• Cervical Cancer Screening (Pap Tests & HPV Testing): Regular screening to detect precancerous changes or cancer of the cervix, primarily through Pap tests and HPV DNA testing.
• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.

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. Patrick Liao or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• Preconception Counseling & Health Optimization: Guidance and health optimization for individuals or couples planning a pregnancy, including discussion of folic acid supplementation, chronic medical conditions, genetic carrier screening, and lifestyle factors.
• 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.
• Endometrial Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.
• 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.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Liao 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. Liao practices at the University Health Network, located in the areas near central North York. The facility is conveniently situated close to local points of interest and is accessible via local public transit options. The clinic is wheelchair accessible to accommodate all patients. Metered street parking is available nearby for those who prefer to drive. This strategic location ensures easy access for women across North York seeking expert obstetric and gynecological care.

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

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. Liao, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

Does Dr. Liao discuss or offer the HPV vaccine?

The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Liao can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.

Does Dr. Liao manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Liao 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. Liao 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. Liao.

What are some common gynecological surgeries Dr. Liao might perform?

Common gynecological surgeries include procedures like hysterectomy (removal of the uterus), oophorectomy (removal of ovaries), tubal ligation (female sterilization), D&C (dilation and curettage), endometrial ablation, and surgeries to treat conditions such as fibroids (myomectomy), endometriosis, ovarian cysts, or pelvic organ prolapse. Many of these can be performed using minimally invasive techniques like laparoscopy or hysteroscopy. Dr. Liao will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Liao 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. Liao 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.

University Health Network
Room 11E445A, 1275 Finch Ave W, Department of Laboratory Hematology
North York, ON M3J 0L5

Phone: (416) 633-7201

The facility is wheelchair accessible.

Dr. Liao 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/Liao-Patrick-Manzano/0038023-51999