Dr. Rolando Ruiz Cepeda

Dr. Rolando Cepeda 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.
• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
• 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.

Pelvic Floor and Urinary Disorders

• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.
• 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.

Infertility and Reproductive Health

• 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.
• 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.

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. Rolando Cepeda or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• 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.
• 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.
• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• Labor and Delivery Management (Vaginal & Cesarean): Professional medical care and support during labor and childbirth, including management of vaginal deliveries, assisted vaginal deliveries (forceps/vacuum if needed), and planned or emergency Cesarean sections (C-sections).
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Cepeda 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. Cepeda practices at Alexandra Marine and General Hospital, located in the Westdale neighborhood of Hamilton, ON. The facility is situated in the Ainslie Wood (McMaster University area) community, offering convenient access for residents of Hamilton and surrounding regions. It is close to Hamilton General Hospital, making it easy for patients requiring specialized care or hospital-based services. The hospital is wheelchair accessible and easily reachable via the Hamilton Street Railway (HSR). Metered street parking is available nearby, providing convenient options for visitors. The hospital's central location and accessible facilities ensure that women can receive comprehensive obstetric and gynecological care in a welcoming environment.

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

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. Cepeda will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

What does an Obstetrician and Gynecologist (OBGYN) like Dr. Cepeda do?

An Obstetrician and Gynecologist (OBGYN), like Dr. Cepeda, is a medical doctor specializing in women's reproductive health, pregnancy, and childbirth. They provide care throughout a woman's life, including prenatal care, labor and delivery, postpartum support, diagnosis and treatment of gynecological conditions (e.g., infections, fibroids, endometriosis, menstrual disorders), family planning, contraceptive management, preventative screenings like Pap tests, and management of menopausal symptoms.

What are my options for pain management during labor discussed by Dr. Cepeda?

Dr. Cepeda will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Cepeda during your prenatal visits.

Alexandra Marine and General Hospital
1057 Main Street West
Hamilton, ON L8S 1B7

Phone: (905) 972-8382 | Fax: (905) 972-8600

The facility is wheelchair accessible.

Dr. Cepeda 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/Ruiz-Cepeda-Rolando/0047748-61726