Dr. Robert Duncan Nowicki – Obstetrician and Gynecologist (OBGYN) | St Catharines, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Robert Duncan Nowicki offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at The Hospital For Sick Children in St. Catharines, ON, he provides accessible and high-quality care to the community. His practice is dedicated to delivering comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on supporting women through all stages of life, from adolescence through menopause and beyond. Dr. Nowicki's approach emphasizes compassionate, patient-centered care that respects individual needs and preferences.

Dr. Nowicki graduated with a Medical Degree from the University of Aberdeen School of Medicine and Dentistry in 1973 in the United Kingdom. He has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 42 years, since 1982. He is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, ensuring adherence to the highest standards of medical excellence and professionalism.

His clinical philosophy centers on providing patient-centered care through shared decision-making and evidence-based practices. Committed to promoting women's health in St. Catharines, he strives to create a supportive environment where patients feel heard and empowered. Dr. Nowicki speaks English fluently and dedicates himself to continuous learning to stay current with the latest advancements in women's health and obstetrics. His goal is to serve the community with empathy, respect, and a strong commitment to quality care.

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

Menstrual and Hormonal Disorders

• 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.
• Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.

Infertility and Reproductive Health

• 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.
• Female Infertility Evaluation & Initial Management: Comprehensive assessment to identify potential causes of difficulty conceiving in women and initiation of basic treatments.
• 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.

Pregnancy and Childbirth Related Conditions

• Routine & High-Risk Prenatal Care: Comprehensive monitoring and management throughout all stages of pregnancy, including those with increased maternal or fetal risks.
• 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.
• Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.

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. Robert Nowicki 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.
• Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• 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.
• 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 Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Nowicki 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.

The practice is located at The Hospital For Sick Children in St. Catharines, ON, situated in the vibrant areas near central St. Catharines. This location offers convenient access for patients from surrounding neighborhoods and is close to several local points of interest. The facility is wheelchair accessible, ensuring ease of access for all patients. Public transit options serve the area, making it simple to reach the clinic without a vehicle. Metered street parking is available nearby, providing additional parking options for patients arriving by car. The clinic is committed to providing a welcoming environment with modern amenities to support patient comfort and care.

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

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Nowicki 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. Nowicki 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 often do I need a Pap test, and what is it for?

A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Nowicki will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

The Hospital For Sick Children
152 Ontario Street, Department Of Psychiatry
St Catharines, ON L2R 5K5

Phone: (905) 988-9600 | Fax: (905) 988-9518

The facility is wheelchair accessible.

Dr. Nowicki 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/Nowicki-Robert-Duncan/0038308-52284