Dr. Susan Elizabeth Pakenham – Obstetrician and Gynecologist (OBGYN) | Peterborough, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Susan Elizabeth Pakenham offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at Echo Valley Family Health Organization in Peterborough, ON, she provides accessible and high-quality care to the community. Her practice adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Pakenham’s focus is on providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a compassionate approach tailored to each woman's unique health needs.

She graduated with a Medical Degree from Queen's University in 2007, earning her medical qualification in Canada. With over 12 years of experience practicing as a specialist in Obstetrics and Gynecology since 2012, she is certified as a RCPSC Specialist, demonstrating her expertise and commitment to high standards of care. Her extensive training and ongoing professional development allow her to stay current with the latest advancements in women’s health.

Dr. Pakenham’s clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. She is dedicated to supporting women through all stages of life in Peterborough, emphasizing respectful communication, individualized treatment plans, and empowering women to make informed choices about their health. She speaks English fluently and strives to create a welcoming and supportive environment for all her patients.

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

Gynecologic Cancers and Precancerous Conditions

• Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
• Cervical Dysplasia (CIN) & Cervical Cancer: Precancerous changes (Cervical Intraepithelial Neoplasia) or malignant tumors of the cervix, the lowermost part of the uterus, often linked to HPV infection.
• Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).

Pelvic Floor and Urinary Disorders

• Interstitial Cystitis / Painful Bladder Syndrome (IC/PBS): A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, ranging from mild discomfort to severe pain.
• 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.

Menstrual and Hormonal Disorders

• Hirsutism (Excess Hair Growth) & Acne (Hormonal): Excessive growth of dark or coarse hair in a male-like pattern or persistent acne, often related to hormonal imbalances like those seen in PCOS.
• 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.
• Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).

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. Susan Pakenham or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• 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.
• Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• 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.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• 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. Pakenham 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.

Located in the Downtown Peterborough area, the Echo Valley Family Health Organization is conveniently situated in the Central neighborhood, providing easy access for women seeking obstetric and gynecological care. The facility is close to Peterborough Regional Health Centre, making referrals and emergency consultations straightforward. Patients can easily reach the clinic via Peterborough Transit, with nearby paid parking options. The facility is wheelchair accessible, ensuring comfortable access for all patients. Dr. Pakenham’s practice is committed to providing accessible, high-quality care with a focus on patient comfort and convenience.

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

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

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

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

An Obstetrician and Gynecologist (OBGYN), like Dr. Pakenham, 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 is an IUD insertion like? Does Dr. Pakenham perform this?

Yes, Dr. Pakenham 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. Pakenham 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.

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

I have uterine fibroids. What treatment options might Dr. Pakenham suggest?

Treatment for uterine fibroids depends on their size, number, location, and the severity of your symptoms (like heavy bleeding or pain), as well as your reproductive goals. Options range from watchful waiting for asymptomatic fibroids, to medications (hormonal therapies to manage symptoms), to minimally invasive procedures (like uterine artery embolization - often by interventional radiology), or surgical removal of fibroids (myomectomy) or the uterus (hysterectomy). Dr. Pakenham will help you decide the best course of action.

Echo Valley Family Health Organizat
707 Charlotte Street
Peterborough, ON K9J 7B3

Phone: (705) 876-4530 | Fax: (705) 743-1449

The facility is wheelchair accessible.

Dr. Pakenham 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/Pakenham-Susan-Elizabeth/0242571-86427