About
Dr. Romy Nitsch, 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 Midtown Pediatrics in Kingston, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Nitsch provides comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring women of all ages receive personalized and compassionate medical attention. She is dedicated to supporting women through pregnancy, childbirth, and general gynecological health, serving both prenatal and postnatal patients.
Dr. Nitsch graduated with a Medical Degree from the University of Ottawa in 2000 and has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 19 years, since 2005. She is certified as a RCPSC Specialist, demonstrating her commitment to maintaining high standards of medical excellence and ongoing professional development. Her extensive training and experience enable her to manage a wide range of women's health issues effectively, utilizing the latest evidence-based practices and surgical techniques.
Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based medicine. Dr. Nitsch is dedicated to promoting women's health in Kingston through compassionate, respectful, and accessible care. She communicates fluently in English and strives to create a supportive environment where patients feel empowered to participate actively in their health decisions. Her goal is to provide high-quality, personalized care that addresses each woman's unique needs and concerns throughout her reproductive journey.
Dr. Romy Nitsch provides care for a wide spectrum of women's health issues, including:
Screening and Preventative Care
- Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
- Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.
- Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
Gynecologic Cancers and Precancerous Conditions
- 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.
- 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.
Infertility and Reproductive Health
- 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.
- 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.
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. Romy Nitsch or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- 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.
- Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
- 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.
- External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
- 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).
- 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.
- Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Nitsch 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. Nitsch practices at Midtown Pediatrics, located in the heart of Downtown Kingston, in the Queen's University area within the Sydenham Ward neighborhood. The clinic is conveniently situated near the Downtown Core, easily accessible via Kingston Transit. The facility is wheelchair accessible, ensuring comfortable access for all patients. Parking is available at the location, providing ease of access for those arriving by car. Midtown Pediatrics offers a welcoming environment, equipped to serve women of all ages, including prenatal and postnatal care, in a central Kingston setting.
- Are services from Dr. Nitsch, 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. Nitsch 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. Nitsch, 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. Nitsch 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. Nitsch's office or your referring doctor.
- Does Dr. Nitsch manage high-risk pregnancies?
- Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Nitsch 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. Nitsch 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. Nitsch.
- 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. Nitsch will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.
- Does Dr. Nitsch support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Nitsch's approach to VBAC will depend on your specific medical history, the reason for your previous C-section, the type of uterine incision you had, and current pregnancy factors. She will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.
Midtown Pediatrics
Suite 404, 76 Stuart Street
Kingston, ON K7L 2V7
Phone: (613) 548-1327 | Fax: (613) 548-1330
The facility is wheelchair accessible.
Dr. Nitsch 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/Nitsch-Romy/0168911-75222